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Dublin, CA | Full Time
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Claims Specialist
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$99k-118k (estimate)
Full Time 4 Days Ago
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DeSilva Gates Construction is Hiring a Claims Specialist Near Dublin, CA

DeSilva Gates Construction, Northern California’s established heavy civil engineering contractor, is seeking a Safety Claims Specialist to join our team, in the Dublin office. As a Claims Manager, you will manage incident claims for the family of companies. The ideal candidate would have the ability to provide effective and timely customer service for employees, providers, insurer and clients regarding claims. You will be part of a team of high-performing and highly engaged professionals who work to ensure that Production Risk Management tenets are followed. Our mission is to achieve zero incidents or accidents for our employees and our Company.

Responsibilities:

  • Reporting to the Director of Health and Safety, while working with the safety team, responsibilities will include, but will not be limited to:
  • Manage all incident reports within the family of companies that is DeSilva Gates Construction, to include Workman’s Comp (WC) claims- set up, review and maintain new cases.
  • Track progress of “Future Preventative Measures” from incident investigations to completion.
  • Ensure timely communication and diligent follow up on claims and with medical offices, hospitals, laboratories, etc. to ensure a quick return to work.
  • Understand the safety and labor law requirements and adapt to meet those requirements.
  • Communicate clearly, confidently and with a friendly and professional demeanor when having difficult conversations.
  • Handle a fast-paced, dynamic environment with competing priorities.
  • Other duties as assigned by the Director of Health & Safety.

Qualifications

Required:

  • Superior organizational skills with ability to prioritize several key tasks.
  • Be team oriented and willing to assist in duties beyond what may be required.
  • Effective and efficient communication, both verbally and written. Communicate with competency to ensure effective communication in difficult situations.
  • Required to pass pre-employment drug and alcohol screening.

Preferred:

  • 3-5 years’ experience in in case management, insurance, risk management and other human resource related administrator tasks.
  • Undergraduate Degree or equivalent experience (additional experience in lieu of college degree is valuable).
  • Paralegal experience is a plus but not required.
  • Highly effective problem resolution and organizational skills.
  • Demonstrated ability to meet goals in a dynamic environment.
  • Bilingual (English and Spanish) a plus.
  • EEO/Affirmative Action experience.
  • Ability to assist with the creation and conducting of required trainings.

Benefits

  • Competitive salary
  • Comprehensive coverage- health, dental, vision (Competitive premiums with participation in yearly wellness program)
  • Profit sharing- cash and deferred
  • Insurance- life and disability
  • Paid time off and Paid holidays
  • 401k plan
  • Financial planning assistance

DeSilva Gates Construction is committed to creating a diverse work environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age or veteran status.

Job Summary

JOB TYPE

Full Time

SALARY

$99k-118k (estimate)

POST DATE

06/23/2024

EXPIRATION DATE

07/11/2024

WEBSITE

desilvagates.com

HEADQUARTERS

Dublin, CA

SIZE

200 - 500

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If you are interested in becoming a Claims Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Claims Specialist job description and responsibilities

The specialist reports and processes these claims by researching the policy and accumulating evidence regarding the claim.

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Evaluates liability, coverage and settles claims within prescribed procedures and authority.

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Reviews and evaluates property claims for coverage and further claim handling procedures to conclude within required statutory time frame.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Claims Specialist jobs

Claims specialists are required to follow the California Health and Safety Code when accepting or denying claims.

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They must treat clients fairly and equitably, but also make sure claims are legitimate and reasonable.

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They must know the details of claims verification, payment processing, dispute resolution and fraud detection.

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A good claims specialist will take a proactive approach to their job.

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Claims specialist positions require superb organization skills to keep track of financial documents.

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Step 3: View the best colleges and universities for Claims Specialist.

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