Claims Specialist Jobs

About The Position

Requirements

• High school graduate or equivalent.
• 2 years hands-on experience in claims environment.
• Proficient use of Microsoft Word, Outlook and Excel, strong organizational, and oral and written communication skills.
• Ability to work in fast paced environment and multi-task.

Nice To Haves

• Associates insurance degree as well as Workers’ Compensation or State Multi-line Adjuster’s license.
• 4 years’ experience as a claims assistant in claims environment or 2+ years handling Med Only claims.
• Working knowledge of QuikTrip’s claims management system and HCM.

Responsibilities

• Coordination with TPA and fully insured claims for RSN states and new markets.
• Make first contact with QuikTrip employees to determine need for TPA/fully insured involvement.
• Education employee on TPA/fully insured process.
• Provide accident report to TPA/fully insured plan. Communicate with assigned adjuster as needed during life of claim.
• Communicate with QuikTrip employees as needed, including work status changes to Personnel Managers.
• Request any needed reporting from fully insured carrier and prepare as either standalone reporting or combine with Departmental reporting, as appropriate.
• Handle incidents, calling claimants to confirm no medical treatment sought. Transfer claim to assigned adjuster when proof of medical treatment is received.
• Provide department extensive support for OSHA reporting.
• Prepare initial draft of OSHA investigation report when requested for immediately reportable claims.
• Perform quarterly audit of OSHA tab for occupational injury claims.
• Serve as contact for past and up-to-date OSHA report requests for OSHA inspections.
• Prepare and assist in distribution of annual OSHA surveys, reports and BLS requests.
• Provide claims administration support, including processing refund checks, assisting with wage statement preparation and helping with PBM, TPA and billing entries.
• Administer QuikTrip’s occ/injury clinic master list. Provide clinic oversight by contacting them about service issues, chain of custody form issues and general communication issues. Remove noncompliant clinics from list as needed.
• Departmental backup, including backup telephone coverage for Claims Adjusters.

Benefits

• Employee Benefits – QuikTrip