Risk Management Claims Coordindator

Del Taco•Lake Forest, CA

4d•Onsite

About The Position

Responsible for assisting the administration, investigation, interpretation and reporting of employee, Guest and store incidents including injuries, illnesses and theft for the enterprise.

Requirements

At least 2 years of previous claims administration experience.
High School diploma required
Experience in successfully working in multiple organizational structures and matrix environment.
Knowledge of Windows system including Microsoft Office, Word, and Excel.
Ability to express ideas persuasively and clearly.
Ability to read, analyze, and interpret legal documents and claims information.
Ability to respond to common inquiries from employees and management team.
Sound research and investigative skills.
Ability to work under limited supervision
Must be able to communicate effectively, verbally and in writing, with key stakeholders and outside contacts such as physicians, insurance companies, network providers, attorneys, third party administrators, vendors and outside consultants.
Excellent verbal and written communication skills.

Nice To Haves

Bachelors Degree preferred.
Bilingual English/Spanish communication skills preferred.
Experience with Origami preferred.
Bilingual preferred.

Responsibilities

Assists with investigations for both employee and customer incidents
Compiles, reports and interprets data pertaining to work-related employee injuries and illnesses
Compiles and reports data pertaining to Workers’ Compensation claims cost.
Prepares monthly, quarterly, and annual reports containing analyses and graphic illustrations of Worker’s Compensation claims costs
Interprets data and identifies trends pertaining to Worker’s Compensation claims costs to include cost of accident, damages, and claim loss
Investigate reports of work-related employee injuries and illnesses
Maintains, coordinates, manages, monitors and administers claims including claim form preparation, claim submittal, contact with insurance representatives, clients, liability carriers, contractors, employees, etc.
Maintains, manages, and updates departmental files
Prepares management reports on employee injuries, customer as well as robbery/theft/burglary incidents
Prepares documentation, investigates and assists insurance company in pre-litigation of customer complaints
Prepare monthly, quarterly, and annual reports containing analyses and graphic illustrations of Worker’s Compensation claims costs.
Compiles and reports data pertaining to Work-Related employee injuries and illnesses, Workers Compensation costs, and administers the Return-to-Work Program
Serve as a representative for the company while interacting and maintaining constant communication with the law enforcement community and agencies in matters pertaining to internal and external theft and fraud
Works closely with our Third-Party Administrator (TPA) and Workers’ Compensation Adjusters on work-related injuries and treatment plans, coordinate treatment with pre-selected health care providers
Work directly with injured employees ensuring goodwill and exploring return-to-work opportunities
Work involves reviewing, evaluating, inspecting, and developing a facility program in liability, and/or risk exposure related to facility workforce
Manage surveillance video requests
Manage wage statement requests
Compile documents for subpoenas
Monitor Safety Inspections for completeness and accuracy
Other duties as assigned