Claims Specialist

Overview

Oversee multi-line claims, investigations, reporting, subrogation, and risk analysis.

Key Responsibilities

• rmis management
• claim tracking
• risk analysis
• reporting
• subrogation
• return to work

Tasks

-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. -Participate in the quarterly claim reviews with the insurance carrier. -Analyze and classify risks as to frequency and potential severity and measure the financial impact of risk on the company. -Provide Quarterly claim updates to Regional Operations. -Participate in the Claims Presentation during Foreman Leadership Training. -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. -Attend Claim Summits, Safety Meetings and Compliance Trainings as needed to present field personnel with information regarding damage reporting. -Investigate claims for cause, compensability, and liability. -Attend Safety incident review meetings and update the RMIS accordingly. -Receive initial notification of claims and guide employees on how to properly manage the circumstances. -Responsible for managing all third-party subrogation claims for which the company is not liable. -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. -Manage and coordinate Return to Work program for injured workers. -Collaborate with the adjusters on insured claims during investigation, reserving and settlement consults. -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. -Prepare operations and risk reports for management analysis. Provide benchmarking information as necessary. -Negotiate, settle, process payments and pursue subrogation for nominal claims. -Respond to inquiries and complaints from customers, regulatory agencies, and members of the business community.

Requirements

• ms office
• adjuster license
• bachelor’s
• 3+ yrs
• claims
• presentation

What You Bring

-Business Expertise -Sound Judgment -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. -Required:High school diploma. Significant post-secondary course work. -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

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About Artera Services

-A leading provider of construction, maintenance, and engineering solutions. -With decades of experience, serving sectors such as energy, infrastructure, and utilities. -Supports vital infrastructure across North America. -Expertise spans diverse fields including water resources, transport, and industrial sectors. -Projects range from building critical pipelines to maintaining high-demand infrastructure systems. -Known for delivering complex and time-sensitive projects safely and efficiently.

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