Manage the workers' compensation claims process, investigate incidents, coordinate with insurance and legal representatives, and support risk management strategies. Oversee and train a team of claims specialists and ensure compliance with policies.
Job Summary & Responsibilities
Bring your energy and unique perspective and you'll have the opportunity to grow with us professionally, personally, and financially. You'll be part of a team that genuinely cares about helping you succeed, and you'll work alongside talented colleagues, while making a difference in our communities.
POSITION SUMMARY:
Assist Heritage Grocers Group, LLC Risk Management Department in developing a claims management strategy, mitigating risk, and managing the daily activity of workers' compensation claims.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The essential duties and responsibilities of this position include, but are not limited to, the following:
At Heritage Grocers Group, how we work is defined by shared values that include absolute integrity, respect, and collaboration. However, it's more than that; it's smart and highly driven people united in purpose to serve one another.
Bring your energy and unique perspective and you'll have the opportunity to grow with us professionally, personally, and financially. You'll be part of a team that genuinely cares about helping you succeed, and you'll work alongside talented colleagues, while making a difference in our communities.
POSITION SUMMARY:
Assist Heritage Grocers Group, LLC Risk Management Department in developing a claims management strategy, mitigating risk, and managing the daily activity of workers' compensation claims.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The essential duties and responsibilities of this position include, but are not limited to, the following:
- Manage and administrate employee incident reports for work-related injuries. Ensure all reports are accurate and reported on time to the policy year insurance carrier.
- Work directly with various insurance brokers, carriers, adjusters, and defense counsel to investigate and evaluate claims and ensure all documentation was provided.
- Receive, investigate, and respond to difficult and sensitive problems and complaints in a professional manner; identifies and reports findings and takes necessary corrective action.
- Develop various reports to analyze customer incident trends and recommend preventive measures and corrective actions.
- Conduct claims investigations and analyzes risk management claims information to identify significant hazards and loss trends; identifies and recommends preventive measures and corrective actions.
- Coordinate with staff, executive management, and/or legal counsel to resolve conflicts related to claim management issues.
- Serve as Heritage Grocers Group business units' representative at court hearings, court appearances, depositions, and monitors subpoena processes.
- Monitor insurance premiums on an annual basis to make recommendations on appropriate level of insurance.
- Upon notification of HGG business units' property damaged by a third party, work with police and appropriate facilities or program staff to process claim, recover losses from third party's insurance provider or directly from third party. If unsuccessful, files a claim in Small Claims Court in coordination with legal counsel and attends those proceedings as scheduled by the courts.
- Work with procurement staff to monitor contract insurance compliance and work with third party administrator and insurance broker regarding claims, insurance compliance and insurance concerns.
- Attend and represent depositions and mediations for workers compensation cases and work with defense counsels on deposition cases.
- Correspond to all workers' compensation case emails, including answers to summons and complaints, etc.
- Manage, direct the work, and train the Workers' Compensation Claims Specialist(s) team.
- Perform all other duties as assigned.
SKILLS AND QUALIFICATIONS:
- Claims Handling Certificate, bachelor's degree preferred.
- Minimum 2 to 5 years of investigation duties, workers' compensation claim handling for claims evaluation.
- Strong analytical skills.
- Negotiation skills.
- Strong communication skills.
- Ability to multi-task and adapt to a changing environment.
- Strong organization and time management skills.
- Experience in a work environment that required collaboration across work groups.
- Ability to effectively present information to manager, claimants, and customers.
- Proficiency in typing required.
- Good written (grammar and punctuation) and verbal communication skills, including the ability to communicate effectively (written and verbal) with outside contacts.
- Customer service oriented, organization skills, and detail oriented.
PHYSICAL DEMANDS AND WORK CONDITIONS:
The physical demands and work conditions below represent those that must be met to successfully perform the essential functions of this job. Some requirements may be modified to accommodate individuals with disabilities:
The physical demands and work conditions below represent those that must be met to successfully perform the essential functions of this job. Some requirements may be modified to accommodate individuals with disabilities:
- Medium work: Exerting up to 20 pounds of force occasionally and/or up to 10 pounds of force constantly to move objects.
- Climbing: Ascending or descending stairs, ramps, and the like, using feet and legs and/or hands and arms.
- Balancing: Maintaining body equilibrium to prevent falling when walking, standing or crouching on narrow, slippery surfaces.
- Stooping: Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.
- Crouching: Bending the body downward and forward by bending leg and spine.
- Reaching: Extending hand(s) and arm(s) in any direction.
- Standing: Particularly for sustained periods of time.
- Walking: Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another.
- Fingering: Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.
- Grasping: Applying pressure to an object with the fingers and palm.
- Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.
- Hearing: Perceiving the nature of sounds at normal speaking levels or without correction. Ability to receive detailed information through oral communication and make fine discriminations in sound.
- Repetitive Motions: Substantial movements (motions) of the wrists, hands, and/or fingers.
VISUAL ACUITY
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; expansive reading; visual inspection involving small defects, small parts and/or operation of machines (including inspection); using measurement devices.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; expansive reading; visual inspection involving small defects, small parts and/or operation of machines (including inspection); using measurement devices.
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors, and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The Employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business or the work environment change.
The job duties, elements, responsibilities, skills, functions, experience, educational factors, and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The Employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business or the work environment change.
Disclaimer :
Pay Scale $95k - $103k
The pay scale above is the salary or hourly wage range that the Company reasonably expects to pay for this position.
Within this range, individual pay is determined by location and other factors including, but not limited to, specific skills, relevant work experience, and relevant education and/or training. This information is provided to applicants in accordance with California Labor Code § 432.3 and state and local minimum wage standards.
Heritage Grocers Group Ontario, California, USA Office
2501 E Guasti Rd, Ontario, California, United States, 91761
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