Workers Compensation Claims Specialist

Cinemark•Plano, TX

About The Position

As part of our Cinemark Universe, you'll discover fun opportunities with real growth potential and plenty of perks. With 500+ theatres and nearly 6,000 screens; we're truly a global presence of 20,000 movie lovers working together to make unforgettable experiences. Role Summary: The Workers’ Compensation Claims Specialist oversees and performs a full range of professional, strategic, and coordinative efforts for the Workers’ Compensation claims process. This position will oversee and handle all workers’ compensation claims for the organization, in addition to the oversight of the company’s Third-Party Administrators. This role reports directly to the Sr. Claims Manager and will also communicate with external partners. This exciting and important role will be integral in ensuring Cinemark’s Workers’ Compensation claims process is aligned with industry best practices, fits the company culture and business strategy, and provides great value to our team members.

Requirements

7+ years of hands-on Workers’ Compensation adjusting experience, managing claims within a Risk Management Department or the Claims Department of an insurance carrier or Third-Party Administrator
2+ years of Customer Service experience with a proven record of success
3+ years of Workers’ Compensation Litigation Management experience
All-Lines Adjuster License or Workers’ Compensation Adjuster License
An understanding of legal principles related to Workers’ Compensation
Knowledge of Workers’ Compensation procedures in monopolistic states – OH and WA
Ability to think analytically and logically to make independent decisions
Excellent communication skills and ability to work with external partners
Multi-state jurisdictional experience is a plus
High level of enthusiasm and energy
Strong organizational skills and ability to work under competing deadlines
Must be detailed and results oriented
Proficient in Microsoft Applications (Excel, Word, PowerPoint, Publisher, Etc.) and RMIS and/or Claims systems

Nice To Haves

Associate in Claims (AIC), preferred

Responsibilities

Triages new incidents, conducts initial investigations, and collaborates with TPA on handling
Collects pertinent information for TPA, as needed
Analyzes claim costs, makes recommendations, and mitigates exposure by expediting closure with appropriate action plan in collaboration with the Third-Party Administrator and/or Insurer
Manages the multi-state Return to Work Program
Coordinates directly with team members, adjusters, case managers, and medical providers for quick resolution of claims and ensures the program is followed
Oversees monopolistic state worker’s compensation claims for OH and WA
Acts as liaison to claims adjusters and attorneys regarding litigated claims
Utilizes and updates files in Risk Management Information System (RMIS)
Ensures multi-state compliance in the claim management process
Coordinates, attends and leads litigation planning conferences with defense counsel and Third-Party Administrator on litigated matters
Supports Risk Management with day-to-day requests, analyzing loss trends and strategy, ad-hoc reporting, and other related projects
Oversees regulatory WC state postings during renewal
Additional tasks as requested by supervisor, and may have opportunity to assist with General Liability matters