Reports To:  Claims Manager/Supervisor

Status:  Full-time

Exemption Status: Non-Exempt

Salary Range:  $62,622 – $88,222 /per year, based on a 10-step salary schedule

Benefits: Benefits accrue based on the full/part time classification for the position

Benefits include employee/employer paid retirement (CalPERS); employee/dependent

medical, dental and vision; 457 Plan, group disability, Employee Assistance Program, paid vacation, sick

leave and holidays. Partial remote work expected to be available.

 Applications will be accepted through 8/18/2021

 North Bay Schools Insurance Authority (NBSIA) is a mid-sized school-focused risk pool, serving over 10,000 school district employees and over 76,000 students with 31 employees.  We provide our member districts with high-quality, cost-effective and innovative protection, programs, and services, so they can focus on what they do best.

NBSIA members and staff are our greatest assets.  Our collaborative, team approach, and strong values, are among the reasons NBSIA is known as a premier risk management pool in the state.

Our Values

Member Centered

Risk Management Expertise

Long-term Vision

Innovation and Teamwork

This is a great opportunity to bring your exceptional skills to bear in support of our vision – Safe and healthy schools, where people are inspired to work and empowered to learn.

Job specifications are intended to present a descriptive list of the range of duties performed by employees in the job.  Specifications are not intended to reflect all duties performed within the job.

DEFINITION:

Under direct supervision of Claims Manager, reviews and evaluates indemnity workers' compensation claims (as determined by the Claims Manager), with the expectation of handling progressively more difficult claims as the individual's experience level increases. Performs various computer functions including data entry and check processing, interacts with district personnel, vendors, and injured workers.

EXAMPLE OF DUTIES:

In accordance with claims management procedures, reviews, evaluates and processes workers' indemnity claims for member school districts that are appropriate to the individual's level of experience and which progressively increase in difficulty to a full range of claims adjusting (as determined by the Claims Manager).  Works closely with injured workers, school districts, medical providers, etc. in the management of those claims.  Will be responsible for entering all assigned new claims into computer, setting up files, making initial contact calls, calculating temporary disability and making first payments, matching mail, scheduling medical appointments, processing checks, typing various state forms, correspondence, etc., responding to employees' inquiries regarding their claims. 

QUALIFICATIONS:

Knowledge of:

Office procedures, filing systems, telephone techniques, and computer systems; MS Word and medical terminology desirable.  Two years claims assistant experience – as directed by an examiner. Proficiency in Microsoft Office Suite products desired.

Ability to:

Apply complex mathematical skills in calculation of disability rates in accordance with statutory requirements, communicate professionally and effectively, organize and prioritize workload, learn and interpret rules and policies and use good judgment in applying them in a variety of situations. 

Typing/computer skills sufficient to perform the job.  Enthusiasm, congeniality and flexibility are all necessary traits for this position.

EDUCATION/EXPERIENCE:

Any combination of experience and training that would likely provide the required knowledge and skills is qualifying.  A typical way to obtain the required knowledge and skill would be:

High School Diploma or GED equivalent.  Three years' clerical/computer experience in a workers' compensation setting.  Two years experience as a claims assistant in a workers’ compensation setting.

LICENSE OR CERTIFICATION REQUIREMENTS:

Valid California Driver's License

 PHYSICAL DEMANDS AND WORKING ENVIRONMENT:

The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform these essential job functions.

Environment:  Normal office environment. Partial remote work expected to be available.

Physical:  Incumbents require sufficient mobility to work in an office setting and operate office equipment.

Vision:  Vision sufficient to read small print, computer screens and other printed documents.

 To Apply

Please email your resume and cover letter to HR@nbsia.org for consideration. Please reference Claims Examiner / Future Medical in the subject line of your email.

NBSIA is an Equal Opportunity Employer