Bilingual Claims Intake Clerk

We are seeking a detail-oriented, customer-focused Claims Intake Clerk to manage the intake, processing, and administrative support for new workers' compensation and injury claims. In this role, you will serve as the primary point of contact for members, ensuring accurate coverage verification, prompt claim setup, and smooth handling of payments and fee adjudications. You must be fluent in Spanish and English (written and verbal) as consideration for this role. You can send your resume directly to [email protected] for immediate consideration.

salary: $17.4 - $18.82 per hour
shift: First
work hours: 8:30 AM - 5 PM
education: High School

Responsibilities

Key Responsibilities

• Claim Intake & Assessment: Handle the intake of all First Reports of Injury with minimal supervision; conduct initial contact with members to assess the nature and details of each claim.

• Coverage & System Setup: Verify member coverage and accurately establish new claims in the tracking system.

• Member Support: Provide courteous, professional responses and clear guidance to members with questions regarding the claim reporting process.

• Financial & Fee Processing: Review and process monthly pharmacy (RX) and service fees for adjudication charges.

• Check Run & Data Analysis: Evaluate reports for check run processes, execute the check run, and analyze post-run data for accuracy.

Qualifications & Requirements

• Language Proficiency: Fluent in English/Spanish required in order to communicate effectively with members during intake and assessment.

• Work Style: Ability to work independently with minimal direction while maintaining high accuracy and attention to detail.

• Customer Service: Interpersonal skills with a commitment to delivering empathetic and helpful support.

• Technical Skills: Experience with data entry, claim management software, and financial/reporting processes preferred.

Skills

• Claims
• Claims Processing
• Recording
• Maintaining Records
• Microsoft Office
• Basic Computer Skills
• Customer Service
• Medical Claims
• Spanish

Qualifications

• Years of experience: 2 years
• Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.