Reference #: 55793
This is a remote role for candidates located in Nashville, Memphis, Pittsburgh and Columbus only. General Summary
The Specialist, Risk Management, interacts with various vendors, and various regulatory agencies to explain 3PL Casualty, Property, Marine and Workers' Compensation programs.Assists with questions, resolve issues, and complaints concerning benefits/risks/insurance. Assist in investigating potential 3rd party liability (subrogation) and ensure notification of parties at the time of investigation or as soon as there is an indication of 3rd party involvement. Assist with general risk management activities including insurance renewals, certificates of insurance, and other duties as assigned. Primary Responsibilities
Coordination of prompt and thorough claim investigations to determine eligibility and compensability (3-point contacts) within 24 hours of receiving notice and prepare concise written investigation notes.
Communicate effectively with management, coworkers, providers, consultants, and representatives from various regulatory agencies to explain3PL Casualty, Property, Marine andWorkers' Compensation programs, answer questions, resolve issues, and complaints concerning benefits while establishing and maintaining excellent working relationships.
Coordinate with Sales Team and Project Managers to evaluate the Risk of potential new business.Reviewing property structure and safety regulations, scope of the business including evaluating products and determining the appropriate insurance coverage needed to support the business.
Assist insurance carriers to investigate potential for 3rd party liability (subrogation) and ensure notification of parties at the time of investigation or as soon as there is an indication of 3rd party involvement.
Evaluate and determine appropriate monetary reserves assigned to cover the potential exposure of claims. Provide documentation of rationale for reserve changes via monthly business unit reserve change analysis reports and month end accounting reports.
Assists with all phases of claims and respond on behalf of the company to discovery requests as approved by Supply Chain Corporate Legal Department; conducting research, interpreting and applying findings to properly resolve claims; and engaging claims managers and defense attorneys in litigation strategy and claim resolution discussions with managers.
Assists with regular claim audits to measure administrators' performance and represent company in audits conducted by state agencies, respond to auditors' findings, and act as liaison between company and state agencies.
Assist with general risk management activities including insurance renewals, certificates of insurance.
Performs other duties as assigned.
Education/Experience
Bachelor's degree in related field and 6 years of relevant experience, which includes 2 years of insurance experience in assessing risks, and claims including serious injury and complex litigation claims on a national level OR high school/GED and 8 years of relevant experience, which includes 4 years of insurance experience in assessing risks, and claims including serious injury and complex litigation claims on a national level
Insurance Designation is preferred (such as Associates in Claims or equivalent designation)
Knowledge of workers' compensation, contracts, damages, agency, subrogation, contribution/indemnity, insurance and other applicable/related laws, as well as related concepts and practices
Strong proficiency in Microsoft Excel, Word, PowerPoint, Lotus Notes, and ADP HRIS/Payroll
Excellent interpersonal, written and verbal communication, customer service, and problem resolution and conflict management skills
Ability to actively listen and ascertain the needs of customers; ability to find and communicate accurate information concerning processes, policies and procedures to customers; ability to respond to customers tactfully and courteously
Ability to work independently and exercise sound judgment in claims management decisions and problem resolution strategies
Demonstrated ability to prioritize and handle multiple functions with accuracy and attention to detail
Required to travel occasionally (up to 20%) to conduct on site management training sessions or attend training programs or legal proceedings
Ability to analyze statistical claims and financial data
Customer service driven
Strong team player Physical/Cognitive Requirements
With or without accommodation:
Ability to follow policies and procedures.
Ability to read, write and interpret information.
Ability to add, subtract, multiply and divide.
Ability to use hands to finger, handle, or feel.
Ability to sit/walk/stand for up to 8 hours per day.
Must possess visual acuity, i.e., close, distance, and color vision, depth perception and the ability to adjust focus
Working Conditions
General office environment that is generally favorable.Lighting and temperature are adequate, and there are no hazardous or unpleasant conditions caused by noise, dust, etc.Work is generally performed within an office environment with standard office equipment available. ADA
The Company is committed to making reasonable accommodations for qualified individuals with disabilities in accordance with the ADA and any other applicable federal, state, or local laws.If you require an accommodation to perform the job, now or in the future, please contact your Human Resources Representative.Upon request, Human Resources will engage in an interactive process with you to determine whether or not a reasonable accommodation is available. Disclaimer
The above information is only an illustration of the general nature and level of work performed by the employee within this classification.The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.
The job description does not constitute an employment agreement between the Company and employee and is subject to change by the Company as the needs of the Company and requirements of the job change.
Pay Range: 65108.00 (Min) - 94323.00 (Mid) - 123538.00 (Max) Yearly
EOE, including disability/VETs
