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.
- 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.
Skills Required
- High school diploma or equivalent
- Associate's degree
- Prior experience in claims, risk management, or medical office administration
- 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
What We Do
Chubb is the world’s largest publicly traded property and casualty insurance company. With operations in 54 countries and territories, 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. As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. The company is also defined by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength and local operations globally. Parent company Chubb Limited is listed on the New York Stock Exchange (NYSE: CB) and is a component of the S&P 500 index. Chubb maintains executive offices in Zurich, New York, London, Paris and other locations, and employs 31,000 people worldwide. Additional information can be found at: chubb.com.
