Claims Management Specialist

🕒 il y a 1 mois

🤠 Texas – Distant

infoinfo

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🗣️🇺🇸🇬🇧 Anglais requis

🗣️🇪🇸 Espagnol requis

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SWBC

1001 - 5000 employés

Fondée en 1976

💸 Finance

🛡️ Assurance

🏠 Immobilier

Finance • Insurance • Real Estate

SWBC est une société de services financiers diversifiée offrant un large éventail de produits et services aux particuliers, aux entreprises et aux institutions financières. Les produits incluent divers types d'assurances, telles que l'assurance vie, l'assurance de biens et de véhicules, ainsi que des solutions d'assurance commerciale. L'entreprise propose également des services d'investissement étendus, de gestion de patrimoine et de planification de la retraite. De plus, SWBC offre des services de prêt, y compris des prêts hypothécaires, et opère dans le secteur immobilier en fournissant des solutions pour le développement de propriétés commerciales et des assurances. Ils mettent l'accent sur des stratégies centrées sur le client et ont des initiatives pour les avantages sociaux des employés et les services RH externalisés.

Description

• Coordinate and manage workers' compensation claims from initial injury reporting through resolution and closure • Serve as the primary liaison between client companies, injured employees, insurance carriers, claim adjusters, medical providers, payroll, HR, and internal stakeholders • Educate clients and injured employees on workers' compensation procedures, reporting requirements, return-to-work programs, available resources, and responsibilities throughout the claims process • Provide customer service and guidance while ensuring all parties understand required protocols, next steps, and claim-related obligations • Coordinate claim documentation, wage reporting, claim-related communications, and return-to-work activities • Monitor claim progress and collaborate with carriers, adjusters, employers, and medical providers to facilitate efficient claim resolution • Review claim status with carriers and adjusters and participate in client claim reviews • Assist with collection and analysis of claims history, loss trends, and risk-related information • Maintain accurate claim records, documentation, and reporting • Perform other duties as assigned

🎯 Exigences

• Bachelor’s degree in Human Resources, Risk Management and Insurance, or related field 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 • Pre-employment drug testing required • Must be a non-tobacco user, 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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