ESIS Senior Claims Assistant

JOB DESCRIPTION

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.

Key Responsibilities:


* Greet visitors, answer the door, and direct individuals to ESIS, Risk Management, Onsite Clinic, Physical Therapy, or HR Benefits offices.


* Screen newly injured employees and coordinate intake, determining assignment to adjuster or Medical Only.


* Contact departments to confirm light duty accommodations for employees.


* As Light Duty Coordinator:
+ Meet with injured employees to review program and assign suitable light duty jobs based on restrictions.
+ Escort employees to assigned positions and maintain ongoing communication to ensure compliance.
+ Track and submit weekly time sheets for light duty employees to payroll.


* Authorize prescriptions with Tribal Pharmacy for injured employees as directed by the Onsite Clinic.


* Meet daily with Clinical Coordinator to review and follow up on physical therapy, MRI, and care transfer authorizations.


* Coordinate with One Call Medical for MRI/EMG requests on claims.


* Index and manage daily medical reports.


* Complete and distribute First Report of Injury forms, maintaining records for OSHA log completion.


* Scan, index, and organize medical and therapy reports, ensuring timely correspondence in WorkView system.


* Process and pay American Ambulance and Tribal Pharmacy bills locally, including monthly report indexing and scanning.


* Index hearing dockets, prepare files for hearings, and print necessary documents.


* Register all claims and complete clerical instructions assigned.


* Perform mailroom duties, including postage, opening, and indexing mail.

QUALIFICATIONS



* High school diploma or equivalent required; associate's degree preferred.


* Prior experience in claims, risk management, or medical office administration strongly preferred.


* Strong organizational skills and attention to detail.


* Excellent communication and customer service skills.


* Proficiency with document management systems and Microsoft Office Suite.


* Ability to handle confidential information with discretion.

ABOUT US

Chubb is a world leader in insurance.

With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients.

The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operat...