Claims Assistant

Company Overview

Managed Care Network, Inc. is an established managed care company who strives to be the best employer in the Worker’s Compensation and No-Fault marketplace by living our values and by providing a work environment that employees can be proud of. Through our company values, we promote employee growth so each person can Thrive and are appreciated for the expertise, hard work, and passion they bring to the company. We provide unique solutions quickly to solve problems and to make our customers’ jobs easier.

Job Summary:

The Claims Assistant is responsible for providing administrative support to the Claims Team, including quality control and compliance for the distribution of services and products by generating and reviewing correspondence, reports, and letters to adjusters, physicians, and claimant’s attorneys for accuracy.

The Claims Assistant processes invoices and distributes them to the appropriate parties, maintains and updates handling instructions and physician and attorney information, and provides general administrative support to the team.

The Claims Assistant monitors the vocational email inbox throughout the day, maintains accurate notes in the database, and places calls to claimant physician offices as needed.

Core Responsibilities:

• Monitor the vocational email inbox throughout the day and distribute correspondence to the appropriate team member or destination.
• Generate and review correspondence, reports, and letters to adjusters, physicians, and claimant’s attorneys for accuracy, formatting, and grammar.
• Verify who should be copied (cc’d) on a report or letter.
• Process and review invoices and reports for accuracy prior to distribution to the appropriate parties.
• Maintain and update claimant electronic case files, including saving incoming documentation (e.g., physician responses, faxes, adjuster correspondence) to the correct carrier/claimant folder.
• Maintain and update handling instructions and physician and attorney contact information.
• Enter and maintain accurate, timely notes in the database reflecting calls, correspondence, and case activity.
• Place outbound calls to claimant physician offices to follow up on outstanding reports, requests, or scheduled appointments.
• Provide administrative support to claims staff, including preparing task/preview reports and assisting with follow-up scheduling.
• Maintain a flexible work schedule based upon the needs and demands of the team.
• Maintain proficiency with Microsoft Office applications and department office processes/systems.
• Performs other related duties as assigned.

Experience:

Prior office experience required. Experience in workers’ compensation, insurance claims, or healthcare administration preferred.

Qualifications:

• High school diploma/GED required.
• Proficiency with Microsoft Office programs, including Word, Excel, and Outlook.
• Strong attention to detail and accuracy in handling claims documentation.
• Good communication and organizational skills.
• Ability to maintain confidentiality of sensitive claimant and case information.
• Reliable and professional, with a proven track record of good attendance.

Job Type: Full-Time

Location: On-site position with option to work Hybrid

Pay: $20.00 - $24.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Health insurance
• Life insurance
• On-site gym
• Paid time off
• Vision insurance
• Work from home

Work Location: Hybrid remote in Grand Island, NY 14072