Claims Specialist

Description

• Attend Claim Summits, Safety Meetings and Compliance Trainings as needed to present field personnel with information regarding damage reporting.
• Attend Safety incident review meetings and update the RMIS accordingly.
• Track the receipt of the appropriate paperwork for all claims, set up claim files, and enter information into the Risk Management Information System (RMIS) upon receipt.
• Actively track open claims and interface with Miller Pipeline’s insurance carriers, physicians, and other third parties to ensure that claims are being managed aggressively.
• Provide Quarterly claim updates to Regional Operations.
• Identify trends and collaborate with Safety Department to identify which safety issues are driving frequency and severity in company’s auto, worker’s compensation, and property damage losses.
• Prepare operations and risk reports for management analysis. Provide benchmarking information as necessary.
• Participate in the quarterly claim reviews with the insurance carrier.
• Manage and coordinate Return to Work program for injured workers.
• Participate in the Claims Presentation during Foreman Leadership Training.
• Collaborate with the adjusters on insured claims during investigation, reserving and settlement consults.
• Negotiate, settle, process payments and pursue subrogation for nominal claims.
• Responsible for managing all third-party subrogation claims for which the company is not liable.
• Respond to inquiries and complaints from customers, regulatory agencies, and members of the business community.
• Analyze and classify risks as to frequency and potential severity and measure the financial impact of risk on the company.
• Investigate claims for cause, compensability, and liability.
• Receive initial notification of claims and guide employees on how to properly manage the circumstances.
• Oversee reporting of automobile, general liability, property, and worker’s compensation claims to Miller Pipeline’s insurance carriers and TPAs. Forward necessary information to insurance carriers and maintain accurate documentation of claims by placing copies of all related paperwork in RMIS.

Requirements

• Required:Working knowledge of auto, general liability, property and worker’s compensation coverage. Knowledge of medical terminology and treatment protocols along with laws, legal codes, court procedures, precedents, government regulations, executive orders and agency rules. Read, analyze and interpret common scientific and technical journals, financial reports, and legal documents. Sense of urgency in responding to inquiries and complaints. Effectively present data to management team, public groups, and/or boards of directors.
• Business Expertise
• Sound Judgment
• Preferred: Bachelor’s degree from accredited universityand/or 5+ years’ experience, Adjuster’s License and/or Insurance/Claims Designation or willing to obtain.
• Required: 3+ years’ experience in multi-line claims. Data Entry – MS Office experience.
• Presentation Skills
• Required:High school diploma. Significant post-secondary course work.

Benefits

Training + Development

Interview process

Visa Sponsorship

Security clearance