Claims Specialist

Parker's Convenience Stores•Savannah, GA

66d

About The Position

Under the supervision of the Risk Manager, the Claims Specialist will assist in managing the claims process, including collaborating with all departments to help mitigate accidents, injuries, and property damage involving both employees and customers.

Requirements

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
Associate or Bachelor's degree or equivalent experience
1-2 years' experience processing workers' compensation, general liability, and/or unemployment claims
Experience in creating reports

Nice To Haves

ARM, CRM or similar designation
4+ years' experience processing workers' compensation, general liability, and/or unemployment claims

Responsibilities

Will assist with the management process of 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, and occupational injuries.
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.
Assist with all Parker's Workers' Compensation (WC) Claims, Unemployment Claims, General Liability Claims, and all other from initial notification through to claim closure, including reviewing, analyzing, and approving 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.
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. 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.
Other similar duties as required.