Under the general direction and supervision of the Vice President of Risk Management, the Claim Intake Specialist processes workers’ compensation claims. The Claim Intake Specialist verifies the employment status of the injured worker, confirms coverage, determines correct jurisdiction, confirms initial work status, identifies the type of claim to be reported, enters new claims in the Risk Management Information System (RMIS), submits claims to the Third-Party Administrator (TPA) and assigns the claims to the appropriate Care Advocate.
The Claim Intake Specialist is also responsible for setting initial follow up tasks for Care Advocates if follow up is necessary, and scanning & attaching new documents to new claims in the RMIS. Excellent data entry skills with accuracy and speed are critical to success.
- Monitor incoming reported claims from productions/clients as well as attorney applications
- Identify if more initial claim information is needed before submitting the claim to the TPA (including verifying employment)
- Determine the type of claim (Incident Only, Medical Only, or Indemnity) to be reported to the TPA based on the following:
- Red Flags/Issues/Concerns after communication with production or circumstances on how the injury occurred
- Employee was placed on work restrictions and is losing time from work
- Litigated claim
- Set up and enter new claims into the RMIS within 1 business day of receipt
- Print, scan and/or upload to RIMS all initial work comp documents received from productions (First Reports of Injury, incident reports, etc.), then e-mail them via RMIS to the TPA the same day as received
- Input and review claim documents for accuracy and adequacy
- Input and review all claim notes and diaries/tasks in RMIS as instructed
- Timely processing of claims related mail and e-mails; document scanning, electronic filing, and emailing
- Assist with providing payroll and other computer reports as needed
- Additional responsibilities as assigned; including but not limited to processing physical mail, handling overflow duties from risk management specialists
- Other duties as assigned.
- High school diploma or GED required
- Previous office clerical and/or customer service experience required
- Previous insurance experience highly preferred
Special Work Conditions
- Schedule must be flexible and overtime may be required in order to accommodate client and business needs.
- Sedentary: Involves sitting most of the time but may involve walking or standing for brief periods of time. Some positions may require exerting up to 30 lbs. of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, or pull.
- Cast & Crew provides a comprehensive package of employee benefits including: Medical, Dental, Life/AD&D; LTD, additional voluntary benefits such as STD, Vision, paid vacation, holidays, and sick pay; 401(k) and employer match, Additional Life Insurance, and other company perks and benefits!
Please note: Due to the high volume of applicants, it is likely that only shortlisted candidates will be contacted.
About Cast & Crew
We enable great content. Films, television, streaming, live events. We make difficult tasks easier - think payroll, human resources, accounting, financial management and workflow. Great content is difficult enough, so we’ve built solutions and software and, most importantly, linked everything together through a central hub. In English, that means Cast & Crew solutions talk to each other, making those difficult tasks we listed above a whole lot easier and simpler. We do. So you can. Learn more at www.castandcrew.com
CA residents: Your personal information may be collected in connection with certain services provided by Cast & Crew or its affiliated companies. A summary of your California privacy rights can be found at: https://www.castandcrew.com/privacy-policy/
Cast & Crew is an equal opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture. It is our policy to provide equal employment opportunities to all individuals based on job-related qualifications and ability to perform a job, without regard to age, gender, gender identity, sexual orientation, race, color, religion, creed, national origin, disability, genetic information, veteran status, citizenship or marital status, and to maintain a non-discriminatory environment free from intimidation, harassment or bias based upon these grounds.