Claims & Safety Specialist (Construction) at Sterling Construction Company, Inc. – The Woodlands, Texas

The Role

• Assists in the day-to-day processing, managing, reporting, and documentation of Workers’ Compensation, General Liability, Auto, Equipment and Property Damage claims. This will include communicating with the business units, employees, insurance carriers, and 3rd parties.
  • Evaluates information and reports related to claims payments and review medical bills and payroll records to ensure compliance and accuracy of information provided to third parties.
  • Create monthly safety Key Performance Indicator Reports, update polices and documentation, and work on Safety Integration projects, and other related tasks.
  • Attend telephonic Insurance Carrier claims reviews and prepare and present at internal claim reviews with designated business units.
  • Addresses questions about Workers’ Compensation benefits, informs employees of their rights and benefits under various state workers’ compensation laws.
  • Gathers information/data on incident causes and create reports in coordination with the company Safety Departments.
  • As it relates to Workers’ Compensation claims, assists in maintaining on-going oversight of third-party providers that includes, but is not limited to, requesting investigation activities, questioning and resolving discrepancies, monitoring of medical treatment, including rehabilitation, and reviewing case reserves for adequacy.
  • Acts as a Liaison to the Company’s Return to Work program, as required.
  • Reviews and evaluates settlement authority requests and makes recommendations for approval or revision to the Corporate Claims and Risk Manager.
  • Provides courteous and expeditious customer service to administrators, employees, and the public.
  • May assist in restitution/subrogation recovery activities.
  • Performs related duties as assigned.
  • General supervision is received from Corporate Claims and Risk Manager and the VP of Safety and Health.

Qualifications

• • 1-3 years of experience as a workers' compensation claims processor/adjuster, handling workers’ compensation claims in multiple states.
  • 2 + years of college is preferred
  • 1-3 years of experience in general liability and automobile claims processing, reporting, investigation on claims including the posting of appropriate reserves in a timely manner.
  • Experience with Excel, Word, and PowerPoint.
  • Spanish Speaking bilingual skills are considered a plus for this position