Randstad Analyst, Claims in Atlanta, Georgia
Thursday, September 29, 2016
Randstad North America is looking for a Workers Compensation Claims Specialist to join our team. The successful candidate will be career minded, highly motivated, & customer service oriented. Excellent communication, strong work ethic and the ability to multi-task are essential to the success of this role. Our industry offers variety to your day while always being focused on the same goal, to build our business while providing great service to our clients.
Direct responsibility for management of workers compensation claims. This position will assist in the daily reporting, managing, investigating, and closing of workers compensation claims for Randstad. Daily interaction with field staff, attorney s, and Third-Party Administrator.
Mentor/lead field staff; implement and manage claims strategy to achieve agreed end result
Freedom to act/Accountability:
- Guidance given: Assignments are received in objective oriented terms. Workers Compensation claims are received as reported by field and injured worker. Provides oversight, guidance, and interacts with TPA and field staff to meet organizational goals and company policy. Work is reviewed in terms of meeting the organization s objectives and schedules
Direct Work Involvement/Complexity:
Administer workers compensation claims
Manage the daily activity on all assigned claims. Direct reporting and investigation of claim, filing with Third-Party Administrator, and claim management plan of action.
Manage the claim costs by implementing organization s claims processes and daily monitoring of claims. Manage and direct the use of litigation, surveillance and investigation on claims.
Prepare for and participate in file audit and claim reviews
Identifies, manages and communicates significant claim exposures
Monthly update on all claims assigned
Proactively determine whether a claim is compensable under workers compensation
Maintains knowledge of current workers compensation laws and their effect on our corporation and insurance program
Maintain documentation for SOX requirements
- Erroneous decisions or recommendations would normally result in critical delays and claim plan of action; cause substantial expenditure of time, human resources, and funds; and jeopardize future business activity
Frequent contact with equivalent level inter-organizational managers, field staff, and customer representatives concerning workers; compensation claims
Works with field Safety Managers/Supervisors in gathering critical claim investigative information
Respond to any requests by the field for assistance and updates on claims
Conducts appropriate and comprehensive training programs for field associates/licensees
Establishment of working relationship with third-party administrator, broker, insurance company and claim vendors
Conduct quarterly claim reviews with third party administrators (TPA)
High school diploma or equivalent required
Minimum of 3-5 years verifiable experience working in a fast-paced, customer-service oriented, team-based, interactive environment. Experience in overseeing workers compensation claims required.
Proficient with Microsoft Office tools including Word, Excel, PowerPoint
Strong customer focus and customer service skills
Excellent communication, interpersonal and organizational skills
Demonstrated experience managing large case loads, complex accounts or projects
Experience describing and documenting project or claims notes
Must be detailed oriented with a concern for quality
Must be a team player
Possesses interpersonal and mentoring skills
May be responsible for a specific area of specialization
Get to know us and find out " What More Could YouDo at https://vimeo.com/user14398035/review/78249279/e899d16cab " at Randstad
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.