Internal Claims Coordinator

Found in: Talent US C2 - 2 weeks ago

Dallas, United States Controlled Contamination Services Full time

Job Details

Description

Position Overview:
We are seeking a proactive and detail-oriented individual to join our team as an Internal Claims Coordinator. In this role, you will be responsible for managing internal claims within our organization, ensuring efficient processing, accurate documentation, and timely resolution. The ideal candidate will possess strong organizational skills, a keen understanding of claims procedures, and the ability to collaborate effectively with internal stakeholders and insurance partners.

Responsibilities:

Claims Initiation : Serve as the primary point of contact for employees reporting incidents, accidents, or injuries, guiding them through the claim's initiation process. Documentation Management : Maintain accurate and comprehensive records of all incidents and claims, including incident reports, witness statements, medical records, and other relevant documentation. Communication Liaison : Facilitate communication between internal stakeholders, including employees, supervisors, and relevant departments, to coordinate efforts in response to incidents and claims. Insurance Collaboration : Work closely with insurance providers and adjusters to initiate and manage claims, providing necessary documentation, information, and updates throughout the claims process. Investigation Coordination : Coordinate investigations into incidents, collaborating with relevant departments to gather information, assess liability, and determine root causes. Claim Evaluation : Assist in the evaluation of claims, analyzing factors such as severity, medical treatment, and potential liability to determine appropriate courses of action and resolutions. Resolution Facilitation : Work proactively to expedite the resolution of claims, negotiating settlements when necessary and advocating for fair and equitable outcomes. Compliance Monitoring : Monitor compliance with insurance requirements, reporting obligations, and regulatory standards related to claims management. Reporting and Analysis : Prepare regular reports on incident trends, claim activity, and performance metrics, providing insights and recommendations for continuous improvement.

Qualifications

Qualifications :

Bachelor's degree in business administration, Finance, or a related field. Demonstrated experience in claims (Workers Compensation, General Liability, Auto, Cyber, etc.) coordination or a related role within an organizational setting. Strong communication and interpersonal skills, with the ability to collaborate effectively with internal and external stakeholders, such as insurance carriers and legal counsel. Detail-oriented approach with a focus on accuracy in documentation and data analysis. Proficiency in using computer applications and claim management software.

Preferred Qualifications:

Professional certifications in claims management (e.g., AIC, AICPCU) or relevant industry certifications. Experience working with insurance companies and navigating the claims process. Familiarity with legal principles and procedures related to claims management.

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