(California Apply! 🎉) Get Paid $24.83

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Distant Standing: Distant

Athens Place Particulars

Place Title: Assistant Claims Examiner
Division: Employees’ Compensation
Experiences To: Claims Supervisor
FLSA Standing: Non-Exempt
Job Grade: 6

Since our founding in 1976, Athens Directors has been a acknowledged chief in third-party claims administration companies. Nonetheless, extra vital than what we do is how we do it. Athens workers present service that interprets into actual and lasting advantages—each single day! With workplaces all through the USA, Athens Directors affords Employees’ Compensation, Property & Casualty, Managed Care and Program Enterprise options. Athens is proud to be a third-generation family-owned firm and is devoted to its core values of honesty and integrity, a dedication to service and outcomes, and a caring household tradition. We’re so proud that our workers have constantly voted Athens as a Greatest Place to Work!

Athens Directors has an instantaneous want for an skilled Assistant Claims Examiner to assist our Employees Compensation division and will be situated remotely in California if technical necessities are met. Southern California residents most popular. Athens workplaces are open for enterprise Monday-Friday from 7:30 a.m. to five:30 p.m. native time. The schedule for this place is Monday-Friday at 37.5 hours every week. The Assistant Claims Examiner will present clerical and technical help to Senior Claims Examiners and administer Medical Solely claims, making certain well timed processing of claims and fee of advantages, managing and directing medical therapy, and setting reserves.

The necessities listed beneath are consultant of the data, talent, and/or capability required. Whereas it doesn’t embody all job necessities, it’s meant to provide you a strong understanding of expectations.

  • Highschool diploma or equal (GED) required, faculty diploma most popular

  • 2+ years’ Claims Assistant expertise supporting a Employees’ Compensation Examiner or Crew most popular

  • Medical Solely Adjuster designation required

  • Persevering with hours have to be present

  • Completion of IEA or equal programs

  • Directors Certificates from Self-Insurance coverage Plans most popular

  • Skilled Indemnity Claims Adjuster Designation most popular

  • Information of staff compensation legal guidelines, insurance policies and procedures

  • Understanding of medical and authorized terminology

  • Effectively-developed verbal and written communication expertise with robust consideration to element

  • Wonderful organizational expertise and skill to multi-task

  • Capability to kind rapidly, precisely and for extended intervals

  • Proficient in Microsoft Workplace Suite

  • Capability to be taught further laptop packages

  • Reasoning capability, together with problem-solving and analytical expertise, i.e., confirmed capability to analysis and analyze information, establish points and make acceptable suggestions and options for decision

  • Capability to be reliable, reliable, and team-oriented for fellow workers and the group

  • Capability to attend in-person file evaluations in Orange

Our new rent ought to have the talents, capability, and judgment to carry out the next important job duties and tasks with or with out cheap lodging. Further duties could also be assigned:

  • Deal with Medical Solely declare recordsdata in compliance with shopper’s Service Settlement

  • Concern all indemnity funds and awards with corresponding profit notices precisely and on time

  • Calculate wage statements and alter incapacity charges as required

  • Contact treating doctor for incapacity standing and relay standing to the examiner and employer to find out the provision of modified work.

  • Course of all permitted supplier payments well timed

  • Put together objection letters to suppliers for medical payments; delayed, denied, missing studies

  • Full well timed and detailed preliminary declare 3 level contacts

  • Preserve diary for all delay dates and indemnity funds

  • Schedule appointments for AME, QME evaluations and ship appointment letters, difficulty TD/mileage, ship medical file

  • Schedule interpreter for appointments, depositions, and so forth.

  • Confirm mileage and dates of therapy for reimbursement to claimant

  • Subpoena information and file and serve paperwork on attorneys, WCAB, docs

  • Serve PTP’s with medical file and Duties of Treating Doctor (9785)

  • Draft Stipulated Awards and C&R’s and undergo the WCAB for approval with documentation

  • Course of checks – cease fee, cancellations, void, journal funds

  • Different duties as assigned

We sit up for studying about YOU! To be thought of, please submit your resume and utility straight by our web site at http://www.athensadmin.com/careers/job-openings/ Be at liberty to incorporate a canopy letter in case you’d prefer to share some other particulars. All purposes obtained are reviewed by our in-house Company Recruiter.

This description portrays generally phrases the sort and ranges of labor carried out and isn’t meant to be all-inclusive or characterize particular duties of anybody incumbent. The data, expertise, and talents could also be acquired by a mixture of formal education, self-education, prior expertise, or on-the-job coaching.

Athens Directors is an Equal Alternative/ Affirmative Motion employer. We offer equal employment alternatives to all certified workers and candidates for employment with out regard to race, faith, intercourse, age, marital standing, nationwide origin, sexual orientation, citizenship standing, veteran standing, incapacity, or some other legally protected standing. We prohibit discrimination in selections regarding recruitment, hiring, compensation, advantages, coaching, termination, promotions, or some other situation of employment or profession growth.

We sit up for reviewing your data. Making use of for jobs isn’t essentially enjoyable, however we promise we’re. Don’t neglect to take a look at our web site at www.athensadmin.com in addition to our LinkedIn, Glassdoor, and Fb pages!

Athens Directors is devoted to truthful and equitable compensation for our workers that’s each aggressive and reflective of the market. The estimated price of pay can range relying on expertise, data, talents, location, labor market developments, expertise, training together with relevant licenses & certifications, and so forth. Moreover, eligible workers could also be thought of yearly for discretionary wage changes and/or incentive funds. Additional details about our complete advantages bundle could also be discovered on our web site at https://www.athensadmin.com/careers/why-work-here

Pay Vary: $24.83 – $30.42 per hour

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