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Claims Assistant – Workers' Compensation
TRISTAR Insurance Group. Provide clerical, administrative, and data-entry support for workers’ compensation claims administration .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in clerical and administrative support for workers' compensation claims, including data entry, communication with various stakeholders, and adherence to regulatory requirements. Exhibits strong attention to detail and effective organizational skills to manage multiple assignments and deadlines.
Highest-signal resume keywords
Workers' Compensation Claims AdministrationKeyboarding ProficiencyMicrosoft Word ProficiencyMedical and Legal Terminology KnowledgeEffective Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data EntryClaims Management System ReportingDocument OrganizationPayment ProcessingRegulatory Filings
Soft Skills
Attention to DetailService-Oriented ApproachAbility to Prioritize AssignmentsCollaboration SkillsProfessional Telephone Communication
Certifications & Qualifications
High School Diploma or GEDCertification and/or Licensure as Required by State Regulations
Industry Keywords
Claims Examiner SupportClaim SetupCorrespondence ManagementRecords MaintenanceLight-Duty Claims
About the role
Key responsibilities & impact- Provide clerical, administrative, and data-entry support for workers’ compensation claims administration
- Support Claims Examiners with claim setup, payment processing, correspondence, regulatory filings, and records maintenance
- Communicate with claimants, medical providers, employers, investigators, attorneys, management, and TRISTAR staff
- Enter new claim information and establish claim files in the claims management system
- Assist with telephone communications concerning light-duty claims as directed
- Support scheduled payment processing under Claims Examiner direction
- Process special mailing requests according to instructions and deadlines
- Prepare PLN notices and other state filings using information provided or approved by Claims Examiners
- Assist with mail processing and check printing
- Enter payments as directed by authorized claims staff
- Receive, organize, and distribute incoming mail; prepare outgoing correspondence and claim-related documents
- Copy, scan, and organize documents
- Answer and route telephone calls, record messages, and direct inquiries
- Prepare, generate, and run claims management system reports
- Maintain accurate records and report missing information or processing discrepancies
- Perform other duties as assigned
Requirements
What you’ll need- High school diploma or GED required
- Demonstrated keyboarding proficiency; ability to type at least 45 words per minute
- Working knowledge of medical and legal terminology
- Ability to alphabetize, collate, and organize documents accurately
- Proficiency in Microsoft Word
- Ability to follow written and verbal instructions from multiple staff members and seek clarification when priorities conflict
- Strong attention to detail and ability to produce accurate work
- Effective written and verbal communication skills
- Professional and courteous telephone communication skills
- Ability to prioritize multiple assignments and meet established deadlines
- Ability to complete assigned tasks independently within established procedures and collaborate effectively with the workgroup
- Positive, service-oriented approach to supporting claims staff and resolving administrative matters
- Certification and/or licensure as required by applicable state regulations
- One year of workers’ compensation claims industry experience preferred
Benefits
Comp & perks- Optional work from home
- Day shift
- No travel required