Job Description

LWP Claims Solutions is looking for a detail oriented Claims Examiner Assistant who promptly and properly assists the Claims Examiner with all claims issues to include compensability, temporary disability, permanent disability, apportionment, contribution, subrogation, medical management, rehabilitation and litigation. Utilizes ongoing contact with employers, employees, medical and other outside providers to maximize a cost-effective case resolution.

ESSENTIAL FUNCTIONS AND BASIC DUTIES

1. Assists the team with the effective handling of claims / files. a. Assists in administering benefits timely and accurately pursuant to State Law, Statues and/or Regulations. b. Assists in handling claims consistent with LWP Best Practices. c. Issues benefit letters or state notices timely and correctly pursuant to State Law, Statues and/or Regulations. d. Follows a current plan of action at all times, and ensures that plan is being followed. e. Utilizes proactive medical management to facilitate file closure. f. Provides assistance to all vendors associated with the claim file. g. Assists in evaluating permanent disability and develops appropriate settlement. h. Stays current on claim diary system.

2. Provides assistance with maintaining effective communication with internal and external contacts. a. Maintains a good rapport with new and existing clients. b. Attends client claim reviews as requested. c. Reports claims to employers, brokers, carriers, or other designated program managers consistent with the claims handling guidelines of that client. d. Provides a claim status report on any claim(s) as requested by the client. e. Works with Management Team and Support staff to ensure work is completed timely and accurately. f. Continually fosters a teamwork spirit. g. Provides back up or assistance for the claims unit, as requested. h. Communicates to direct supervisor any workflow problems, issues or backlog immediately. i. Acknowledges and acts upon requests from any member of the management team with 48 hours, or by agreed upon deadline.

QUALIFICATIONS AND EXPERIENCE/ EDUCATION/CERTIFICATION: High school diploma (2 and/or 4 year degree a plus)

EXPERIENCE REQUIRED:

Six to twelve months work experience in the insurance, legal or health care industry.

SKILLS/ABILITIES: Effective interpersonal skills Well-organized and attentive to detail Excellent oral and written communication skills Able to meet deadlines and manage projects Effective problem resolution and negotiation skills Able to handle multiple tasks in a high pressure environment Intermediate spreadsheet and word processing skills Strong analytical skills Ability to operate computer, calculator, printer, copier, facsimile and other general office equipment Handles WCAB and Rehab Unit conferences independently Handles Client Claim Reviews independently Able to rate all levels of permanent disability without outside assistance Must meet the training or experience requirements per California Code of Regulation (Article 20 of Subchapter 3, Chapter 5, Title 10)

ABOUT LWP LWP Claims Solutions, Inc. is a third party administrator dedicated exclusively to workers' compensation programs. We have full service offices in Sacramento and Glendale, California with financial services in Salt Lake City, Ut. Founded in 1990, LWP is known for outstanding quality claims services for clients interested in services tailored to their specific needs. Through a combination of our claims handling expertise, prompt and fair benefit administration, consulting and training techniques, and team-based relationships with our clients, LWP has been successful in assisting our clients in achieving some of the lowest loss development rates in the industry

To Apply: Please submit your resume in order to be considered for the position.

Company Description

LWP Claims Solutions, Inc. is a third party administrator dedicated exclusively to workers' compensation programs. We have full service offices in Sacramento and Glendale, California with financial services in Salt Lake City, UT. Founded in 1990, LWP is known for outstanding quality claims services for clients interested in services tailored to their specific needs. Through a combination of our claims handling expertise, prompt and fair benefit administration, consulting and training techniques, and team-based relationships with our clients, LWP has been successful in assisting our clients in achieving some of the lowest loss development rates in the industry.