Specialist, Workers' Compensation
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Job Location:
Knoxville, TN - USA
Monthly Salary:
Not Disclosed
Posted on:
15 hours ago
Vacancies:
1 Vacancy
Job Summary
The purpose of this job is to investigate and resolve incidents of workers compensation claims.
- Investigate evaluate and resolve Medical Only and/or Lost Time employee injury claims
- Facilitate and coordinate injured team members medical care calculate and pay benefits based on statutory guidelines
- Manage document analyze negotiate and settle claims
- Manage and control claim related documentation including Personally Identifiable Information (PII) and Health Insurance Portability and Accountability Act (HIPAA) related information
- Provide reserve recommendation to Pilot Corporate Management for cases processed by TPA and applicable in-house claims
- Resolve conflicts with claims in collaboration with senior or more tenured adjuster
- Collaborate with defense counsel on litigation closure strategy
- Manage litigation to obtain favorable outcome and resolution
- Focus on loss prevention and hazard correction during claim handling
- Model behaviors that support the companys common purpose; ensure guests and team members are supported at the highest level
- Ensure all activities are in compliance with rules regulations policies and procedures
Qualifications :
- High school diploma or equivalent certification required
- Associates degree in business or related field preferred
- Minimum three years experience in related work experience preferred
- Intermediate Microsoft Office skills
- Strong Excel skills
- Strong conflict resolution and problem-solving skills
- Ability to handle multiple tasks meet deadlines and work independently
- Professional demeanor when communicating in person email or phone
- Ability to work in a fast-paced environment
- Strong attention to detail
Additional Information :
- Travel required less than 5%
- General office work requiring sitting or standing for long periods of time
Remote Work :
No
Employment Type :
Full-time
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Are you passionate about team building, customer service, and meeting new people? Pilot Company offers a dynamic environment where no two days are the same. Team members have the opportunity to build an inclusive atmosphere with their co-workers and make a better day for every type of ... View more
