Insurance Claims Specialist

ACCO Engineered Systems•Pasadena, CA

1d•Onsite

About The Position

The Claims Specialist plays a crucial role in managing various types of insurance claims while ensuring accuracy, efficiency, and compliance with company policies and regulations. This role bridges frontline execution and risk management by reviewing claim activity, partnering with Safety and Risk departments, and resolving medical care delays with insurance carriers. The position ensures consistent, high-quality outcomes and employee-centered service across all company locations with minimal managerial involvement.

Requirements

Demonstrated proficiency in insurance claims administration or office administration spanning over 2 years.
High School diploma or equivalent required
Proficient in Microsoft Suite applications.
Possess strong investigative skills with meticulous attention to detail.
Excellent interpersonal and communication abilities.
Capable of generating comprehensive reports and adept at data analysis for executive management.
Proven ability to collaborate effectively in a team setting and enjoy interpersonal interactions.
Familiarity with claims processing procedures.
Minimum 2 years of experience in claims management.
Experience coordinating directly with insurance carriers and adjusters.
High school diploma or equivalent.

Nice To Haves

Bachelor's degree or Insurance Certification preferred.
Bachelor’s degree in Human Resources, Business, Risk Management, Safety, or a related field.
Professional certifications (ARM, WCCA/WCCP).
Experience supporting multi-state field operations or large employee populations.
Bi-Lingual (English/Spanish)
Additional relevant skills, work experience, or certifications are welcomed.

Responsibilities

Gather data and filing third party property damage and bodily injury claims, automobile accident claims, first party property claims, and workers compensation claims with the carrier.
Attend all claims reviews, track action items and provide follow-up reports.
Work with director of risk, claims manager, and legal counsel on litigated claims.
Is a key contributor in the return-to-work and modified duty program.
Collaborate with managers to identify light duty or modified assignments that accommodate physical restrictions.
Maintain a temporary disability log.
Ensures timely medical care coordination through insurance partners and escalates treatment delays while supporting injured employees with a high level of customer service.
Interact with claimants to ensure expeditious results.
Maintain internal incidents logs and the incidents tracking system
Arrange and process payment of the claims with the insurance carriers and/or claimants as well as legal invoices
Generate report on claim activity, trends and patterns
Engage claimants, ACCO Employees, and ACCO Management to investigate claims.
Update internal claims with Insurance Carrier Loss Runs
Collecting evidence such as witness statements, receipts, photographs, etc. that support a claim.
Serve as a resource for other departments on claims-related matters.
Other tasks and duties assigned by management.