Claims Specialist

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Manage all claims while under general supervision of the Claims Director. Provide monthly updates and reporting. Coordination and database management; and other projects as assigned by the management team.

• Receive initial notification of claims and guide employees on how to properly manage the circumstances.
• Investigate claims for cause, compensability, and liability.
• Track the receipt of appropriate paperwork for all claims, set up claim files, and enter information into the Risk Management Information System (RMIS) upon receipt.
• Oversee reporting of automobile, general liability, property, and worker’s compensation claims to Miller Pipeline’s insurance carriers and TPAs. Forward necessary information to insurance carriers and maintain accurate documentation of claims by placing copies of all related paperwork in RMIS.
• Actively track open claims and interface with insurers, physicians, and other third parties to ensure aggressive claims management.
• Collaborate with the adjusters on insured claims during investigation, reserving, and settlement consults.
• Negotiate, settle, process payments and pursue subrogation for nominal claims.
• Responsible for managing all third‑party subrogation claims for which the company is not liable.
• Manage and coordinate return‑to‑work program for injured workers.
• Prepare operations and risk reports for management analysis. Provide benchmarking information as necessary.
• Analyze and classify risks as to frequency and potential severity and measure the financial impact of risk on the company.
• Respond to inquiries and complaints from customers, regulatory agencies, and members of the business community.
• Identify trends and collaborate with Safety Department to identify which safety issues are driving frequency and severity in the company’s auto, worker’s compensation, and property damage losses.
• Participate in quarterly claim reviews with the insurance carrier.
• Provide quarterly claim updates to Regional Operations.
• Attend safety incident review meetings and update RMIS accordingly.
• Attend claim summits, safety meetings and compliance trainings as needed to present field personnel with information regarding damage reporting.
• Participate in the claims presentation during Foreman Leadership Training.
• Other duties as assigned.

Required:

High school diploma. Significant post‑secondary coursework.

Preferred:
Bachelor’s degree from accredited university and/or 5+ years’ experience, Adjuster’s License and/or Insurance/Claims designation or willingness to obtain.

Required:

3+ years’ experience in multi‑line claims. Data entry – MS Office experience.

Preferred:
Multi‑state worker’s compensation, auto, and general liability claims.

• Working knowledge of auto, general liability, property, and worker’s compensation coverage.
• Knowledge of medical terminology and treatment protocols along with laws, legal codes, court procedures, precedents, government regulations, executive orders and agency rules.
• Read, analyze and interpret common scientific, technical and legal documents.
• Sense of urgency in responding to inquiries and complaints.
• Effectively present data to management team, public groups and/or boards of directors.

• Management
• Leadership
• Business Expertise
• Sound Judgment
• Presentation Skills
• Communication

The employee is regularly required to sit, use hands to finger, handle, or feel objects and tools, and reach with hands and arms. Occasionally required to stand, walk, climb or balance and talk or hear. Occasionally required to lift up to 20 pounds.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

• Mid‑Senior level

• Full‑time

• Finance and Sales

• Construction

Green Bay, Wisconsin Metropolitan Area

$19,000 – $23,000 per year