Claims Specialist

Found in: Resume Library US A2 - 7 days ago


Dayton Ohio, United States Dayton Freight Full time
Overview:

Stable and growing organization

Competitive weekly pay

Quick advancement

Professional, positive and people-centered work environment

Modern facilities

Comprehensive benefits package: Health, Dental, Vision, AD&D, 401(k), etc.

Paid holidays (8); paid vacation and personal days

Responsibilities:
The Claims Specialist serves as a primary contact for the processing and management of accidents and claims relating to Risk Management

Manage accidents for all lines of coverage including workers compensation, liability, auto, and property for the Company

Analyze and evaluate accident/claim reports and work with others internally to understand extent of loss and applicability to insurance and/or liability

Work with third party administrators in managing all workers compensation injuries based on state laws

Assist the Risk Manager with the analysis of cost regarding workers compensation injuries

Assist in the development and implementation of an effective post-loss injury program

Manage and oversee and TWAP light duty program

Collaborate with legal counsel, adjusters, and other appropriate personnel on pertinent claims matters

Assist the Risk Manager on losses and negotiate settlements, within established authority

Oversee claims management and claim litigation processes

Assist with large dollar claims and legal case management for TPA

Analyze loss data to identify trends, establish relevant benchmarks and identify the most effective cost containment strategies

Work with the Risk Manager and field Safety Managers to develop a strategy to reduce the frequency of injuries and equipment losses

Work with the field Safety Manager to establish and support Safety Committees as appropriate

Review documentation, accident photos, employee/witness statements, and police reports and make determination of liability as needed

Process estimates, invoices, payments, and/or external adjusting service fees for approval

Negotiate settlements, authorize payments and collect needed forms to resolve claims matters

Manage subrogation files for damages to Dayton Freight equipment/property caused by third party

Work with the Maintenance department to collect Dayton Freight repairs and invoices and record payment information

Determine if use of third party administrator is appropriate for claims

Maintain legal files as necessary

Pull, review and update various reports relating to safety, accidents and injuries

Continuously evaluate processes for efficiency improvements

Become a Risk Management liaison for accident and insurance questions for internal and external customers and/or partners

Qualifications:
Possess a High School Diploma

Possess knowledge of multi-state workers’ compensation laws, cost management and return to work practices

Possess good written and oral communication skills and the ability to present information in an appropriate manner to various groups including executive management, peers and external partners

Benefits:
Stable and growing organization

Competitive weekly pay

Quick advancement

Professional, positive and people-centered work environment

Modern facilities

Comprehensive benefits package: Health, Dental, Vision, AD&D, 401(k), etc.

Paid holidays (8); paid vacation and personal days


  • Claims Specialist

    1 week ago


    Dayton, United States Dayton Freight Full time

    Overview: Stable and growing organization Competitive weekly pay Quick advancement Professional, positive and people-centered work environment Modern facilities Comprehensive benefits package: Health, Dental, Vision, AD&D, 401(k), etc. Paid holidays (8); paid vacation and personal days Responsibilities: The Claims Specialist serves as a primary contact for...

  • Claims Specialist

    1 week ago


    Dayton, United States CareerBuilder Full time

    Overview Stable and growing organization Competitive weekly pay Quick advancement Professional, positive and people-centered work environment Modern facilities Comprehensive benefits package: Health, Dental, Vision, AD&D, 401(k), etc. Paid holidays (8); paid vacation and personal days Responsibilities The Claims Specialist serves as a primary contact for the...

  • Auto Claims Specialist

    Found in: Resume Library US A2 - 1 day ago


    Columbus, Ohio, United States Installed Building Products Full time

    Job Description:                                                                                                                                                                                                             Installed Building Products (IBP)...

  • PFS Pt Acct Denial Spclst

    Found in: Resume Library US A2 - 7 days ago


    Miamisburg, Ohio, United States Kettering Health Full time

    Overview: Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities,...

  • Patient Account Representative II

    Found in: Resume Library US A2 - 7 days ago


    Columbus, Ohio, United States Ohio State University Physicians, Inc. Full time

    Overview: Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion!?   Who we are With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants,...

  • Pro Fee Coding Spec

    Found in: Resume Library US A2 - 7 days ago


    Miamisburg, Ohio, United States Kettering Health Full time

    Overview: Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities,...

  • Product Marketing Specialist

    Found in: Resume Library US A2 - 1 day ago


    Cincinnati, Ohio, United States Western & Southern Financial Group Full time

    Overview: Provides support for product development, implementation, enhancement and maintenance for all product lines distributed by W&S Agency Group. Coordinates the development and approval of all policy forms and collateral product materials. Provides all introductory materials content and develops product educational and training content for the...

  • Prior Authorization Representative

    Found in: Resume Library US A2 - 8 hours ago


    Columbus, Ohio, United States Ohio State University Physicians, Inc. Full time

    Overview: Position is remote for OH residents only   Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion!?   Who we are With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes...

  • Prior Authorization Representative

    Found in: Resume Library US A2 - 7 days ago


    Columbus, Ohio, United States Ohio State University Physicians, Inc. Full time

    Overview: Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion!?   Who we are With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants,...

  • AVP, Internal and Executive Communications

    Found in: Resume Library US A2 - 2 weeks ago


    Cleveland, Ohio, United States AmTrust Financial Services, Inc. Full time

    Overview: The AVP, Internal & Executive Communications will report to the Chief Marketing Officer and will manage all areas of the internal communications program in the United States. This person will work prominently with Human Resources, the AmTrust Executive Committee and across the business to ensure consistent and effective strategic internal...