Job Summary: The First Report of Injury Specialist is responsible for processing and managing initial workers’ compensation claims by gathering and documenting accurate claim, medical, and employer information for submission to the BWC. This role serves as a key point of contact for employers, injured workers, providers, and internal teams, while delivering excellent customer service and maintaining confidentiality. The specialist handles high call volumes, processes claim updates, assists with identifying program candidates, and supports team productivity and quality standards.
Qualifications:
-
Knowledge and skills at a level normally acquired through the completion of High School education or equivalent
-
Ability to handle sensitive information and maintain a high level of confidentiality
-
Proficiency in Microsoft Office products including Word, Excel, Outlook, etc
-
Medical Terminology or equivalent experience
-
Previous customer service experience
Principal Duties & Responsibilities:
-
Reports directly to the Claims Supervisor
-
Enter and process initial claims in system, complete initial calls to employer, provider, IW, and BWC as appropriate while documenting the results of gathered information
-
Gather complete information on all mandatory system field requirements to ensure accurate transmission to the BWC
-
Gather all initial medical documentation necessary to process potential claim updates
-
Assist in identifying RAW and Onsite Therapy candidates where appropriate
-
Assists other First Report of Injury Specialists on the team
-
Answering incoming and making outgoing phone calls and emails
-
Provide excellent customer service to all internal and external customers
-
Required to meet team quality and productivity standards
-
Maintain and develop teamwork within all departments of UniComp
-
Other duties as assigned by Management
-
Maintain and exhibit Sheakley Core Values
Requirements:
-
Attention to detail, flexibility, and strong ability to multi-task
-
Problem solving ability
Physical and Mental Demands:
-
Ability to sit for prolonged period of time
-
Ability to answer high call volume while maintaining accurate system notes
This job description is not intended to be all inclusive and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required.
