ESIS Senior Claims Assistant

Claims Assistant

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 operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.