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Heritage Grocers Group · 2 weeks ago

Claims Specialist, Risk Management

Ontario, CA

Full-time

Onsite

Entry, Mid Level

$22/hr - $23/hr

1+ years exp

Heritage Grocers Group, LLC is committed to shared values of integrity, respect, and collaboration. The Claims Specialist will manage all workers' compensation and general liability claims, providing support and communication with various stakeholders to ensure efficient claim resolution.

Consumer GoodsGroceryRetail

Hiring Manager

Marissa Rodriguez

Responsibilities

Oversee and navigate the complete lifecycle of the workers' compensation claims and general liability claims, guaranteeing precise and punctual resolution

Evaluate and review all claim intake paperwork for accuracy

Ensure the claim files follow company best practices

Report on-the-job injuries of team members to the third-party administrator via online portal within 24-hours of receipt of injury

Report customer incidents and injuries to the third-party administrator via online portal within 24-hours of receipt of Letter of Representation or failure to resolve the incident in-house

Maintain incident and claim information in the claims' assignment log and in the SharePoint folder

Monitor to ensure all the necessary paperwork is submitted to the third-party administrator

Communicate with injured team members, store administrators, store directors and insurance adjusters to provide updates on claims and medical status

Monitor the claims to ensure they are processed accordingly, and that proper medical treatment is provided to the injured team member

Provide support to store administrators/store directors for submission of transitional work report documents and ensure modified work restrictions are being followed

Investigate, address, and resolve any inconsistencies in the handling of the claims

Communicate to insurance adjusters, legal representatives, and other outside parties with questions involving medical/indemnity/litigated claims within 24 hours

Collaborate with the Safety Department when a workplace danger or safety risk is recognized for investigation and documentation

Prepare and analyze various reports - disbursement expenses such as replenishment and claim activity payments from Third Party Administrators

Adhere to strict confidentiality and ethical standards when handling sensitive claim information

Other projects and duties as assigned

Qualification

Claims managementWorkers' compensationBilingual in SpanishMicrosoft OfficeAttention to detailCommunication skillsOrganizational skillsCritical thinking