Claims Specialist

• Manages assigned claims for multiple jurisdictions.
• Works with defense counsel and third-party administrator to investigate and resolve claims.
• Helps facilitate questions regarding departmental policies.
• Assists hospitals with loss prevention programs.
• Assists in educating hospitals on state and federal agency standards and regulations.
• Prepares assigned reports.
• Has awareness of the Texas non-subscription program.
• Stays current via newspapers, periodicals, industry materials, associations, etc.
• Understands and utilizes company resources where appropriate.
• Networks with co-workers to share best practices.
• Understands different depts. and their role in the corporate office.
• Develops strategies and aligns work to achieve goals.

Workers Compensation Claims Coordinator

Consultant

• Provides guidance, training and support to HRDs.
• Helps others understand and implement benefit plans, programs, and various incentives.
• Interprets and enforces federal regulations – ERISA, FMLA, COBRA and Health Care Reform.
• Provides support and assistance in the retention of existing employees.
• Initiates funding of millions of dollars to carriers for claims, premiums, and 401(k) contributions.
• Maintains accurate benefits records in the corporate recordkeeping system.
• Assists in meeting personal or departmental goals or deadlines.
• Participates in annual enrollment process and performs activities assigned.
• Educates HRD as well as employees on enrollment process and plan or policy changes.
• Completes special projects and other duties as requested to support needs of organization.
• Keeps up-to-date with industry technologies for enhancing job responsibilities.

EHC

Workers Compensation Claims Coordinator

Benefits Consultant I