Claims Specialist

4 weeks ago


El Paso, United States CareerBuilder Full time

The American Equity Underwriters, Inc. (AEU) (An Amwins company) is the program administrator of the American Longshore Mutual Association, Ltd. (ALMA), a group self-insurance fund authorized by the U.S. Department of Labor to provide USL&H coverage for the liabilities of its members under the United States Longshore & Harbor Workers Compensation Act. With decades of experience in the maritime industry and a strong commitment to our members, AEU is the leading specialist in USL&H.
Position Summary
The Claims Specialist (CS) position is responsible for investigating, evaluating, and resolving claims for injured workers of companies insured through AEU. These responsibilities help to reinforce the value and commitment AEU provides to its member companies. The CS must have the ability to effectively communicate with all points of contact to successfully resolve claims and have employers realize the value of our services.
Prospective candidates should have at least 5 years of workers compensation claims insurance experience.
Core Competencies
Highly organized and detail-oriented
Team-oriented
Assertive and outcome focused
Comfortable working on items of varying difficulty
Ability to prioritize and be flexible during high-volume time periods
Responsibilities

Manage workflow daily to ensure deadlines are met and filings are timely
Communicate effectively with injured workers and their families
Interact and liaise with external members and clients as needed
Work with service team to establish goals for members and follow through on the strategies identified
Direct and manage outside vendors to maintain a proper workflow and appropriate distribution of duties
Flexibility to occasionally travel and attend meetings with clients outside of standard work hours
Draft reports which will be used both internally and externally, and understand the differences that are required for each
Present claims in an open forum internally with a committee and externally with clients
Stay current with applicable legislative and jurisdictional regulations and procedures
Qualifications & Requirements

5 years handling Longshore workers compensation claims or other workers compensation insurance claims
Knowledge of standard office practices and procedures
Proficient computer skills and in-depth knowledge of relevant software, including Microsoft Office Suite (specifically Outlook, Word and basic Excel)
Familiarity with basic research methods and reporting techniques
Excellent written and verbal communication skills
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