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Worker's Compensation Claims Administration Analyst

Company: Salus Workers Compensation LLC
Location: Lewisville
Posted on: January 9, 2022

Job Description:

Under the direction of the Director of Claims Operations, the Claims Administration Analyst provides professional administrative support to the claims team and responds to customer questions or requests for general claims information.
Essential Functions

New claim set up: entering claim into the claim system of record as needed, initial EDI FROI, and ISO entry
Payment issuance: issue claim indemnity and expense checks which could include Electronic Funds Transfer
Research outstanding indemnity, expense and medical checks and submit void, stop pay and re-issuance requests
Child support entity set up
Mail: receive, review, sort, date stamp, index and properly route all mail received in the office. Add postage to all outgoing correspondence. Complete certified mail and overnight mail requests. Scan, upload and distribute documents to claim system
Communication: receive and return calls from medical providers seeking status of medical bill payments. Send proof of payments and EOR's upon request. Respond to general claim inquiries such as requests for claim number, adjuster name, billing address, general claim questions, etc.
Reporting: ISO search & EDI FROI at the request of an adjuster
Notary: perform notary public registration and offer services when necessary
Claim Files: Copy claim files upon request. Ensure closed files are appropriately tracked and filed. Maintain organization of closed filings. Scan & upload claim correspondence to the claim file.
Assist with the general clerical overflow as needed including coordination of property management need to access the office space, order kitchen and office supplies
Perform other duties as assigned


Must have professional telephone etiquette
Must be customer service oriented
Strong organizational skills
Excellent oral, written and interpersonal communication skills
Detailed oriented with the ability to work in a team environment and be flexible to changing needs and job duties

Supervisory Responsibility
This role has no supervisory responsibility
Technical Skills Required
PC literate, including Microsoft Office and Google Products
Work Environment & Physical Demands
This position operates in a professional office setting and is largely a sedentary role. However, some filing is necessary and may require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary.
Position & Expected Hours
This is a full-time, salaried exempt position. Typical work hours and days are Monday through Friday, 8:00 am to 5:00 pm. Some flexibility in hours is allowed, however the employee must be available during the "core" work hours of 9:30 am to 3:30 pm and must work 37.5 hours each week.

Minimal to no travel required
Required Education & Experience

High school diploma or GED required, with some college
At least two years of related experience
Knowledge of general office, administration, or clerical functions
Insurance experience is preferred
Licenses as required

Keywords: Salus Workers Compensation LLC, Lewisville , Worker's Compensation Claims Administration Analyst, Professions , Lewisville, Texas

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