Claims Specialist (Finance)

Position Overview: 

The primary purposed of the Claims Specialist is to manage claims made related to Workers' Compensation and possibly Auto, General Liability and Property damage. This Specialist position requires a good working knowledge of Workers Compensation along with other casualty coverages so to effectively and appropriately manage such exposures across the organization.

 

Essential Functions

• Acts as initial point of contact to receive and process claims.
• Handles routine claim status inquiries from any partners in a courteous and timely manner.
• Supports organization and maintenance of internal database.
• Handles multiple functions related to business operations, claims processing, and office workflows.
• Recognizes and resolves basic, routine, or common/repetitive problems requiring service and support skills; however, seeks assistance on complex issues and refers, non-prescribed matters.
• Gathers initial incident information such as incident report forms, video, evidence, statements, and details for use in the claims-handling process.
• Identifies indemnification in appropriate claims and assisting with the preparation of tender letters and correspondence.
• Understand privacy laws and work with confidential personal information.
• Drafts correspondence and run reports.
• File claims with and work closely with carriers on resolution and closure of claims.
• Requires a good understanding of disability and litigation management and Return to Work programs.
• Performs other duties as assigned.

Requirements

• Experience working in a corporate environment
• Customer Service experience
• 2 years of claims experience preferred
• High school diploma or GED
•  

 

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to see, talk or hear. The employee frequently is required to sit; stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

 

Work Environment: While performing the duties of this job, the employee is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work).

 

Competencies

· Positive Attitude

· Problem Solving

· Self-Motivated

· Team Player

· Organized

· Detail Oriented

· Conflict Management Skills

· Competent in Microsoft Office

· Excellent Typing Skills

· Excellent communication skills necessary to deal with the public in adverse situations

· Excellent Telephone Skills

· Ability to Multi-Task

· Knowledge of basic Workers Compensation and/or Liability principles or equivalent skills

· Knowledge of Construction and/or Utilities a plus

· Ability to learn quickly

 

Pike is an Equal Opportunity Employer

 

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of the organization