Risk and Claims Specialist

SA Recycling•Orange, CA

6h•$30 - $34•Hybrid

About The Position

The Risk and Claims Specialist provides administrative and technical support to the Risk and Claims Manager. The essential and critical functions include answering calls, initial processing of new claims, maintaining accurate digital files, managing high-volume correspondence and acts as a primary point of contact for injured workers. The ideal candidate is detail-oriented, highly organized, maintains a professional and caring demeanor, listens well, provides excellent customer service and manages sensitive medical and financial data with strict confidentiality.

Requirements

Must pass a medical physical and drug test
Must pass a background check and credit check
High school diploma or GED and/or foreign education required
Bi-lingual (English & Spanish) language are required
Ability to: communicate with others effectively; understand direction (written or oral) and use basic math skills as the job demands
Knowledge of all Microsoft programs (emphasis in Excel)

Nice To Haves

Associate or bachelor’s degree preferred
EHS and Risk Management experience preferred
Must have knowledge of Workers’ compensation claims handling. Multiple states, desired

Responsibilities

Communicate effectively and professionally both verbally and in writing.
Exercise judgment and discretion and respond in a courteously and tactfully manner in a wide range of situations.
Establish and maintain effective working relationships with employees, management, physicians, attorneys, insurance Specialists and the public.
Manage multiple tasks and shift priorities to meet deadlines as needed.
Claim Intake & Setup: Establish new claim files in the claims management system; enter demographic data, gather incident data to submit to TPA.
Interact with other SA Recycling departments as needed to ensure proper recordkeeping is accurate, current and maintained.
Maintain OSHA logs for all SA Recycling locations.
Able to take directions and follow through on completing tasks within the requested time frame.
Provide support to all SA Recycling personnel as needed.
Provide support to all SA Recycling facilities for internal incident reporting software.
Stay abreast of upgrades and system functionality with software and programs used to support reporting and recordkeeping management.
Provide Injury Hotline Support (M-F during working hours).
Process electronic documents from each party and encode their names for storing them in the database.
Follow up with management and injured employees throughout a claim to ensure a positive outcome.
Regular attendance and punctuality are essential job functions.
Maintain a well-organized workspace.
Encourage all personnel to work safely and stay healthy.