Claims Specialist

Claims Specialist

12 Sep 2024
Iowa, Westdesmoines, 50265 Westdesmoines USA

Claims Specialist

At Hy-Vee our people are our strength. We promise “a helpful smile in every aisle” and those smiles can only come from a workforce that is fully engaged and committed to supporting our customers and each other.Job Description:Job Title: Claim SpecialistDepartment: Risk ManagementFLSA: Non-ExemptGeneral Function:The Risk Management Claim Specialist assists the Director of Claims Management and the Director of Risk Management in managing the overall workers’ compensation and other casualty coverage claims. This hands-on position will require adjusting claims and overseeing the adjusting of the third party claim adjusters. The goal through daily communication with store personnel and adjusters is to provide an efficient system to get employees back to work quickly with minimal time loss, at a managed cost. Customer service is a key component in working with internal and external customers, and with resolving other claim concerns.Core Competencies

Partnerships

Growth mindset

Results oriented

Customer focused

Professionalism

Reporting Relations:Accountable and Reports to: Director Risk Management; Director Claims ManagementPositions that Report to you: NonePrimary Duties and Responsibilities:

Monitors and evaluates daily incoming workers’ compensation claim activity to maintain a proactive, aggressive approach to claim adjustment. Provides direction and feedback to claims adjusters and stores regarding progress of non-litigated claims.

Assist in managing/adjusting auto and general liability claims.

Maintains constant communication with stores.

Provides feedback to stores regarding unsafe work conditions and Personal Protective Equipment programs, if available and pertinent to the loss.

Compiles and maintains list of employees off work and requests leaves of absence when necessary.

Adjusts auto physical damage claims for subsidiaries and warehouses.

Communicates with general public, insurance companies, and agents in regards to claim questions.

Reports to work when scheduled and works expected number of hours.

Secondary Duties and Responsibilities:Performs other job-related duties and special projects as required.Knowledge, Skills, Abilities and Worker Characteristics:

Commitment to the Hy-Vee Mission and a willingness to promote the values of the company

Good verbal and written communication skills

Strong interpersonal skills; ability to relate to and interact with people in a friendly, professional manner

Ability to identify problems, develop and execute solutions

Ability to interact with basic computer systems, including word processing, spreadsheet and email applications, as well as job-specific programs

Education and Experience:

Bachelor degree with three years’ experience or an Associate’s degree with five years’ experience and/or an equivalent combination of education and experience preferred.

Substantial knowledge of Workers’ Compensation and state jurisdictions is required.

Working knowledge of General Liability and Auto claim adjusting is preferred.

Knowledge of modern office software suites is also required.

Physical Requirements:

Visual requirements include: ability to see detail at near range with or without correction.

Must be physically able to perform sedentary work: occasionally lifting or carrying objects of no more than 10 pounds, and occasionally standing or walking.

Must be able to perform the following physical activities: stooping, kneeling, crouching, reaching, handling, fingering, grasping, feeling, talking, hearing and repetitive motions.

Working Conditions:The duties of this position are performed in a general office setting. There is constant pressure to meet deadlines.Equipment Used to Perform Job:Calculator, telephone, copier, scanner, printer, Fax, and PC with Microsoft Office programs.Contacts:Has daily contact with store personnel, claims adjusters, and general public.Confidentiality:Has access to confidential information, such as financial, insurance and health information.Are you ready to smile, apply today.

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