What are the responsibilities and job description for the Claims Assistant position at Sheffield Risk Management Services, LLC?
Summary: Assists with the processing of insurance claims forms and provides technical support to designated adjusters by performing the following duties.
Essential Duties and Responsibilities include the following: other duties may be assigned:
Assigned duties of a Claims Assistant as required on a daily basis.
Reviews medical documentation for the processing of lost time benefit payments.
Assists with the TPD payment and requests wage information from the employer.
Reviews and calculated wage statements.
Handles general calls on assigned adjuster files to various parties.
Monitors and handles case load of medical only claims.
Provides assistance to adjuster as follows: surveillance, nurse case management referrals, physician calls, etc…
Schedules benefit review conference and/or mediations with the Department of Labor.
Responsible for filing state forms related to payment of disability benefits and follows up as needed.
Responsible for the uploading of all lost time claims electronically to the State of Alabama Department of Labor.
Administrative back-up for telephone coverage, scanning and faxing.
Benefits:
- 401(k)
- 401(k) matching
- Flexible schedule
- Health insurance
- On-site gym
- Paid time off
Work Location: In person