Claims Assistant

The Workers' Compensation Claims Assistant's primary role is to provide administrative and technical support for Claims Adjusters and to perform various administrative tasks in support of claim handling requirements. Pie's Claims Team is 100% remote-based and strategically deployed across the states we write business in. Pie dedicates significant resources and support to ensuring our remote Pie-oneers are set up for success!

How You’ll Do It

Data Entry: 

• Enter and review claim notes in the claims management system.
• Create, review and complete diaries in the claims management system.
• May assist with creating new claims in the claims management system.
• Review and describe mail in the claims management system.

Technical Administrative Support:

• Process payments.
• Create and send benefit notices and letters.
• Prepare litigation documents, such as settlement documents.
• Calculate and pay mileage reimbursement requests.
• File and serve documents to multiple parties.
• Perform other activities and projects as assigned.

Communication:

• Call medical providers to obtain information related to work status, treatment plans, and next appointment.
• Schedule medical appointments and send appointment letters.
• Process vendor referrals, including transportation, translation, investigation, and other services.
• Respond to telephonic and email inquiries.
• Make other outbound calls as required.

The Right Stuff

• A high school diploma or GED is required.
• 2 - 3 years of experience working in a Workers’ Compensation claims environment and is familiar with the claims lifecycle.
• Prioritizes work and maintains a high level of organization to ensure timely and accurate completion of tasks.
• Responds to customer requests professionally, promptly, and with a sense of accountability.
• Gathers and analyzes information. Develops alternative solutions. Identifies and solves problems in a timely manner.
• Supports the team's efforts to achieve goals and objectives.