Claims Assistant

San Bernardino County (Ca) San Bernardino , CA 92401

Posted 2 weeks ago

TheDepartment of Risk Managementis recruiting for

Claims Assistantswho assist Workers' Compensation Adjusters with routine aspects of complex cases. Duties include the following: obtain and document disability status, return to work dates, work restrictions and follow-up appointment information; maintain benefit payment cards; process and cycle computer payments; and calculate benefit rates.

For more detailed information, please refer to the Claims Assistantjob description.

CONDITIONS OF EMPLOYMENT

Pre-Employment Process: Applicants must pass a background investigation, which includes fingerprinting, credit check, and/or medical exam, prior to appointment.

Sponsorship:Please note San Bernardino County is not able to consider candidates who will require visa sponsorship at the time of application or in the future.

Minimum Requirements

Experience - Applicants mustmeet one of the following options:

Option 1

Twelve (12) months of workers' compensation experience in a private or public sector claims management environment, performing routine clerical tasks, which included performing basic arithmetical calculations, data entry, composing correspondence, providing information to the public, and preparing, maintaining, organizing and processing claimant files and other paperwork.

Option 1 Substitution: Successful completion of courses taken to satisfy requirements for an Insurance Education Association (WCCA) certificate (or comparable coursework involving State of California workers' compensation laws) may be substituted at a rate of one class for one month of experience, up to a maximum (6) months of the required experience ORcompleted college coursework in finance, accounting, biology, or paralegal studies may be substituted for experience at a rate of 12 semester (18 quarter) units for one month, up to six (6) months of experience.

Classes/coursework may substitute for a maximum of 6 months of the required experience. If substituting coursework for experience, transcripts must be attached.

Note: Qualifying coursework must be completed at a college or university accredited by any accrediting association recognized by the United States Department of Education. Coursework completed outside the U.S. must be accompanied with an evaluation report from a reputable credential evaluation service showing equivalency to degrees or coursework completed at a college or university accredited by any accrediting association recognized by the United States Department of Education.

  • OR-

Option 2

Six (6) months of experience in a public sector claims management environment, which included calculating benefits, preparing benefit notices, and filing legal documents; -OR- six (6) months of experience in a private sector organization, which included processing workers' compensation billing, obtaining workers' compensation authorization, processing claim paperwork, and/or setting up workers' compensation claims.

Desired Qualifications

The ideal candidate will have extensive experience working in a public sector claims management environment, which included using Microsoft Office Suite (i.e, Word and Excel), computers, fax machines, and multi-line telephone systems.


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