Claims Administrator

Position Purpose:

To process, administer and manage the property, workers' compensation, auto, and third-party liability claims in a timely and thorough manner.

Responsibilities:

* Management of events involving workers compensation, auto, liability and property damage, inclusive of routing, administration, recordkeeping, and data entry

* Prepare correspondence presentations and reports for management and key customers

* Tracking and trending of claims events and related claims costs

* Analyze and revise claim data as new information becomes available

* Assist in the continuous improvement of the claims reporting procedures

* Collaborate with third-party administrators to analyze claims and determine the extent of the company's liability while continuously working to resolve

* Review billing and process claims correctly including, third party recoveries

* Assess claims documentation and determine its validity

* Investigate claims thoroughly, ensuring all necessary information is gathered

* Communicate with claimants, witnesses, and other relevant parties to gather additional information

* Document claims activities and maintain accurate records

* Assess expenses and settle claims with authorized limits

* Coordinate with claimants to resolve issues

* Assist with department trends and statistical information

Knowledge | Skills | Abilities

* Ability to maintain confidentiality

* Proven communication, organizational, and interpersonal skills

* Strong computer skills with excellent attention to detail

* Ability to anticipate and meet the needs of internal/external customers and work independently to meet deadlines

* Strong understanding of administrative best practices and a focus on continuous improvement

* Ability to work independently and meet deadlines

* Ability to engage and consult with all levels of management to establish working relationships and partnerships

* Prior claims management experience preferred

* Employee must be able to function in a team environment while always working for the greater good of the company

* Ability to analyze complex information and formulate sound decisions

* Excellent evaluation, strategic skills, and claim negotiation with a focus on strong conflict resolution

Qualifications

* High School diploma. Education beyond High School would be preferred

* A minimum of 2-4 years of claims administration in workers' compensation, insurance, or a related field preferred

* Equivalent combination of education and experience that demonstrates the ability to perform the key responsibilities of this position

Work Environment

* Must be able to remain in a stationary position over 50% of the time

* The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc

* Continuously operates a computer and other office productivity machinery, such as a calculator, copy machine, scanner, and computer printer

* The person in this position frequently communicates with employees and coworkers and must be able to exchange accurate information in these situations

* Occasionally lifting 20 pounds