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Claims Specialist - Commercial Auto, Property and General Liability

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Job Description:

Job Description:

Investigates, evaluates, reserves and resolves Commercial Automobile, First Party Property and General Liability claims for self-insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, company and regulatory guidelines.

Responsibilities:

Promptly investigates all assigned claims for coverage, liability, damages, subrogation and contribution. Ensures timely disposition of all claims in accordance with client, regulatory and statutory requirements.

Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claims management and clients when exposure exceeds authority. Negotiates claims resolution within granted authority.

Establishes and executes appropriate action plans for claim resolution including loss cost management while achieving appropriate balance between allocated expense and loss outcome.

Works collaboratively with the client and internal and external business partners in investigating and reaching appropriate disposition of all claims.

Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome.

Maintains a working knowledge of regulatory and jurisdictional requirements for assigned claims territory.

Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines.

Communicates effectively with internal and external customers on claims and account issues. Provides a high degree of customer service.

Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims.

Potential local travel.

Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

#LI-Remote

Requirements:

Requirements:

FL and/or TX License required plus NY license highly desired or ability to obtain NY license.

Bachelor's' degree and a minimum of 3 years of progressively responsible experience handling Commercial Automobile, First Party Property and General Liability claims required.

Experience handling PA, NJ and DE claims.

Familiarity with coverage, negligence principles, investigation and negotiation techniques.

Obtains and maintains state adjusting licenses, as needed. Ensures that all state-required Continuing Education Credits are obtained as needed to maintain license.

Strong organizational skills and detail oriented.

Ability to work independently, handle multiple tasks simultaneously and exercise good judgment.

Working knowledge of Auto, Liability and Property claims handling practices.

Excellent verbal and written communication skills.

Excellent customer service skills.

Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.

","

","Oversee insurance carriers and Third-Party Administrators (TPAs) in their management and handling of clients Workers Compensation claims in assigne...","TSIB Manager - Workers' Comp Claims",[110],["B","3523085488"],"Work at Turner Construction","3 days ago","/jobs/3523085488-tsib-manager-workers-comp-claims","Palmer, MA, United States","/jobs?keyword=Turner+Construction","/jobs?location=Palmer%2C+MA%2C+United+States","/jobs?keyword=TSIB+Manager+-+Workers%27+Comp+Claims",{"_65":66,"_67":111,"_69":112,"_71":113,"_73":114},"Palmer","Palmer, MA, United States, 01069","MA","01069",["D",1777460400000],"City of Cape Girardeau","POSITION TYPE
Hourly, Non-Exempt

JOB SUMMARY
This position is responsible for performing a variety of professional, administrative, and technical duties in support of the City’s Human Resources and Risk Management functions. This position is responsible for compliance with workers’ compensation and general liability claim management.

MAJOR DUTIES

Manages workers’ compensation claims, including reporting, tracking, and communication with employees, supervisors, and third-party administrators and participating in claims reviews.

Responsible for completing all workers’ compensation self-insured reports and processing quarterly and annual state workers’ compensation tax payments.

Manages general liability claims, including intake, investigation, documentation, and coordinator with insurance carriers and third-party administrators.

Maintains detailed records of liability claims, monitors claim status, and ensures timely follow-up.

Assist with liability and property claims, including documentation, communication with insurance carriers, and maintaining accurate records.

Collaborates with citizens, insurance companies, and/or Prosecuting Attorney to recover cost for damages, ensuring proper documentation and follow-up.

Maintains records related to insurance policies and claims.

Prepares reports and maintains data related to risk management.

Coordinates and maintains procedures on employee drug testing policy.

Serves as back up to HR Generalist; assists in entering and processing payroll, new hire onboarding and other processes when needed.

Serves as contact person for risk management insurance vendors.

Answers incoming phone calls; assists walk-in customers; assists city employees with questions or requests.

Can be called to active duty in the event of a City Emergency.

Performs other related duties as assigned.

KNOWLEDGE REQUIRED BY THE POSITION

Knowledge of risk management concepts, including workplace safety, workers’ compensation, and general liability claim management.

Knowledge of insurance principles, claims processes, and liability exposure.

Knowledge of legal processes related to claims, including documentation and interrogatories.

Skill in use of HRIS systems, Microsoft Office Suite, and general office software.

Effective written and verbal communication.

Ability to read and interpret written material and directions.

Ability to maintain confidentiality and handle sensitive information appropriately.

