Associate Analyst Claims or Claims Sr Beaumont TX
Beaumont, TX - USA
Job Summary
Job Summary/Purpose
Investigates and resolves Liability Workers Compensation or Public-Damage-Recovery (subrogation) claims with generally less than $1500 exposure (fast-track claims) while providing administrative support for those handling more complex claims (Specialists etc.) by setting-up claim files performing data-entry setting-up payees as vendors processing claim payments attaching documents to claims electronically etc.
Job Duties/Responsibilities
Investigates and either denies or negotiates/settles smaller Liability Workers Compensation or Public-Damage-Recovery (subrogation) claims (generally Fast track claims) in accordance with best practices and company guidelines.
Creates claim files in database for self and Specialists perform data-entry process claim payments to vendors and claimants properly credit money received through Accounts Receivable process.
Documents investigation results and all activity in appropriate claims management database. Scans and attaches documents to claims electronically for self and Specialists within team (Liability Workers Compensation or Public-Damage-Recovery).
Interacts with vendors regularly (i.e.: those that repair vehicle rut damage review medical bills for adherence to State workers comp fee schedules). Interacts with internal field employees during claim investigations.
Handles specific assignments and projects such as maintaining DOT Vehicle Accident Log tracking statistics/results on excel spreadsheets coordinating department recycling program mailing Safety information to customers distributing Claims instructional & contact packets of information to internal customers serving on building Safety teams and as Fire Warden presenting monthly status reports to management etc.
Participates in Safety training/reporting programs on process improvement teams on storm response teams and in acts of volunteerism.
Additional Qualifications/Responsibilities
Minimum Requirements
Minimum education required of the position
High School Diploma or equivalent required.
Desired: Associates degree.
Minimum experience required of the position
Associate Analyst-Claims: 3 years of property & casualty claims experience litigation paralegal/secretarial work or equivalent experience.
Associate Analyst-Claims Sr: 7 years of property & casualty claims experience litigation paralegal/secretarial work or equivalent experience.
Minimum knowledge skills and abilities required of the position
Ability to investigate evaluate resolve document and report-on high volume of small Liability Workers Compensation and/or Public-Damage-Recovery (subrogation) claims. Understand elements of legal liability. Ability to communicate with all levels throughout an organization accept push-back and criticism say no in response to customer/claimant/employee demands prioritize work operate word/excel/web-based/etc. computer applications and understand when to bring issues to the attention of others through dotted-line and formal reporting structures. Successfully answer required behavior-based questions.
Any certificates licenses etc. required of the position
Licensed Claims Adjuster (may be secured after period of employment begins).
Desired: Claims paralegal administrative secretarial etc. certifications.
Primary Location: Texas-Beaumont Texas : Beaumont
Job Function: Corporate
FLSA Status: Nonexempt
Relocation Option: No Relocation Offered
Union description/code: NON BARGAINING UNIT
Number of Openings: 1
Travel Percentage:Up to 25%
Required Experience:
Senior IC
About Company
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