Insurance Claims Specialist

Benefits: This is a full time position with access to our comprehensive benefits which include paid time off (PTO), medical, dental, vision, short- and long-term disability, and life insurance, an Employee Assistance Program (EAP), and 401(k).

NATIONAL OnDemand, Inc. is an equal opportunity employer. The company’s policy does not discriminate against any applicant or employee based on race, gender, sex, sexual orientation, gender identity, color, religion, national origin, disability, genetic information, age, veteran status or any other consideration made unlawful by applicable federal, state or local laws. NATIONAL OnDemand, Inc. prohibits harassment of applicants and employees based on any of these protected categories.

No Of Positions: 1

National OnDemand, Inc. is a communications and utilities infrastructure provider delivering service solutions to the Fiber, Wireless, Energy and Technology sectors in the United States. Headquartered in Burlington, North Carolina, the Company provides full turnkey infrastructure solutions – on demand, anywhere across its service footprint and has secured and sustained its current standing in the market through the successful completion of mergers and acquisitions, along with demonstrable, steady organic growth.

Under the supervision of the Insurance Claims Manager, coordinate and administer workers’ compensation program, automotive, property and casualty claims.

• Process and document all worker’s compensation claims and property & casualty claims, ensuring compliance with relevant policies, procedures, and legislation.
• Serve as liaison with external agencies and regulatory bodies in the claims administration and the care and disposition of claimants.
• In coordination with the Insurance Claims Manager, evaluate property and casualty claims to determine liability, damage and exposure.
• Elevate to the Insurance Claims Manager larger, more complex claims.
• Assist the Insurance Claims Manager, the Senior Director of EHS & Compliance, Human Resources, and Legal, in third‑party claims, including negotiations and settlement when required.
• Reviews and evaluates all work‑related accident reports for completeness and clarity of data; analyzes data, as needed, to ensure compliance with policy and regulatory requirements.
• Determines appropriateness and amount of worker's compensation claims; investigates individual claims for eligibility for workers' compensation benefits; ensures that all legal and procedural requirements are met for the processing of claims to ensure proper and timely payment to employees and medical facilities.
• Provide authoritative advice and counsel to organizational leadership on interpreting and applying for worker's compensation and property & casualty policies, legislation, regulations, and processes.
• Liaison with the organization’s insurance broker and providers.
• Coordinates and participates in strategic planning aimed at reducing the incidence of worker's compensation‑related injuries.
• Assembles appropriate medical information and facts regarding claims for cases pending litigation; participates in the Workers' Compensation Administration mediation and formal hearings.
• Communicates and interacts with medical professionals, support agencies and others to monitor and assess the progress of rehabilitation efforts and to facilitate either return to work, job restrictions or, depending upon the medical status of the claimant, placement into appropriate alternative positions, ensuring compliance with all appropriate regulations and guidelines.
• Updates organizational leadership on employees’ return to full duty status.
• Prepares all necessary forms, records and documentation, including statistical analyses and reports, for all claims, as required by various regulatory agencies.
• Makes recommendations for reducing the frequency and severity of losses using a workers' compensation database and/or other claims data reports; designs and develops databases; performs integrated data analyses and prepares reports.
• Process assigned property and casualty claims and performed other job‑related duties as…