Note: The job is a remote job and is open to candidates in USA. AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, and they are seeking a Subrogation Claims Assistant to join their team. The role involves conducting investigations of claims, verifying data, and gathering evidence to assess insurance liability and settle claims with clients.
Responsibilities
- Conduct an initial investigation of the claim
- Verify and enter data into the claims systems
- Research and gather evidence
- Obtain, review, and evaluate records, police, medical, etc
- Correspond with or interview medical specialists, agents, witnesses, or claimants for accuracy and consistency with the claim as reported
- Investigate, analyze, and determine the extent of the insurance provider's liability concerning personal, casualty, or property loss or damages, and attempt to settle with claimants
- Comply with accepted guidelines regarding reserving practice and authority levels while properly setting the reserve and adjusting as appropriate
- Examine, process, calculate, and process claims/demands ensuring filings, documentation, and reports, etc
- Prepare timely reports for clients
Skills
- High School Diploma or equivalent
- At least one (1) year of using Microsoft Windows on a PC including Microsoft Word, Excel, Outlook (no PowerPoint)
- Excellent written and verbal communication skills
- One year of office experience
- Some college preferred
- Experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities a plus
- Knowledge relating to the handling of public entity liability claims a plus
Benefits
- Comprehensive medical, dental, and vision benefits
- Company contributions to HSA and FSA plans
- Employer paid life and disability insurance
- 401(k) with company match
- Paid time off (PTO) and company paid holidays
- Learning and development opportunities that support real career advancement
- Employee assistance resources and a supportive culture that values balance and wellbeing
Company Overview
InterMed Cost Containment Services offers network management, utilization review, and medical bill review for workers' compensation. It was founded in 1997, and is headquartered in Roseville, California, USA, with a workforce of 501-1000 employees. Its website is https://intermedccs.com.