Insurance Claims Specialist

The Insurance Claims Specialist at our company is responsible for evaluating, tracking, and reporting insurance claims daily. This involves accurately documenting claims, maintaining compliant file records, managing the General Liability Recovery process, submitted loss run reports, and ensuring all safety documentation is up-to-date. You'll also play a role in coordinating safety-related discussions and ensuring subcontractor compliance, making this position integral to our operations.

To apply for the Insurance Claims Specialist position in Selma, you will need a Bachelor's Degree in Business Administration, Construction Management, or a related field. A minimum of 1 year of relevant experience is required, as well as a strong understanding of the construction industry and corporate insurance processes. Preferred certifications such as the Construction Risk Insurance Specialist (CRIS) and Associate in Risk Management (ARM) will strengthen your application.

An Insurance Claims Specialist at our company should possess strong verbal and written communication skills, attention to detail, and the ability to manage multiple tasks effectively. Knowledge of construction insurance processes, proficiency in digital communication, and problem-solving abilities are essential for succeeding in this role, as you'll be interacting with various stakeholders to ensure smooth claims processing.

As an Insurance Claims Specialist, you can expect a comprehensive compensation package, including a competitive salary ranging from $69,000 to $85,000 per year. Additional benefits include a leading 401(k) plan, medical and dental coverage, wellness benefits, and a tuition reimbursement program to support your career growth.

The Insurance Claims Specialist plays a vital role in ensuring safety and compliance by evaluating and tracking safety reports, maintaining OSHA documentation, and assisting in the development and compliance of EHS policies. This proactive approach helps safeguard both the workforce and project efficiency, making safety a paramount focus.

Certainly! I have a solid background in managing insurance claims, which involved evaluating and documenting claims, ensuring timely communication with stakeholders, and resolving discrepancies. I always prioritize compliance and accuracy and am experienced in using claims management software for reporting and tracking.

To ensure accurate documentation, I utilize a systematic approach that includes creating checklists for required documents, cross-referencing information, and maintaining consistent records. I also believe in regular audits of my claims files to confirm completeness.

When I identify discrepancies in insurance invoices, I first conduct a thorough review to understand the root cause. I then communicate with relevant parties to resolve inconsistencies quickly, ensuring that all information is accurate before proceeding with payments.

I understand that OSHA compliance is critical for workplace safety and legal adherence. In the context of insurance claims, maintaining accurate OSHA documentation can significantly impact claims resolution and financial outcomes, so I prioritize staying updated on regulations and ensuring timely reporting.

During busy claims periods, I prioritize tasks based on urgency and complexity. I use tools like task lists and calendars to help manage my time effectively, ensuring that critical claims are processed swiftly while keeping up with regular reporting requirements.

Sure! One challenging situation involved a complex litigated claim that required extensive collaboration with legal counsel. I coordinated meetings, compiled detailed reports, and maintained constant communication, which ultimately led to a favorable resolution for the company.

I have experience with several claims management software solutions, such as Xactimate and ClaimCenter. I find these tools invaluable for tracking claims, managing documentation, and generating reports, streamlining my workflow significantly.

For high-cost recovery claims, I take a meticulous approach. I would conduct a comprehensive analysis of the claim details, identify key recovery opportunities, and work closely with stakeholders to develop and implement a recovery strategy, ensuring all regulatory requirements are met.

Communication is paramount as an Insurance Claims Specialist. I focus on clear and consistent communication with all parties involved, including claimants, insurance carriers, and legal teams. This transparency helps establish trust and ensures that claims are managed smoothly and efficiently.

I'm most motivated by the opportunity to help individuals and companies mitigate losses and navigate complex situations. I derive satisfaction from resolving claims efficiently and contributing to both safety and risk management efforts within the organization.