Claims Assistant

Job Title
: Claims Assistant

Location
: Richmond, VA 23219

Duration
: 4+ Months (Possibility of extension depending upon business requirements and performance)

Schedule
: Monday - Friday 8am – 4:30pm

Pay Rate
: $27.58/hour

Job Profile Summary:

• Claims Assistant promotes workers' compensation incidents to claims, notify the VWCC of new claims via electronic FROI and follow-up with claimant's regarding timely reporting.
• Field all office mail and send to the appropriate claim examiners.
• Process legal and medical documents, attaching them to the appropriate claim files.
• Deal with the general public in a professional manner by answering calls, and communicating electronically and in-person.

Job Description:

• Licensure, Certification, or Registration Requirements for Hire:
  N/A
• Licensure, Certification, or Registration Requirements for continued employment:
  N/A
• Experience Required: Previous clerical experience with personal computers and Windows functionality experience.

Preferred Experience:

• Working within an insurance office that handles workers' compensation Experience in the medical field and/or with insurance claims filing procedures Education/training
• REQUIRED
  : College education or equivalent Education/training.
• PREFERRED
  : Bachelor in Business or equivalent
• Independent action(s) required
  : Promotes incidents to claims Scans/attaches documents to claims Sorts/distributes mail Answers/transfers calls Maintains OSHA compliance by updating files as necessary Identifies processes for improvement
• Supervisory responsibilities (if applicable):
  N/A
• Additional position requirements:
  N/A
• Age Specific groups served:
  N/A
• Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20 50 lbs.
• Activities
  : Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion
• Mental/Sensory
  : Strong recall, Reasoning, Problem solving, Hearing, speak clearly, Write legibly, Reading, Logical thinking
• Emotional
  : fast-paced environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent
• change

Responsibilities:

• Electronic Claims Promotes electronic workers' compensation incidents to claims in the Origami claims handling system, and, in the event of an incomplete incident, contacts the claimant (employee) to obtain missing information and promote timely reporting. Notifies the workers' compensation claims examiners of any duplicate incident reports or any trends (i.e. multiple employees affected by the same incident/exposure, etc.).
• Paper Claims Sorts and distributes all mail for Insurance Risk and Claims Departments daily so that the appropriate employee receives all documents pertaining to their claims.
• After claim examiners have viewed and returned their documents, scans, labels and attaches the documents electronically to the appropriate claim file in Origami claims handling system.
• Communicates/Assists Third Parties Communicates with co-workers, claimants (employees), and vendor companies in a courteous and helpful manner.
• Provides assistance to personnel to help to ensure that all incidents are promoted within the requested time frame, and that all questions/problems are answered within 2 work days.
• Process Improvement Looks for new ways to improve existing processes.
• Identifies redundancies in processes within and across lines of business and develops new processes to make the department more efficient.
• Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of organization and the Department.
• Provides assistance to team members.
• Accepts alternate assignments, as required, graciously.

Below is the brief introduction of SPECTRA
FORCE,
the benefits we offer and the disclaimers:

About Us:

Established in 2004, SPECTRA
FORCE
is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRA
FORCE
is built on a concept of "human connection," defined by our branding attitude of NEWJOBPHORIA, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential.

Learn more at:

Benefits:

SPECTRA
FORCE
offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRA
FORCE
provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer:

SPECTRA
FORCE
is an
equal opportunity employer
and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at if you require reasonable accommodation.