We are looking to add a Claims Assistant to join our team in Waukee, IA. This role will provide excellent customer service to internal staff, insured, claimants and other providers.  To support our adjusters by scanning and distributing bills, correspondence, legal documents, pictures and anything related to individual claims files, submit bills for review to managed care company, and maintain claims for the adjusters to accomplish the best claim outcome.

Responsibilities:

• Receives, gathers and accurately transmits claims information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
• Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
• Generates checks for medical payments daily.
• Compiles and interprets reports on designated accounts, as requested.
• Ability to handle multiple jurisdictions of medical workers’ compensation claims and/or general liability and auto claims.
• Develops and monitors consistency in procedural matters of the claims handling process with CRS.
• Knowledge of organizational methods and the ability to manage multiple tasks/duties simultaneously.
• Assist the adjuster with mandatory state reporting.
• Assist the adjuster with the payment of medical and non-medical bills.
• Assist the adjuster attaching mail and sending out records requests to medical providers.

Knowledge, Skills, and Abilities:

• Knowledge of Workers’ Compensation and/or General Liability and Auto insurance coverage and the ability to apply that knowledge in the performance of the job duties.
• Skillful knowledge of claims processing procedures.
• Ability to work with persons under adverse or highly emotional conditions.
• Knowledge of organizational methods and the ability to manage multiple tasks/duties simultaneously.
• Ability to work daily and extended hours, as necessary.
• Ability to maintain confidentiality.
• Ability to act in a professional and courteous manner.
• Ability to learn various software programs.
• Ability to become licensed if required in jurisdiction where claims are handled.
• Must be knowledgeable of and comply with our Client Privacy Policy, HIPAA regulations and E&O procedures and policies.

Qualifications:

• Education: High School education with college preferred.
• Experience: 1 - 2 years’ claims experience with strong background in Workers’ Compensation and/or General Liability and Auto coverage preferred.

Benefits:  In addition to core benefits like health, dental and vision, also enjoy benefits such as:

• Paid Parental Leave and supportive New Parent Benefits — We know being a working parent is hard, and we want to support our employees in this journey!
• Company paid continuing Education & Tuition Reimbursement — We support those who want to develop and grow.
• 401k Profit Sharing — Each year, we make a lump sum contribution to every full-time employee’s 401k. This means, even if you’re not in a position to set money aside for the future at any point in time, we will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
• Generous time off practices in addition to paid holidays — Yes, we actually encourage employees to use their time off, and they do. After all, you can’t be at your best for our clients if you’re not at your best for yourself first.
• Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you — Through our  foundation we offer several vehicles where you can make an impact and care for those around you.
• DE&I programs — we are committed to celebrating every employee’s unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
• Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
• Discretionary bonus opportunity — Yes, there is an annual opportunity to make more money. Who doesn’t love that?!

EOE

Pre-offer background check required.