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3 days
Not Specified
Not Specified
$14.22/hr - $20.77/hr (Estimated)
<p>The Claims Assistant provides critical administrative and operational support for the Workers' Compensation and Risk Management team at the Mashantucket Pequot Tribal Nation/Foxwoods Casino. This role is responsible for intake coordination, document management, and customer service, ensuring efficient claims processing and compliance with Tribal and regulatory requirements.</p> <p>Key Responsibilities:</p> <ul> <li> <p>Greet visitors, answer the door, and direct individuals to ESIS, Risk Management, Onsite Clinic, Physical Therapy, or HR Benefits offices.</p> </li><li> <p>Screen newly injured employees and coordinate intake, determining assignment to adjuster or Medical Only.</p> </li><li> <p>Contact departments to confirm light duty accommodations for employees.</p> </li><li> <p>As Light Duty Coordinator:</p> </li><li> <p>Meet with injured employees to review program and assign suitable light duty jobs based on restrictions.</p> </li><li> <p>Escort employees to assigned positions and maintain ongoing communication to ensure compliance.</p> </li><li> <p>Track and submit weekly time sheets for light duty employees to payroll.</p> </li><li> <p>Authorize prescriptions with Tribal Pharmacy for injured employees as directed by the Onsite Clinic.</p> </li><li> <p>Meet daily with Clinical Coordinator to review and follow up on physical therapy, MRI, and care transfer authorizations.</p> </li><li> <p>Coordinate with One Call Medical for MRI/EMG requests on claims.</p> </li><li> <p>Index and manage daily medical reports.</p> </li><li> <p>Complete and distribute First Report of Injury forms, maintaining records for OSHA log completion.</p> </li><li> <p>Scan, index, and organize medical and therapy reports, ensuring timely correspondence in WorkView system.</p> </li><li> <p>Process and pay American Ambulance and Tribal Pharmacy bills locally, including monthly report indexing and scanning.</p> </li><li> <p>Index hearing dockets, prepare files for hearings, and print necessary documents.</p> </li><li> <p>Register all claims and complete clerical instructions assigned.</p> </li><li> <p>Perform mailroom duties, including postage, opening, and indexing mail.</p> </li><li> <p>High school diploma or equivalent required; associate's degree preferred.</p> </li><li> <p>Prior experience in claims, risk management, or medical office administration strongly preferred.</p> </li><li> <p>Strong organizational skills and attention to detail.</p> </li><li> <p>Excellent communication and customer service skills.</p> </li><li> <p>Proficiency with document management systems and Microsoft Office Suite.</p> </li><li> <p>Ability to handle confidential information with discretion.</p> </li></ul>
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