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Claims Management Specialist

2 months ago

Sacramento, California, United States Teichert Full time
Position Overview

Objective
This role involves executing a range of routine administrative and technical tasks in the acceptance, coordination, and management of casualty claims under the supervision of the Risk Management Supervisor. Key responsibilities encompass investigating claims, assessing, and settling claims in accordance with company policies. Proper documentation is maintained to support claims payments. This position operates under the guidance of the Risk Management Supervisor and the Senior Claims Specialist.
Core Responsibilities
Essential duties and responsibilities include, but are not limited to:
  1. Engage with employees, witnesses, or other relevant parties to gather necessary information.
  2. Authorize claims payments within designated monetary limits.
  3. Perform all tasks with the objective of showcasing exceptional claims handling proficiency.
  4. Work under technical supervision on assignments of increased complexity and coordination.
  5. Manage claims for assigned cases adhering to performance standards.
  6. Initiate new claims, liaising with relevant employees, supervisors, and safety teams to conduct necessary investigations for determining compensability and potential subrogation.
  7. Comprehend the reserving processes established by third-party administrators (TPA).
  8. Adhere to proper documentation procedures to ensure data integrity.
  9. Maintain consistent communication with TPA, legal representatives, and management teams to foster positive relationships and build credibility.
  10. Process invoices related to the Risk Department.
  11. Utilize logical reasoning to identify problems, gather data, establish facts, and draw valid conclusions.
  12. Collaborate effectively and harmoniously with colleagues.
  13. Respond constructively to feedback and performance evaluations.
  14. Ensure the accuracy of claims data in the relevant databases used for reporting.
Relationships, Qualifications, and Competencies
Key Relationships
Reports to:
  • Insurance and Claims Manager
Direct Reports:
  • None
External Clients:
  • The public, third-party claims administrators (TPA), claims adjusters, defense attorneys, law enforcement, and other parties involved in the claims process.
Internal Clients:
  • Finance Management, Department Managers, Superintendents, Project Managers, Executive Management, Mobile Equipment.
Qualifications & Requirements
Education:
  • Bachelor's Degree or Four Years Equivalent Experience.
Specific Job Requirements:
  • Successful completion of pre-employment drug, alcohol, and background checks.
  • Valid Driver's License.
  • Ability to manage confidential information ethically and professionally.
  • Quick learner with the capacity to assimilate new information.
  • Basic knowledge of Auto Liability and General Liability claims.
  • Strong verbal and written communication skills, particularly over the phone.
  • Proficient math and reading skills.
  • Ability to interact professionally with a diverse group of individuals, demonstrating sensitivity and tact.
Competencies:
  • Relationship Management
  • Business Acumen
  • Effective Communication
  • Analytical Skills
  • Excellent Telephone Skills
  • Organizational Skills
  • Learning Orientation/Innovation
  • Judgment and Decision Making
  • Proactive Attitude
Additional Information

Equipment Utilized, Physical Requirements, and Work Environment
Equipment Utilized:
  • Personal computer, telephone, personal protective equipment (e.g., safety glasses, hearing protection), office machinery.
Physical Requirements & Work Environment: The physical demands and work environment characteristics are representative of those that must be met by an employee to successfully perform the essential functions of this role. Reasonable accommodations may be made for individuals with disabilities to perform essential functions.
  • Physical: Prolonged periods of sitting while working at a computer or driving to job sites. Site visits may require walking on uneven terrain, climbing, bending, stooping, and crawling in confined spaces. Some lifting of materials and equipment up to 25 lbs. Vision requirements include close, distance, peripheral vision, depth perception, and the ability to adjust focus. Extended hours may be necessary during peak periods.
  • Work Environment: Exposure to job site conditions, which may include loud noises, dust, fumes, and extreme weather. May require working various shifts or hours, including early mornings or evenings. Typical office environment with adequate temperature and lighting, and low noise levels.
Salary Range:
  • $79,000 - $110,833.00
  • This range reflects the company's reasonable expectations for compensation for this position. Actual salary may vary based on role, level, geographic location, relevant education, training, or experience, among other factors.
Employer Statement
The above statements and job description are intended to describe the nature and level of work being performed in this position. They are not intended to be an exhaustive list of all responsibilities, duties, and tasks. Other similar or additional duties may be assigned as necessary.
Equal Opportunity Employer
Teichert and its subsidiaries are committed to being an equal opportunity workplace. All individuals seeking employment at our company are considered without regard to age, ancestry, color, race, gender (including pregnancy, childbirth, or related medical conditions), gender identity or expression, sexual orientation, genetic information, marital status, medical condition, mental or physical disability, national origin, protected family care or medical leave status, religion, military or veteran status, or any other characteristic protected by federal, state, or local laws.