Claims Management Specialist

🕒 il y a 8 jours

🤠 Texas – Distant

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⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👻 Score fantôme 12%

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🗣️🇺🇸🇬🇧 Anglais requis

🗣️🇪🇸 Espagnol requis

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Logo of SWBC

SWBC

1001 - 5000 employés

Fondée en 1976

🛡️ Assurance

💼 Conseil

📦 Logistique

Insurance • Consulting • Logistics

SWBC est une entreprise diversifiée de services financiers et d'assurance basée à San Antonio, offrant une vaste gamme de produits pour les particuliers, les entreprises et les institutions financières. Ses offres comprennent des assurances vie, habitation, commerciales et des prêteurs imposés ; la gestion de patrimoine, la planification de la retraite, et le trading de revenu fixe ; les prêts hypothécaires et les produits de gestion de prêts ; les services PEO/RH, de paie et d'avantages sociaux ; les services immobiliers commerciaux et de taxes foncières ; ainsi que des solutions externalisées de recouvrement et de paiement.

Description

• Coordinates and manages workers' compensation claims from initial injury reporting through resolution and closure • Serves as the primary liaison between client companies, injured employees, insurance carriers, claim adjusters, medical providers, payroll, HR, and internal stakeholders • Educates clients and injured employees on workers' compensation procedures, reporting requirements, return-to-work programs, available resources, and responsibilities throughout the claims process • Provides customer service and guidance while ensuring all parties understand required protocols, next steps, and claim-related obligations • Coordinates claim documentation, wage reporting, claim-related communications, and return-to-work activities • Monitors claim progress and collaborates with carriers, adjusters, employers, and medical providers to facilitate efficient claim resolution • Reviews claim status with carriers and adjusters, participates in client claim reviews, and assists with collecting and analyzing claims history, loss trends, and risk-related information • Maintains accurate claim records, documentation, and reporting • Performs all other duties as assigned

🎯 Exigences

• Bachelor’s degree in Human Resources, Risk Management and Insurance, related field of study from an accredited four-year college or university preferred • Minimum of four (4) years of experience in claims management or related field required • Working knowledge of workers' compensation claims processes, return-to-work programs, and claim resolution practices • Knowledge of OSHA regulations, workplace safety practices, and accident prevention programs preferred • Bilingual (Spanish) language ability is required • Strong organizational skills with the ability to manage multiple priorities, meet deadlines, and maintain attention to detail • Ability to analyze information, solve problems, and exercise sound judgment • Able to communicate in writing clearly and concisely • Strong customer service and relationship management skills with the ability to effectively interact with clients, injured employees, carriers, and internal stakeholders • Able to sit and stand for long periods of time performing sedentary activities • Maintain necessary certifications • Must pass pre-employment drug testing • SWBC does not hire tobacco users as allowed by law

🏖️ Avantages

• Competitive overall compensation package • Work/Life balance • Employee engagement activities and recognition awards • Years of Service awards • Career enhancement and growth opportunities • Leadership Academy and Mentor Program • Continuing education and career certifications • Variety of healthcare coverage options • Traditional and Roth 401(k) retirement plans • Lucrative Wellness Program

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