Risk Management Coordinator

2 weeks ago

Downey, California, United States Meruelo Group Full time
Risk Management Coordinator Job Description

The Risk Management Coordinator position is a key role within the Meruelo Group, responsible for assisting in the management of risk. This includes coordination with insurance companies, medical providers, and legal representatives, as well as general liability and auto claim billing.

Key Responsibilities:

  • Collaborate with team members at all levels to provide excellent customer service and ensure effective communication.
  • Retrieve and enter claim data from carrier databases into Spectrum and Excel loss reports.
  • Input and update claim reserves into Spectrum monthly, using carrier data and Excel loss reports by the 5th of each month.
  • Administer first aid medical billing, including sending billing to Lien on Me for review.
  • Enter new claims into Spectrum and update corresponding Excel loss reports.
  • Update and maintain notes as team members' medical status changes into Spectrum and Excel loss reports.
  • Assist with monthly general liability investigations reports.
  • Provide administrative assistance with auto claims and reports.
  • Create labels, folders, and setup files for newly reported claims.
  • Facilitate scheduling medical appointments for injured/ill team members, including restrictions, follow-up, and inquiries.
  • Prepare and distribute Modified Alternative Work Agreements (MAWA) when an injured team member is released to modified work. Update and re-distribute MAWA as the team member's restrictions change.
  • Process general liability and auto claims billing from 3rd party TPAs, including carriers, as electronic billing is received.
Requirements:

  • Any combination of experience and education that would likely provide the required knowledge and abilities to qualify.
  • Two years of increasingly responsible clerical and/or administrative experience.
  • High school and/or GED equivalent.
  • Strong knowledge of claims handling/administration.
  • Proficient to Expert Excel skills required.
Skills, Physical Requirements & Working Conditions:

The ideal candidate will possess effective communication, organizational, and problem-solving skills. Ability to apply basic mathematical concepts and calculations. Understands and has working knowledge of financial and accounting principles. Able to process high volumes with consistency and speed. Ability to define problems, collect data, establish facts, and follow instructions. Ability to perform and apply different problem-solving techniques, handle internal/external situations, and multi-task functions.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is required to sit for extended periods of time and occasionally walk; requires eye-hand coordination, use hands hand movement, and manual dexterity use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, listen, and speak.

The employee may occasionally lift and/or move up to 25 pounds.

Specific vision abilities required to see in the normal visual range with or without correction; vision sufficient to read computer screens and printed documents.

Specific hearing levels within normal/audio range with or without correction.

Working conditions consist of a temperature-controlled office environment.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Meruelo Group offers a very competitive pay and benefits package, including medical, dental, vision, life insurance, and 401k.

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