Workers Compensation Claims Specialist

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Role

Summary:

The Workers’ Compensation Claims Specialist oversees and performs a full range of professional, strategic, and coordinative efforts for the Workers’ Compensation claims process. This position will oversee and handle all workers’ compensation claims for the organization, in addition to the oversight of the company’s Third-Party Administrators. This role reports directly to the Sr. Claims Manager and will also communicate with external partners.

This exciting and important role will be integral in ensuring Cinemark’s Workers’ Compensation claims process is aligned with industry best practices, fits the company culture and business strategy, and provides great value to our team members.

Responsibilities Triages new incidents, conducts initial investigations, and collaborates with TPA on handling

Collects pertinent information for TPA, as needed

Analyzes claim costs, makes recommendations, and mitigates exposure by expediting closure with appropriate action plan in collaboration with the Third-Party Administrator and/or Insurer Manages the multi-state Return to Work Program Coordinates directly with team members, adjusters, case managers, and medical providers for quick resolution of claims and ensures the program is followed

Oversees monopolistic state worker’s compensation claims for OH and WAActs as liaison to claims adjusters and attorneys regarding litigated claims

Utilizes and updates files in Risk Management Information System (RMIS)
Ensures multi-state compliance in the claim management process

Coordinates, attends and leads litigation planning conferences with defense counsel and Third-Party Administrator on litigated matters

Supports Risk Management with day-to-day requests, analyzing loss trends and strategy, ad-hoc reporting, and other related projects

Oversees regulatory WC state postings during renewal

Additional tasks as requested by supervisor, and may have opportunity to assist with General Liability matters

Requirements7+ years of hands-on Workers’ Compensation adjusting experience, managing claims within a Risk Management Department or the Claims Department of an insurance carrier or Third-Party Administrator2+ years of Customer Service experience with a proven record of success3+ years of Workers’ Compensation Litigation Management experience

All-Lines Adjuster License or Workers’ Compensation Adjuster License Associate in Claims (AIC), preferred

Knowledge,

Skills and Abilities

An understanding of legal principles related to Workers’ Compensation Knowledge of Workers’ Compensation procedures in monopolistic states – OH and WAAbility to think analytically and logically to make independent decisions

Excellent communication skills and ability to work with external partners

Multi-state jurisdictional experience is a plus

High level of enthusiasm and energy

Strong organizational skills and ability to work under competing deadlines

Must be detailed and results oriented

Proficient in Microsoft Applications (Excel, Word, PowerPoint, Publisher, Etc.) and RMIS and/or Claims systems

Benefits Available:

At Cinemark, we believe every team member should feel like a hero. Each career comes with a variety of blockbuster benefits for both hourly and salaried team members.

Employee Discount
401(k) Matching
* Growth Opportunities Education Assistance
* Health Benefits
* Parental Leave
* Paid Time Off
* Daily Pay
* Free Movies
* Benefits may vary by career category, so be sure to check the specific details on our career site.

DISCLAIMER:
This job description is intended only as a general guideline of your duties and responsibilities at Cinemark and is not a legally binding contract. Cinemark reserves the right to amend, change or terminate the job description, as it deems appropriate. Any change amendments, or modifications may be implemented even though they have not been communicated, reprinted or substituted in this job description.

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

Cinemark is an Equal Opportunity Employer
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