Claims Assistant, Workers' Compensation

Assist Examiners in every aspect of claims administration. You will identify, prevent and mitigate potential penalties as well as deliver 3 point contact. Input data entry on all new claims and Provide indemnity payments and cycles. Request wage statements and wage statement calculations. Identify, prevent and mitigate potential penalties. Deliver 3-point contact (MO &/or Indemnity files) to verify the mechanics of the injury, compensability and discharge. Review all DWC letters (initial notices). Input form letters (30 day closing letters when appropriate). Calculate and pay mileage and benefits. Verify lost time and waiting periods. Review and manage modified duty. Perform maintenance of current diary. Input basic notes relating to claim, status and treatment. Identify issues requiring conversion to Indemnity to include supporting documentation. Refer all x-rays and diagnostic services to PRIME for utilization review. Process medical bills daily to avoid penalty and interest.