Claims and Compliance Specialist

4 days ago

Orlando, Florida, United States Loews Hotels, LLC Full time
Job Description

About Loews Hotels, LLC

We are a world-class team that brings to life the incredible hotels located at Universal Orlando Resort. Named one of Central Florida's Top Workplaces and one of America's Best-in-State Employers by Forbes, we are committed to our power of 'we' culture.

Job Summary

This role is responsible for managing all workers compensation claims, ensuring compliance with LHUO return to work policy, and maintaining property-specific OSHA compliant first aid logs. The ideal candidate will have excellent communication skills, knowledge of Florida State regulations regarding workers compensation guidelines and HIPAA compliance, and experience in risk management or a related field.

Key Responsibilities:

  • Manage and track lost time and restricted duty claims to ensure total compliance with LHUO return to work policy
  • Maintain communication with property-specific Executive Committees and department heads on employee injuries, restrictions, and follow-up status
  • Ensure total compliance in maintaining property-specific OSHA compliant first aid logs
  • Manage all workers compensation claims, including filing, follow-up, and daily communication between insurance adjusters and attorneys
  • Follow up with employees by phone, in-person, or in writing, using specific guidelines of communication
  • Maintain a tracking regimen with the insurance carriers' access provided database
  • Reviews and analyzes reports from insurance carriers and claims adjusters as needed
  • Maintains database systems to track accident/loss statistics, maintains logs and claim files on all pending claims, prepares and submits related reports to management
  • Creates quarterly workers compensation analytical reports through the Clearview database
  • Organizes and maintains various databases used in Risk Management on a daily basis
  • Assists the Risk Manager in the establishment and administration of cost-effective risk management programs that assure compliance with federal, state, and local safety legislation, and industry best practices related to safety/security
  • Assists the Risk Manager in the development and enforcement of policies, procedures, and standards for administration of the work unit in accordance with Loews Hotels Corporate Risk Management and safety/security objectives and guidelines
  • Identifies areas of non-compliance and recommends corrective action to remedy deficiencies
  • Maintains, requests, and updates Certificate of Insurance information provided by all companies conducting business with Loews Hotels @ Universal Orlando
  • Works closely with Security in conducting internal investigations of all workers compensation claims, identifying witnesses when needed
  • Analyzes findings and makes recommendations regarding disposition of claims to Risk Manager

Requirements:

  • Associate's Degree or equivalent business experience
  • Two years Workers compensation claims management experience or equivalent training
  • Thorough knowledge of Florida State regulations regarding workers compensation guidelines and HIPAA compliance
  • Excellent communication skills, oral and written
  • Full command of the English language with a working knowledge of Spanish is recommended
  • Ability to meet deadlines and execute on commitments
  • Proficient in Microsoft Word, Access, Excel, PowerPoint, and the ability to quickly learn other software required by Risk Management
  • Thorough knowledge of OSHA and ADA compliance legislation and established guidelines, industry practices with regard to ensuring the safety and accessibility of Loews Hotel at Universal Orlando to both guests and employees
  • Ability to organize and handle multiple diverse tasks at one time
  • Able to work a flexible schedule, including weekends and holidays

Estimated Salary: $55,000 - $70,000 per year

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