Sr. Claims Support Specialist

Primary Purpose

This position will assist claims adjusters with administrator tasks associated with occupational injury claims. It will administer the occupational clinic offerings, handle fully insured claims, and provide other administrative support to the claim adjusters.

Major Functions

• Coordination with TPA and fully insured claims for RSN states and new markets (35%):
  • Make first contact with QuikTrip employees to determine need for TPA/fully insured involvement.
  • Educate employee on TPA/fully insured process.
  • Provide accident report to TPA/fully insured plan.
  • Communicate with assigned adjuster as needed during life of claim.
  • Communicate with QuikTrip employees as needed, including work status changes to Personnel Managers.
  • Request any needed reporting from fully insured carrier and prepare as either standalone reporting or combine with Departmental reporting, as appropriate.
• Incident handling (20%):
  • Handle incidents, calling claimants to confirm no medical treatment sought.
  • Transfer claim to assigned adjuster when proof of medical treatment is received.
• OSHA reporting support (15%):
  • Prepare initial draft of OSHA investigation report when requested for immediately reportable claims.
  • Perform quarterly audit of OSHA tab for occupational injury claims.
  • Serve as contact for past and up-to-date OSHA report requests for OSHA inspections.
  • Prepare and assist in distribution of annual OSHA surveys, reports and BLS requests.
• Claims administration support (15%):
  • Processing refund checks, assisting with wage statement preparation and helping with PBM, TPA and billing entries.
• Occ/injury clinic master list administration (5%):
  • Provide clinic oversight by contacting them about service issues, chain of custody form issues and general communication issues.
  • Remove noncompliant clinics from list as needed.
• Departmental backup (10%):
  • Backup telephone coverage for Claims Adjusters.

Position in Organization

Reports to: Occupational Injury Claims Manager

Relationships: Inside the Company: All employees. Outside the Company: TPA, insurance adjusters, vendors, providers.

Requirements

• Required education: High school graduate or equivalent.
• Desired education: Associates insurance degree as well as Workers' Compensation or State Multi-line Adjuster's license.
• Required experience: 2 years hands-on experience in claims environment.
• Desired experience: 4 years' experience as a claims assistant in claims environment or 2+ years handling Med Only claims.
• Required skills: Proficient use of Microsoft Word, Outlook and Excel, strong organizational, and oral and written communication skills. Ability to work in fast paced environment and multi-task.
• Desired skills: Working knowledge of QuikTrip's claims management system and HCM.

Pay

Starting Salary: $31.34 - $34.11

Benefits

Employee Benefits – QuikTrip