Claims Specialist
About the role
Nouria Energy Corporation is a multi-generational family-owned wholesale fuel distributor, convenience store operator and car wash operator in New England. Our wholesale and retail fuel businesses are multi-branded, which includes Shell, Mobil, Irving, Sunoco, Gulf, Valero, Citgo, Phillips 66, Exxon, and multiple unbranded brands. Our wholesale operations supply branded and unbranded fuel to 300+ locations across New England and New York. We are ranked within the top 50 largest convenience store chains in the country, operating 150+ company-operated locations throughout New England and ranked within the top 10 largest car wash chains in the country. The Workers Compensation Claims Specialist works with a collaborative team of risk, safety, compliance, and legal professionals to administer and manage claims from investigation through resolution and to reduce enterprise risk. Under general direction, the [WC Claims Specialist’s] core responsibilities include timely processing and effective administration of workers' compensation (and other insured) claims; evaluating incident reports for accuracy and completeness and facilitating investigation and information/evidence gathering; evaluating and facilitating return to work programs; related data analysis; coordinating with internal and external parties; and supporting the risk management, legal and safety departments to facilitate risk management.
Responsibilities
- Review incident reports, investigate assigned claims as needed, and determine compensability.
- Prepare and submit reports and other paperwork to employees, insurers, attorneys, third party claims administrators, OSHA, and other federal and state agencies.
- Develop and facilitate return to work policy.
- Reduce administrative burden on affected employees and front-line managers by liaising administratively on their behalf.
- Assist injured employees in submitting claims and navigating the claims processes.