Insurance Claims Specialist

Job Summary:

The Claims Specialist plays a crucial role in managing various types of insurance claims while ensuring accuracy, efficiency, and compliance with company policies and regulations. This role bridges frontline execution and risk management by reviewing claim activity, partnering with Safety and Risk departments, and resolving medical care delays with insurance carriers. The position ensures consistent, high-quality outcomes and employee-centered service across all company locations with minimal managerial involvement.

Essential Duties and Responsibilities: 

• Gather data and filing third party property damage and bodily injury claims, automobile accident claims, first party property claims, and workers compensation claims with the carrier.

• Attend all claims reviews, track action items and provide follow-up reports.

• Work with director of risk, claims manager, and legal counsel on litigated claims.

• Is a key contributor in the return-to-work and modified duty program. Collaborate with managers to identify light duty or modified assignments that accommodate physical restrictions.

• Maintain a temporary disability log.

• Ensures timely medical care coordination through insurance partners and escalates treatment delays while supporting injured employees with a high level of customer service.

• Interact with claimants to ensure expeditious results.

• Maintain internal incidents logs and the incidents tracking system

• Arrange and process payment of the claims with the insurance carriers and/or claimants as well as legal invoices

• Generate report on claim activity, trends and patterns

• Engage claimants, ACCO Employees, and ACCO Management to investigate claims.

• Update internal claims with Insurance Carrier Loss Runs

• Collecting evidence such as witness statements, receipts, photographs, etc. that support a claim.

• Serve as a resource for other departments on claims-related matters.

• Other tasks and duties assigned by management. 

Position Requirements (Work Experience, Skills, Licenses, etc.): 

• Demonstrated proficiency in insurance claims administration or office administration spanning over 2 years.

• High School diploma or equivalent required; Bachelor's degree or Insurance Certification preferred.

• Proficient in Microsoft Suite applications.

• Possess strong investigative skills with meticulous attention to detail.

• Excellent interpersonal and communication abilities.

• Capable of generating comprehensive reports and adept at data analysis for executive management.

• Proven ability to collaborate effectively in a team setting and enjoy interpersonal interactions.

• Familiarity with claims processing procedures.

• Additional relevant skills, work experience, or certifications are welcomed.

 

Education and Experience:

Required: 

• Minimum 2 years of experience in claims management.
• Experience coordinating directly with insurance carriers and adjusters.

• High school diploma or equivalent.

  
  

Desired: 

• Bachelor’s degree in Human Resources, Business, Risk Management, Safety, or a related field.
• Professional certifications (ARM, WCCA/WCCP).
• Experience supporting multi-state field operations or large employee populations.
• Bi-Lingual (English/Spanish)

 

ACCO Competencies:

• Proactivity/Initiative: Recognizes what needs to be done and accomplishes it in a manner appropriate for one’s level/position and with minimal supervision.

• Perseverance: Shows wherewithal to fight for difficult goals despite challenges and to bounce back from adversity.

• Motivation/Dedication: Commits to excellence in pursuing unselfish goals. Initiates action with collective goals, takes responsibility, and shows personal humility.

• Technical Curiosity/Willingness to Learn: Interest in seeking out new experiences, knowledge, and candid feedback; demonstrating an openness to learning and change.

• Insight: The ability to gather and make sense of information that suggests new possibilities.

• Engagement: Shows a knack for using emotion and logic to communicate a persuasive vision and connect with people.

• People Skills: Is approachable and gains the mutual trust and respect of others. Understands people’s strengths & weaknesses and actively seeks to understand other perspectives.

• Communication: Fosters open, honest, candid and respectful communication. Effectively assesses, defines and communicates issues in a timely manner, both written and verbal.

• Teamwork: The ability to effectively work toward common goals with others by supporting, encouraging, and sharing information in an authentic and approachable manner.

• Big Picture: Understands and contributes to the organizations’ short- and long-term business strategy. On a personal level has independently developed a vision for short- and long-term career success.

• Problem-Solver: Ability to identify, analyze, and solve problems in support of personnel, group, department, or organizational objectives.

• Execution: Effectively takes a vision and translates into action by including the right people. Identify and remove barriers, when possible, to achieve results. Demonstrates appropriate compromise, effective time management, prioritization practices and holds team members (including themselves) accountable for their performance/conduct.

• Professionalism: Respectfully observes and challenges the status quo with intent for improvement. Can take direction, accept feedback, and take full responsibility for his/her actions. Lead by example through positive influence and ethical leadership with consideration of the entire organization.

 

Job Responsibility Level:

No direct reports.
 

Travel Requirements:

Travel to field, shop, or project site locations may be required 5% of the time.

 

Hours:

This is a non-exempt position. Workdays are scheduled from Monday through Friday. Typically, work hours begin and end between 7:00 am and 5:00 pm as scheduled with the position’s supervisor. Work outside of regular hours may occasionally be necessary to meet business needs.

 

Physical Demands:

• Must frequently lift and/or move up to 5 pounds and occasionally lift and/or move up to 10 pounds.

  • Specific vision abilities required by this job include close vision and ability to adjust focus.

    • Prolonged sitting.

    • Frequently required to reach with hands and arms.

    • Occasionally required to stand; walk and stoop, kneel, crouch.

 

Competitive Wages: 

$30-$35 per hour. Applicants, please note that actual compensation is determined by several factors that are unique to each candidate, including but not limited to job-related skills, depth of experience, certifications, relevant education or training, and specific work location, among others. The offered wage or salary is only one aspect of an employee's total compensation.
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About UsWhy join ACCO? ACCO Engineered Systems is one of the largest mechanical contractors in the country. Since 1934, owners and builders have selected ACCO to design, install, and maintain more than 250,000 mechanical projects. ACCO is dedicated to the design, fabrication, installation, maintenance and service of commercial and industrial HVAC, refrigeration, plumbing, process piping, and building automation systems. Whether your project is a low or high-rise office building, a shopping mall, hospital, semi-conductor fabrication facility or pharmaceutical manufacturing plant…ACCO can design, build, install, and maintain a mechanical system to meet your needs.

Here at ACCO, we are a part of something bigger. Just ask our customers: California Academy of Sciences, L.A. Live, and San Francisco 49ers Stadium. While we have been around for 80+ years, we continue to grow at a dynamic pace. And we are looking for talented individuals to join our team.
What's great about working at ACCO is that we’re a big enough company to be the leader in HVAC mechanical contracting in California and the Southwest U.S., but as a 100% employee-owned ESOP, we’re a private company with a family-oriented feel. Several of our employees have worked at ACCO for twenty-five, thirty, and even over forty years! Together, the employees of ACCO are comprised of intelligent, dedicated, and entrepreneurial team members who put customers first and enjoy what they do.

ACCO IS AN EQUAL OPPORTUNITY EMPLOYER AA M/F/V/D.  

We proudly hire U.S. Military Veterans, and those qualified are encouraged to apply.

Equal Employment Opportunity is The Law.|Pay Transparency Nondiscrimination Provision

ACCO will consider qualified applicants with criminal histories for employment.