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!

Data Entry: 

• Enter and review claim notes in the claims management system.
• Create, review and complete tasks in the claims management system.
• Review and describe mail in the claims management system.
• Update and maintain data integrity in the claims management system.

Technical Administrative Support:

• Process payments, such as mileage reimbursement and vendor payments
• Create and send benefit notices and letters within appropriate jurisdictional timeframes
• Prepare legal documents, such as subpoena packets and attorney packets
• Prepare medical packets for treating providers and/or vendors
• 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, appointment information and billing.
• Schedule medical appointments and send appointment letters.
• Request wage statements, job descriptions, and medical release of information from appropriate parties.
• Process vendor referrals, including transportation, translation, investigation, and other services.
• Respond to telephonic and email inquiries.
• Make other outbound calls as required.

• A high school diploma or GED is required.
• Minimum of 1 year (2+ years preferred) of experience in a Workers' Compensation and/or Commercial Auto claims environment, with knowledge of the full 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.

The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. All AI-reviewed applications are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process.