STATE CLASSIFICATION JOB DESCRIPTION


Salary Group A12 

Class No. 2920

CLAIMS ASSISTANT

GENERAL DESCRIPTION

Performs routine (journey-level) claims assistant work. Work involves taking new claims reports, managing claims files, contacting claims customers, and performing general office administration tasks. Works under moderate supervision, with limited latitude for the use of initiative and independent judgment.

EXAMPLES OF WORK PERFORMED

Performs technical and administrative work in support of disability or workers’ compensation claims programs. 

Responds to calls and queries from internal and external customers. 

Receives new claims loss reports.

Maintains claims files.

Maintains materials and supplies.

Assembles, organizes, and tabulates data.

Assists with the review of disability or workers’ compensation claims to determine sufficiency.

Assists with the auditing of claims.

May confer with claimants, doctors, hospitals, and other sources to ensure proper benefits are being provided.

May assist with the preparation of determinations based on evidence that an illness or injury occurred in the course of state employment or from a documented physical or mental disability.

Performs related work as assigned.

GENERAL QUALIFICATION GUIDELINES

Experience and Education

Experience in claims research and administration. Graduation from a standard senior high school or equivalent is generally preferred.  Experience and education may be substituted for one another.

Knowledge, Skills, and Abilities

Knowledge of office practices, of administrative procedures, and of workers’ compensation claims administration.

Skill in customer service techniques, and in the use of a computer and office equipment.

Ability to prepare and maintain records, files, and reports; and to communicate effectively.


State Auditor’s Office

Revised 9-1-15