Strong organizational, analytical, and problem-solving skills.

Ability to manage multiple task and priorities in a fast-paced environment.

Ability to establish and maintain effective working relationships with employees, supervisors, and external partners.

MINIMUM QUALIFICATIONS

Three (3) years of experience in human resources, risk management, claims administration, legal, or related field.

Proficient in the use of Microsoft Word, Excel and other contemporary software packages.

Experience with HRIS and records management systems.

PREFERRED QUALIFICATIONS

Bachelor’s degree in Human Resources, Business Administration, Accounting, Public Administration or related field.

Five (5) plus years’ experience in human resources, risk management, claims administration, legal, or related field.

Experience in municipal or public sector human resources and/or risk management.

Professional certification such as SHRM-CP or PHR.

SALARY & BENEFIT PACKAGE
Salary per hour $22.62plus a generous benefit package.

Bi-weekly pay periods.

Thirteen paid holidays per year.

96 hours of vacation – accrued throughout the year.

96 hours of sick leave – accrued throughout the year.

2 days of personal leave per fiscal year. Must be employed on July 1 of the fiscal year to receive.

City paid monthly premiums for health and dental insurance – Employee only.

City paid monthly life insurance for employee only (1 times annual salary up to $50,000).

Optional group term life insurance purchased at employee’s expense.

Optional vision insurance purchased at employee’s expense.

Voluntary deferred compensation plan – not matched by the City.

Retirement (LAGERS) paid by the City. Missouri LAGERS – A Secure Retirement for All (molagers.org).

Total compensation value (Hourly starting rate plus benefits value) for this position is $31.23hourly/$64,950.54yearly.

Before final appointment, successful applicant will be required to successfully complete a drug test and background investigation. The City of Cape Girardeau reserves the right to notify only those individuals selected for an interview as to the status of their application for employment. EOE/ADA/M/F/V

#J-18808-Ljbffr
","POSITION TYPE
Hourly, Non-Exempt

JOB SUMMARY
This position is responsible for performing a variety of professional, administrative...","HR Specialist",[128],["B","3529092767"],"Work at City of Cape Girardeau","/jobs/3529092767-hr-specialist","Cape Girardeau, MO, United States","/jobs?keyword=City+of+Cape+Girardeau","/jobs?location=Cape+Girardeau%2C+MO%2C+United+States","/jobs?keyword=HR+Specialist",{"_65":66,"_67":129,"_69":130,"_71":131,"_73":132},"Cape Girardeau","Cape Girardeau, MO, United States, 63705","MO","63705",["D",1777554000000],"U.S. Venture","Coordinate and oversee auto, general liability, property damage, and workers compensation claims administered by third-party administrators (TPAs), ensuring adherence to company guidelines and service expectations. Support state and self-funded work Claims, Coordinator, General Liability, Claims Supervisor, Support
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Newsday Media Group is a locally owned, independent media company grounded in journalistic excellence, integrity, and commitment to the communities it serves. With 19 Pulitzer Prizes and dozens of Emmy Awards, it's one of the most decorated news organizations in the country.

The company is in the middle of a significant transformation, expanding from its newspaper roots into a multimedia operation spanning digital, video, podcasts, live events, and data-driven civic engagement. NMG properties include the flagship Newsday and Newsday.com, NewsdayTV, the Newsday Live events series, and nextLI, a civic research and community forum platform funded by The Rauch Foundation.

A new 130,000-square-foot headquarters in Melville features a broadcast-quality TV studio and multimedia production space. Newsday Live produces a growing calendar of food and wine tastings, author talks, sports Q&As, concerts, and community events. Feed Me, the company's food and dining vertical, includes a web series, quarterly print magazine, and restaurant coverage. Brand 360, the in-house content studio, partners with advertisers across healthcare, education, energy, tourism, and retail.

Newsday's investigative unit has driven real-world change, from prompting schools to replace unsafe football helmets to contributing reporting that led to federal corruption convictions. Community programs include the Newsday Marching Band Festival, CheerFest, Scholar-Artist honors, and partnerships with local nonprofits focused on hunger, housing, youth education, and child welfare.

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Insurance based Independent Medical Evaluations in New York State for Workers Compensation claims, No-Fault, Liability and Disability cases to Federal, State & Local government agencies, TPAs, self-insured companies, insurance companies, vendors and law firms.

Board Certified Orthopedic Surgeon.
NYS Medical License.

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