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Claims Specialist

Parker's
Posted Feb 06
Full Time
Savannah, Georgia

Claims Specialist

Under the supervision of the Risk Manager, the Claims Specialist will assist in managing the claims-handling program. As such, the Claims Specialist will work with the Sr. Claims Manager, Risk Manager, General Counsel and other departments to help mitigate accidents, injuries, occupational illnesses, and damage to employees, customers and property. This includes assisting employees and customers with injuries or damage with the submission of a claim and will assist with claims/case management until closure. As part of this process, The Claims Specialist will help gather responsive and necessary documents, evidence, and other information as well as prepare written responses to all assigned claims.

ESSENTIAL DUTIES AND RESPONSIBILITIES Responsibilities:

  • Will assist with the management process of all assigned claims for all lines of insurance to include property, general liability, auto, unemployment, and workers' compensation.
  • Utilizes skills and trend-tracking to assist in reducing accidents, occupational illnesses, and exposure to long-term health hazards.
  • Receives incident reports, begins the investigation and gathering of evidence for all assigned claims and reviews claims with Sr. Claims Manager.
  • Coordinates claim notification with the insurance carriers and serves as a point of contact for all assigned claims with the insurance carriers.
  • Contacts employees and customers with potential claims to assist in mitigating potential loss and further injuries.
  • Assists in claims management and resolution discussions and processes.
  • Provide technical and professional assistance with all Parker's Workers' Compensation (WC) Claims, Unemployment Claims, General Liability Claims, and all other claims from notification of potential claim until closure of claim to include review, analysis and approval of authority amounts.
  • Case management can include scheduling of appointments, obtaining current medical information, assisting managers with the transition of injured employees back to work, and assisting the injured employee.
  • Ensure continued communication with injured parties to include customers, workers and leaders of the injured worker.
  • May act as Parker's representative for depositions, informal conferences, mediations, and/or hearings pertaining to claims, working with assigned attorneys as necessary.
  • Provide all requested injury-related reports at required intervals.
  • Prepares Parker’s written responses to unemployment claims based upon a summary of facts compiled from files, personnel records and interviews.
  • May prepare cases for and represents Parker's at unemployment claim appeal hearings. May serves as a representative for Parker's at telephone appeal hearings. Provides personnel employment information and verification, questions witnesses and claimant to ascertain facts of separation, and presents a closing summary statement of the employer's position to the hearing officer. Prepares client witnesses for hearing appearances. Case preparation for hearings involves document gathering and organization, unemployment law research, and defense strategies.
  • Maintains frequent telephone contact with management and leaders, gathering facts necessary to determine if unemployment claims are disputable and explaining unemployment rules, regulations, decisions and options.
  • Refers information ascertained during investigations to the Claims team, Operations, and/or Human Resources, as necessary, when possible EEOC charges, wrongful discharge, or threatened litigation facts may have been uncovered.
  • Fills in as needed for Sr. Claims Manager.

Knowledge, Skills, and Abilities:

  • Strong attention to detail
  • Advanced skills in the use of Windows-based office software: Microsoft Office, Word, Excel, and PowerPoint and G-Suite products
  • Must possess strong analytical and problem-solving skills
  • Able to manage multiple priorities
  • Able to research, collect, and analyze data and prepare written and oral reports
  • Knowledge of claims processing techniques
  • Able to analyze, classify, and rate risks, exposure, and loss expectancies
  • Knowledge of workers' compensation laws and requirements, safety, loss control, and risk management principles
  • Principles, practices, and procedures of general business including knowledge of the unemployment compensation system, filing appropriate unemployment responses, and personnel administration including legal aspects of hiring and firing; and the relationship of the Federal Unemployment Tax Act and the various state acts; knowledge of state and federal unemployment laws, rules and regulations.
  • Highly organized and able to track a project from initial contact through the end of the project
  • Ability to effectively communicate information and ideas in written and verbal format

EDUCATION AND REQUIREMENTS Required:

  • Associate or Bachelor's degree or equivalent experience
  • 4+ years’ experience processing workers' compensation, general liability, and/or unemployment claims
  • Experience in creating reports

Preferred:

  • ARM, CRM or similar designation

TRAVEL

  • As required

PHYSICAL REQUIREMENTS

  • Prolonged periods sitting/standing at a desk and working on a computer

Parker’s is an equal-opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture. Parker’s does not discriminate on the basis of disability, veteran status or any other basis protected under federal, state, or local laws.

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