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Claims Admin-Risk Management - Sacramento California
Company: United Site Services Location: Sacramento, California
Posted On: 05/03/2024
About USS You may not always notice United Site Services, but we are always there - at construction sites, industrial facilities, and live events all across America. We take pride in providing essential services like portable restrooms, hand hygiene solutions, temporary fence, trailer solutions, roll off dumpsters and more, for customers across the country. From state parks to the largest music festivals in the nation, our team is on the road and behind the scenes helping our customers create easy, safe and clean experiences for their employees or patrons. Join a company that makes a difference in communities across the country while providing for yourself and your family. THE USS DIFFERENCE - One-stop-shop for temporary site services, offering a full line of portable restrooms, hand hygiene solutions, temporary fence, trailer solutions and more.
- The largest inventory of equipment in the country.
- Coast-to-coast coverage with over 130+ locations in 27 states - and growing!
Primary Purpose The Claims Administrator, Risk Management position maintains all auto/general liability/ workers compensation files current and complies with applicable regulations. Essential Functions - Review incident reports. Request additional information, supporting documents, photos, videos etc. to establish a complete investigation
- Enter information into Claims Management System (CMS), and utilize CMS to report, manage, and diary caseload, thru claim resolution
- Evaluate each incident/injury to determine if In-House claim, or report to Third Party Administrator (TPA), using established claims protocol
- Adjust (determine liability, settle, deny etc.) in-house auto, general liability, or small internal injury claims to closure
- Maintain communication with Operations Managers, Safety Managers, claimant/USS customer, and/or injured worker
- Coordinate and administer ongoing investigations, relative to worker's compensation, auto and general liability insurance claims and work with internal and external partners to establish and execute action plans to achieve favorable claim resolution. Review claims status and action plans using advanced problem resolution skills
- Request/review injured worker medical status reports. Provide Wage Statements and other information, as requested by WC adjuster
- Negotiate return to work with our without job accommodations via the claimant's physician Human Resources, Ops Manager, and ADJ
- Communicate any significant changes, problems, or concerns to Claims Manager
- Request and monitor settlement requests - provide claim summaries to Risk Manager/Sr. Corporate Counsel
- Work closely with TPA adjusters and Medical Providers to monitor the progression of claims to final resolution
- Pursue 3rd party claims, to seek subrogation for USS damages
- Manage and maintain a record of all losses and assist all risk management and safety personnel to reduce all losses for advocate sites
- Coordinate, facilitate, and participate in claim meetings and reviews with internal and external partners
- Support Legal Dept. with litigated claims- coordinate requests
- Perform other duties as assignedSUPERVISORY RESPONSIBILITIES
This position has no supervisory responsibilities. Qualifications QUALIFICATIONS EDUCATION Min/Preferred Education Level Description Preferred Preferred 4 Year / Bachelors Degree in any field of study Property & Casualty Adjuster License EXPERIENCE Minimum Years of Experience Maximum Years of Experience Comments 2 Property and Casualty insurance or combination of equivalent education and expereince ADDITIONAL KNOWLEDGE, SKILLS, AND ABILITIES - Knowledge of data management systems and processes (i.e., Outlook, Claims Management Systems, Excel Spreadsheets, Internet, Word, PowerPoint, etc.)
- Strong interpersonal and communication skills and the ability to work effectively with people in a wide range of positions
- Excellent oral and written communication, including presentation skills Ability to document work in progress
- Ability to read and interpret documents (i.e., accident forms, medical/legal documents, etc.)
- Bilingual skills are a plus (English and Spanish)
- Ability to work independently while maintaining all deadlines and critical date obligations
- Effective time management and organization skills
- Detail-oriented mindset with the ability to constructively challenge the status quo
- Solid knowledge of data modeling software
- Ability to establish credibility quickly and possess the ability to develop productive business relationships
Physical Requirements PHYSICAL REQUIREMENTS Demand Frequency Sit while answering phones or reply to emails Constant Use hands and fingers to handle, control or feel objects tools or controls Frequent Repeat the same movements when entering data Frequent See details of objects that are less than a few feet away Constant Speak clearly so listeners can understand Frequent Understand the speech of another person Frequent Focus on one source of sound and ignore others Frequent Hear sounds and recognize the difference between them Frequent See differences between colors, shades and brightness Frequent Benefits Summary All full-time employees working an average of 30 hours or more per week are eligible for the below benefits. Part-time employees may be eligible for similar benefits. |
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