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POSITION SUMMARY/OVERVIEW:
Provides loss control consultative services for our clients in an assigned geographical work area.
ESSENTIAL RESPONSIBILITIES/FUNCTIONS:
The essential functions include, but are not limited to the following:
- Provides consultative loss control service to clients that will assist in developing an effective loss control program.
- Analyzes losses, generates/submits comprehensive loss control recommendations to assist in correcting deficiencies and controlling losses and related costs.
- Ability to perform job hazard analysis, hazard/exposure recognition surveys and training for client management (train the trainer).
- Provides clients with resource materials, audiovisual materials and loss experience information.
- Prepares detailed, written, multi-line, loss control surveys/reports/forms to relate loss control information to others.
- Must possess effective oral, written and consultative communications skills.
- Develops/maintains public speaking skills. Assists in the preparation/presentation of workshops/seminars seminars and other training for clients/potential clients.
- Researches, develops and delivers presentations on loss prevention, risk management and occupational safety.
- Develops/maintains a working relationship customers, agents and/or brokers (where applicable).
- Maintains regular communication relative to loss control issues with appropriate company personnel.
- Stays abreast of current regulatory changes which could impact customer’s operations.
- Keeps informed of new techniques and equipment used in loss control.
- Able to travel, to include overnight and multiple night trips, to effectively manage workload in an assigned territory. Includes overnight travel to conferences when necessary.
- Ability to conduct ergonomic review of work sites and workstations.
- May perform other functions as assigned.
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POSITION SUMMARY/OVERVIEW:
The W.C. Claim Coordinator is a self-directed position responsible for providing a variety of support functions in a Claims environment.
ESSENTIAL RESPONSIBILITIES/FUNCTIONS:
The essential functions include, but are not limited to the following:
- Request information from or provide information to injured workers, employers, providers, attorneys, co-workers, state regulatory boards, 1st/3rd party claimants, and others as directed
- Manage various avenues of loss reporting: e-mail, e-reporting, telephone, fax, or U.S. Mail
- Input new claim loss data for multiple lines of business (Worker’s Compensation, Commercial Property, General/Auto/Excess Liability) into applicable claim systems
- Research, verify and select proper active policy and coverages on new claims through review of policy/coverage information in policy databases
- Initiate contact with clients or policy holders on applicable claims to triage losses and confirm facts of loss, request additional information and/or seek missing critical data elements
- Manage daily distribution of new claims to ensure equitable examiner workload and effective customer service
- Ensure timely filing of regulatory documents via EDI (Electronic Data Interchange); submit applicable claims to Index Bureau Reporting (ISO) and document files as applicable
- Handle incoming phone calls and/or electronic/written inquiries from Clients, Claimants, Providers and Agents/Brokers relating to questions or problems associated with claims
- Provide additional levels of management and claim department operational support to include payment review/approval/input and complete scheduled or special project work as needed
- Maintain organization of claim files with accurate and timely documentation of work activity
- Manage workload via system diary activity
- Provide professional customer service to all internal and external customers
- May perform other functions as assigned.
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This position will be responsible for the investigation, evaluation and adjustment of property and casualty claimsfor a dedicated program handling municipal claims in South Central Minnesota.
Main Responsibilities:
- Interview insureds, injured parties, witnesses and others as appropriate.
- Investigate assigned losses to determine coverage and/or liability.
- Evaluate loss exposure for all lines of coverage to include liability, auto and property.
- Evaluate and negotiate settlements based upon coverage document language.
- Determine liability and value of claim.
- Inspect property damage.
- Review factual information to prepare damage estimates.
- Make recommendations regarding resolution of claims.
- Monitor and manage litigated cases.
- Make recommendations regarding litigation.
- Enter reports/file activity into electronic claim processing system.
- Accountable for results, customer service, and achieving departmental and unit objectives.
- May perform other functions as assigned.
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This position will be responsible for the investigation, evaluation and adjustment of property and casualty claimsfor a dedicated program handling municipal claims in Duluth/Virginia Minnesota Area.
Main Responsibilities:
- Interview insureds, injured parties, witnesses and others as appropriate.
- Investigate assigned losses to determine coverage and/or liability.
- Evaluate loss exposure for all lines of coverage to include liability, auto and property.
- Evaluate and negotiate settlements based upon coverage document language.
- Determine liability and value of claim.
- Inspect property damage.
- Review factual information to prepare damage estimates.
- Make recommendations regarding resolution of claims.
- Monitor and manage litigated cases.
- Make recommendations regarding litigation.
- Enter reports/file activity into electronic claim processing system.
- Accountable for results, customer service, and achieving departmental and unit objectives.
- May perform other functions as assigned.
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To perform workers’ compensation claims adjudication and investigation. Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines.
ESSENTIAL RESPONSIBILITIES/FUNCTIONS:
- Properly investigate and handle all types of workers’ compensation files including lost time, litigation and long term exposure within predetermined claim-handling guidelines.
- Initiate return-to-work discussions with the employer and effect return-to-work for the injured worker.
- Establish timely and appropriate case reserves
- Investigate and manage subrogation and negotiate settlements.
- Use automated diary system to issue indemnity benefits and provide claim management.
- Accurately calculate and pay wage loss and other benefits.
- Assign rehabilitation and monitor costs and outcomes.
- Document all action plans and evaluations for claim resolution.
- Maintain organized electronic files.
- Interact with clients to establish/improve communication and service capabilities.
- Interact and communicate with state agencies, attorneys and other providers.
- Address customer complaints and inquiries in an exemplary and professional manner.
- Achieve specific performance outcomes related to quality and quantity of work as established by management.
- Provide cost containment for individual claim and overall claim costs for account to achieve account profitability.
- Approve medical and rehabilitation payments for check entry staff or define medical and rehabilitation payment parameters for WC Claim Technicians per office procedure.
- Conduct in person claim reviews when scheduled or requested.
- Perform the duties noted in the position descriptions in accordance with the BRAC Claim Handling Guidelines - Workers' Compensation
- Occasional travel may be out of town requiring overnight stay.
May perform other functions as assigned.
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This an entry level commercial insurance position that supports underwriters through the rating and computing of premiums on policies and endorsements. Including preparation for policy writing and statistical coding
ESSENTIAL RESPONSIBILITIES/FUNCTIONS:
The essential functions include, but are not limited to the following:
- Rate package and excess policies
- Rate and compute premium on quotes, polices and endorsements; including experience and ISO ratings.
- Issue policies and endorsements
- Prepare rating worksheets
- Contact outside companies regarding ancillary lines of coverage
- Work with agents/brokers, supplying appropriate data
- Process and resolve requests on accounts
May perform other functions as assigned.
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The Administrative Services Clerk performs a variety of office support functions and may specialize in one area of office services.
- Open, sort, and distribute incoming mail
- Identify and distribute specialty mail on a priority basis daily
- Print and sort checks, prepare for mailing
- Data entry
- Monitor and handle incoming faxes
- Prepare and scan claim documents
- Prepare and enter claim reports
- Provide backup coverage & assistance within the department