Sr Insurance Claims Specialist

Company

Compensation

The primary role of this position is to assist in the management of worker’s compensation, general liability and garage liability claims. Assist in managing the relationship with corporate risk management, our liability insurance carriers, and other stakeholders during the claims process. This position will administer the related claims for Cox Automotive ensuring all company policies are followed and conduct effective communication between peers and managers.

PRIMARY DUTIES/KEY RESPONSIBILITES

• Establish and work to meet specific liability claim outcome goals for the organization

• Monitor trends by area (for evaluation and management of Safety staff) and entire organization.

• Interact with third party administrator adjusters on an as needed basis

• Review claims and analyze information for completeness and accuracy.

• Maintain contact with injured workers’ supervisors and when necessary injured workers, providing guidance or help when needed.

• Track all claims with active lost time. Work with locations to ensure return to work on both restricted duty and full duty.

• Monitor quality of work from Defense Counsel. Maintain relationship with larger firms.

• Ensure locations are utilizing appropriate Occupational Clinics. Update medical provider lists in states that require panels or allow direction of medical.

• Work with local locations, the EHS team and Field EHS Managers to establish relationships with medical providers. Schedule and participate as necessary in facility tours for medical providers.

• Maintain metrics by area and on entire organization to include PPO & pharmacy penetration, reporting lag time.

• Attend all claim reviews.

• Occasionally provide training for location management, EHS, and Field EHS Managers on basic WC, General, and Auto/Garage Liability concepts.

• Provide concurrence on settlements for prolonged open claims when needed.

• Prepare reports and presentation regarding Safety programs

• Keep location managers and corporate managers apprised of issues surrounding liability insurance and safety

• Provide subrogation assistance to locations for property damage claims.

• Make recommendations on improving injury management, safety, and training programs

• Provide information by answering questions and requests.

• Coordinate preparation of reports that are directed to multiple levels within the organization.

• Effective communication with operational employees, supervisors, local management, upper management and peers.

• Devise Monthly and Quarterly Reports by Region / Area as needed.

• Manage internal claim tracking database (Capture and Dashboard)

Minimum Qualifications:

• High School Diploma/GED and 5 years’ experience in a related field. The right candidate could also have a different combination, such as any level degree/certification beyond a HS diploma/GED in a related discipline and 3 years’ experience; or 7 years’ experience in a related field