Claims Assistant

at  Method Workers Compensation

WHO WE ARE

Method Workers’ Compensation is a portfolio of workers’ comp companies with the same mission: minimizing the human and financial cost of workplace injuries. We mitigate workplace injuries and deliver exceptional healthcare outcomes for injured workers, expediting a return to work, preserving families’ livelihoods, and enhancing employers’ productivity. We maintain in-house expertise in claims management, medical bill review, underwriting, and loss prevention for high-hazard, high-mod, and mid-market risks. From submission to claim, we’re there every step of the way, improving outcomes for everyone involved. Method currently operates in all states.

• Complete new claim set up by entering the claim and policy information into the claims system of record, ensuring the accurate policy is referenced, and accurate information is entered to set up the claim as well as evaluating the claim jurisdiction and severity to determine claim assignment.
• Locate the correct policy and communicate with the supervisor if unable to locate it.
• Prepare correspondence accurately, including required state forms and letters, correspondence to stakeholders, requests for medical records, or other information.
• Enter medical or expense payments into the claims system.
• Research outstanding indemnity, expense, and medical checks and submit void, stop pay, and re-issuance requests.
• Enter attorney and child support entries into the claims system.
• Review, evaluate & calculate mileage and travel reimbursement requests and issue payment based on state-specific requirements.
• Prepare medical records and attorney referral packets.
• Receive and make calls to medical providers, policyholders, and employees.
• Request information from other identities based on ISO search research.
• Request W-9 from medical providers and other external vendors.
• Send proof of payments and explanation of review upon request.
• Register policyholders for state MPN including obtaining policyholder confirmation of posting notices if/when required.
• Support external audits by obtaining and providing required documentation.
• Perform other duties as requested and assigned.
  Requirements: