TRISTAR Insurance Group

WC Claims Assistant - Hybrid

TRISTAR Insurance Group  •  $24/hr  •  Fresno, CA (Hybrid)  •  4 months ago
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Job Description

Job Location: Fresno Office - Fresno, CA 93727
Position Type: Full TimeEducation
Level: High School Diploma or GED
Salary Range: $24.00 - $24.00 Hourly

POSITION SUMMARY: Under close supervision performs clerical and data entry tasks that assist in the administration of workers’ compensation claims.
This position requires considerable interaction on the phone with claimants, Doctors, employers, investigators, attorneys and with management, other Claims Examiners, and other TRISTAR staff.
DUTIES AND RESPONSIBILITIES:
- Prepares benefit notices, schedules and processes benefit and medical payments on claim files as directed by the Claims Examiner. *
- Documents all work product and claim activity in the electronic claim file. *
- Prepares and prints letters, benefit notices and labels. *
- Provides clerical support, including filing, faxing, sorting, and alphabetizing. *
- Communicates pertinent claim information to the client, legal counsel and medical providers and internal claims staff. *
- Answers phone calls, take messages and respond appropriately. *
- Performs receptionist duties on a back-up basis.
- Other duties as assigned.
*Essential job function.
EQUIPMENT OPERATED/USED:  Computer, telephone, 10-key, fax machine, printers and other basic office equipment.

QualificationsQUALIFICATIONS REQUIRED:
Education/

Experience: High school diploma or GED, and six (6) months’ experience in the workers’ compensation claims industry (preferred).
Knowledge, Skills and Abilities:
- Proficient keyboarding skills (type 45 wpm).
- Working knowledge of medical/legal terminology.
- Ability to alphabetize and collate.
- 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 workgroups.
Other

Qualifications:
- - CA SIP License
TRISTAR Insurance Group

About TRISTAR Insurance Group

TRISTAR began as an insurance program manager and medical malpractice claims administrator in 1987. Workers compensation claims management services were added in our offerings in 1989, and the Company was renamed TRISTAR Risk Management in 1995. As managed care and benefits administration services were added to our offerings, the organization grew into TRISTAR.

We are the largest privately held third party claims administrator in United States. We empower more than 1,000+ professionals in offices throughout the United States, focusing business operations in three divisions: property casualty claims management, benefits administration, and managed care services.

We are true to our values of RESPECT, INTEGRITY, TRUST, and EXCELLENCE, making the right choices both financially and ethically.

At TRISTAR we strive to create an environment of respect, wherein all of us are encouraged to learn and to grow, to provide exceptional service to our clients and in turn to enjoy the satisfaction that comes from a job well done. We believe that to provide real service, we must contribute something which cannot be bought or measured with money: sincerity and integrity.

At TRISTAR, you help create a world in which together we "transform risk into opportunity"​.

Industry
Finance & Insurance
Company Size
501-1,000 employees
Headquarters
Long Beach, CA
Year Founded
1987
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