Workers Compensation and Risk Management Specialist

JOB SUMMARY

The Risk and Claims Specialist is primarily responsible for but are not limited to oversight of casualty claims and assisting in the administration and placement of the corporate property and casualty insurance program. Proactively manage claims through consistent personal communication with all partiesassociates agents witnesses medical professionals and attorneysto drive prompt investigations and effective risk mitigation.

ESSENTIAL DUTIES AND RESPONSIBILITIES

MANAGEMENT & SUPERVISORY RESPONSIBILTIES

• Typically reports to Management. Direct supervisor job title(s) typically include: Director-Risk Management
• Job is not directly responsible for managing other employees (e.g. hiring/termination and/or pay decisions performance management). This position may have mentoring responsibilities i.e. (temporary help or part time employee).

JOB QUALIFICATIONS: Essential Skills Abilities and Example Behavior(s)

DELIVER QUALITY RESULTS: Able to deliver top quality service to all customers (internal and external); Able to ensure all details are covered and adhere to company policies; Able to strive to do things right the first time; Able to meet agreed-upon commitments or advises customer when deadlines are jeopardized; Able to define high standards for quality and evaluate products services and own performance against those standards

TAKE INITIATIVE: Able to exhibit tendencies to be self-starting and not wait for signals; Able to be proactive and demonstrate readiness and ability to initiate action; Able to take action beyond what is required and volunteers to take on new assignments; Able to complete assignments independently without constant supervision

BE INNOVATIVE / CREATIVE: Able to examine the status quo and consistently look for better ways of doing things; Able to recommend changes based on analyzed needs; Able to develop proper solutions and identify opportunities

BE PROFESSIONAL: Able to project a positive professional image with both internal and external business contacts; Able to create a positive first impression; Able to gain respect and trust of others through personal image and demeanor

ADVANCED COMPUTER USER: Able to use required software applications to produce correspondence reports presentations electronic communication and complex spreadsheets including formulas and macros and/or databases. Able to operate general office equipment including company telephone system

JOB QUALIFICATIONS: Education & Experience Requirements

• Bachelors degree or equivalent work experience
• 4 - 7 years of workers comp/risk professional experience required
• Working knowledge of commercial insurance coverage types products and uses is required
• Workers Compensation Certification AIC or AIS designation preferred
• 620 All Lines Adjuster License preferred
• 440 WC Adjuster License preferred
• Excellent oral and written presentation skills
• Positive attitude and Professional demeanor

PHYSICAL REQUIREMENTS

• Ability to sit at a desk and use a computer for up to 8 hours a day; Ability to use hands and fingers to type on a keyboard and use a mouse to navigate; Vision sufficient to view small details on a computer monitor
• Ability to stand and walk up to 8 hours a day; ability to stoop bend and lift boxes weighing up to 50 lbs.
• Ability to hear and verbally communicate using a telephone handset and/or connected headset device

WORKING CONDITIONS

• Regular business hours. Some additional hours may be required.
• Travel requirements: Negligible
• Climate-controlled office environment during normal business hours.
• Regular attendance and punctuality required
• May be subject to pre-employment criminal background check and/or drug screening as well as random drug screenings in accordance with company policy

DISCLAIMER

The preceding job description has been designed to indicate the general nature of work performed; the level of knowledge and skills typically required; and usual working conditions of this position. It is not designed to contain or be interpreted as a comprehensive listing of all requirements or responsibilities that may be required by employees in this job.

Equal Opportunity Affirmative Action Employer

PODS Enterprises LLC is an Equal Opportunity Affirmative Action Employer. We will not discriminate unlawfully against qualified applicants or employees with respect to any term or condition of employment based on race color national origin ancestry sex sexual orientation age religion physical or mental disability marital status place of birth military service status or other basis protected by law.

It is essential for us to work in an atmosphere of friendly cooperation; it is your responsibility to:

• Ask your direct supervisor for an explanation of anything you do not understand.
• Attend Orientation class and any required training sessions.
• Read your job description and Associate Handbook; sign the required acknowledgement documents and return to HR.
• Ask any questions about these items as well as any information given to you at meetings and through individual or group instructions which will assist your understanding of this position.

