Claims Specialist - Safety Department

Mesa Energy Systems•Irvine, CA

3d•Onsite

About The Position

The Claims Specialist manages workers’ compensation and auto liability claims while supporting safety initiatives and insurance claims activities. The role actively manages workers’ compensation claims from initial reporting through closure, ensures compliance with regulatory requirements, and works with internal business partners regarding injured workers’ health and claim status. It also supports the Management Team, HR, and safety with insurance claims and helps promote a safe and healthy work environment. The position requires strong communication, empathy, problem-solving, and organizational skills. It supports workers’ compensation, auto, general liability, and subrogation claim activities, as well as safety initiatives, reporting, and performance analysis. Some travel may be required, less than 10% of the time.

Requirements

Bachelor’s degree or an equivalent combination of education and/or related experience.
At least 3 years of experience in workers’ compensation claims administration and workplace safety support.
Experience working with internal administrators, third-party administrators, and insurance carriers.
Strong administrative and organizational skills, with attention to accuracy and detail.
Excellent interpersonal skills and ability to work across all levels of the organization.
Excellent verbal and written communication skills.
Ability to multitask and manage a caseload of claims with associated deadlines and requirements.
Ability to work as part of a team, take initiative, and work independently as a self-starter.
Good problem-solving and negotiating skills.
Proficiency in Microsoft Office Suite, with advanced Excel skills such as pivot tables, formulas, and data analysis.
Ability to travel; possible travel is less than 10% of the time.

Nice To Haves

Familiarity with OSHA reporting and safety compliance standards.

Responsibilities

Receive, review, investigate, and manage workers’ compensation claims from initial reporting through closure, including determining claim validity.
Ensure compliance with state and federal workers’ compensation laws, regulations, and policies.
Coordinate communication among employees, supervisors, HR Benefits, medical providers, and other stakeholders involved in the workers’ compensation process.
Maintain accurate, detailed claim records, documentation, correspondence, and related information.
Support the return-to-work program and light-duty assignments for injured employees.
Track workers’ compensation claim costs, including medical expenses and lost wages.
Provide employees and supervisors with training and education on workers’ compensation procedures and regulations.
Support root cause analysis meetings with managers and supervisors.
Prepare claim documentation for settlement and obtain EMCOR Risk Manager approval.
Generate monthly and quarterly workers’ compensation data to identify trends and opportunities for safety and risk management improvement.
Support workers’ compensation litigation by preparing documentation and working with legal counsel.
Support the EMCOR Risk Manager with auto and general liability claims management, reporting, and analysis.
Determine and validate whether claims qualify for subrogation; identify legal liability and pursue, negotiate, and settle subrogation collections in collaboration with legal.
Support and participate in safety initiatives, including inspections, training, recordkeeping, and reporting.
Develop dashboards and metrics to track safety performance and claims trends.
Participate in quarterly claim reviews and subrogation efforts as needed.
Perform other duties and projects assigned by the Senior Safety Director.