Insurance Claims Assistant Jobs (NOW HIRING)

POSITION SUMMARY:  TRISTAR is seeking a detail-oriented and motivated Claims Assistant to join our Portland team. This is an entry-level position designed for individuals interested in advancing to a Workers’ Compensation Claims Adjuster role in Oregon and/or Washington.

If you are a professional communicator who thrives in a fast-paced environment and possesses a strong work ethic, we want to hear from you. Under close supervision, clerical and data-entry tasks are performed to assist in the administration of workers’ compensation claims.

DUTIES AND RESPONSIBILITIES:

• Execute benefit and medical payments on assigned claim files under the direction of the Claims Examiner.
• Maintain comprehensive and accurate documentation of all claim activities within the electronic filing system.
• Draft and distribute official correspondence and manage all outgoing mail and faxes.
• Facilitate the flow of pertinent claim information between clients, legal counsel, medical/rehab providers, and internal staff.
• Manage professional telephonic communications, including call screening and message coordination.
• Managed incoming calls and professional inquiries.
• Perform additional administrative tasks as required to support the claims department.

QUALIFICATIONS REQUIRED:

Education/Experience:  A high school diploma or GED is required.

While not required, we prefer candidates with at least six months of experience in workers' compensation claims.

A Bachelor’s degree is a significant plus.

Knowledge, Skills and Abilities:

•Proficient keyboarding skills (type 45 wpm).

•Working knowledge of medical/legal terminology.

•Proficient in Word.

•Ability to follow written and spoken instructions from several individuals.

•Ability to produce accurate and detailed work.

•Excellent verbal and written communication skills.

•Courteous telephone skills.

•Ability to effectively prioritize multiple projects and due dates.

•Ability to work independently, as well as in cooperation with workgroup.

Mental and Physical Requirements:

                             MENTAL AND PHYSICAL REQUIREMENTS

1.  MENTAL EFFORT

a.       Reasoning development:

 X      Follow one- or two-step instructions; routine, repetitive task.

          Carry out detail but uninvolved written or verbal instructions; deal with a few concrete              variables.

 X      Follow written, verbal, or diagrammatic instructions; several concrete variables.

 X      Solve practical problems; variety of variables with limited standardization; interpret instructions.

 X      Logical or scientific thinking to solve problems; several abstract and concrete variables.

          Wide range of intellectual and practical problems; comprehend most obscure concepts.

b.       Mathematical development:

 X      Simple additional and subtraction; copying figures, counting, and recording.

          Add, subtract, multiply, and divide whole numbers.

 X      Arithmetic calculations involving fractions, decimals, and percentages.

          Arithmetic, algebraic, and geometric calculations.

          Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination.

          Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination; requires theoretical application.

c.       Language development:

          Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing.

          Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction.

          Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants.

 X      Ability to compose original correspondence, follow technical manuals, and have increased contact with people.

 X       Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data.

2.  PHYSICAL EFFORT

a.        Physical activity required to perform the job:

          Sedentary work:  Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time.  Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

 X      Light work:

a.    Exerting up to 20 pounds of force occasionally

b.    Exerting up to 10 pounds frequently

c.    Exerting a negligible amount of force constantly to move objects

          (If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work).

          Medium work:

a.    Exerting up to 50 pounds of force occasionally

b.    Exerting up to 20 pounds of force frequently

c.    Exerting up to 10 pounds of force constantly to move objects

          Heavy work:

a.    Exerting up to 100 pounds of force occasionally

b. Exerting up to 50 pounds of force frequently

c.    Exerting up to 20 pounds of force constantly to move objects

          Very heavy work:

a.    Exerting in excess of 100 pounds of force occasionally

b.    Exerting in excess of 50 pounds of force constantly to move objects

c.    Exerting in excess of 20 pounds of force constantly to move objects

1. Visual requirements necessary to perform the job:

          Far vision:  clarity of vision at 20 feet or more

 X      Near vision:  clarity of vision at 20 feet or less

 X      Mid-range vision:  clarity of vision at distances of more than 20 inches and less than 20 feet

          Depth perception:  the ability to judge distance and space relationships, so as to see objects where and as they actually are

          Color vision:  ability to identify and distinguish colors

          Field of vision:  ability to observe an area up or down or to the right or left while eyes are fixed on a given point