JOB SUMMARY

The Workers Compensation Claims and Risk Specialist II is primarily responsible for managing the full lifecycle of workers compensation claims for the organization. This role partners directly with market managers safety teams human resources and our third-party administrator (TPA) to drive early claim resolution support injured employees and reduce total claim costs. The ideal candidate understands the physical demands and injury patterns unique to warehouse driving and delivery environments. This position supports and assists the corporate enterprise risk management program.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Claim Management & Oversight

Serve as the primary point of contact for all workers compensation claims tracking and managing the full life cycle of worker injury claims to determine compensability.

Acknowledge new claims promptly; evaluate initial submissions for accuracy assess coverage and document a claim summary with identified compensability issues.

Conduct consistent proactive follow-up with TPA adjusters to actively manage open claims drive activity milestones and develop strategies for early and appropriate resolution.

Ensure adherence to state-specific workers compensation laws and assist with Occupational Safety and Health Administration (OSHA) reporting obligations.

Coordinate with occupational health providers nurse case managers modified duty outsourcing partners and internal invested parties to manage medical treatment and return-to-work programs and timelines.

Determine case reserves and negotiate settlements within approved guidelines.

Identify and escalate claims with potential for litigation fraud or excess exposure to the Director of Risk Management.

Insurance & Risk Program Support

Organize and maintain claims management files insurance policies and operational procedures on Microsoft Teams and TPA systems.

Conducts loss management system training and provides data support for various internal end users.

Assist with acquiring or gathering data and/or supporting documents for claims and leadership requests.

Assist in gathering payroll classification and loss history documentation for annual workers compensation insurance renewals and audits.

Assist with certificates of insurance (COI) program for customers and vendors.

May perform other duties in support of the risk management department.

MANAGEMENT & SUPERVISORY RESPONSIBILTIES

Typically reports to Management. Direct supervisor job title(s) typically include: Director-Risk Management

Job is not directly responsible for managing other employees (e.g. hiring/termination and/or pay decisions performance management). This position may have mentoring responsibilities i.e. (temporary help or part time employee).

JOB QUALIFICATIONS: Essential Skills Abilities and Example Behavior(s)

DELIVER QUALITY RESULTS: Able to deliver top quality service to all customers (internal and external); Able to ensure all details are covered and adhere to company policies; Able to strive to do things right the first time; Able to meet agreed-upon commitments or advises customer when deadlines are jeopardized; Able to define high standards for quality and evaluate products services and own performance against those standards

TAKE INITIATIVE: Able to exhibit tendencies to be self-starting and not wait for signals; Able to be proactive and demonstrate readiness and ability to initiate action; Able to take action beyond what is required and volunteers to take on new assignments; Able to complete assignments independently without constant supervision

BE INNOVATIVE / CREATIVE: Able to examine the status quo and consistently look for better ways of doing things; Able to recommend changes based on analyzed needs; Able to develop proper solutions and identify opportunities

BE PROFESSIONAL: Able to project a positive professional image with both internal and external business contacts; Able to create a positive first impression; Able to gain respect and trust of others through personal image and demeanor

ADVANCED COMPUTER USER: Able to use required software applications to produce correspondence reports presentations electronic communication and complex spreadsheets including formulas and macros and/or databases. Able to operate general office equipment including company telephone system

JOB QUALIFICATIONS: Education & Experience Requirements

Education:

Minimum of Bachelors degree or equivalent related experience

2 - 4 years of professional experience required

Certification licensure or professional designation in workers compensation required

Experience/Skills:

High work volume experience required

Risk or insurance experience preferred

Transportation risk experience a plus

Knowledge of claims handling techniques a plus

Proficient with MS suite of products and computer technology

Analytical skills with follow-up and sense of urgency

Organizational time management and prioritization skills

Interpersonal written and oral communication skills

Required Experience:

IC