Overview
Join the best in the industry at Nextech and embark on a rewarding career journey! For over 30 years, we've built our success on a foundation of Quality, Value, and Integrity, fostering enduring partnerships with thousands of satisfied customers. With over 2,000 team members nationwide, Nextech sets itself apart from other companies by being America's largest HVAC / R service provider.
As we continue to grow, we're committed to offering an exceptional work experience for our employees with numerous opportunities for development and advancement. If you pride yourself on quality work, integrity, and dedication, we want you on our team. Nextech boasts outstanding review ratings on Indeed and Glassdoor, making it the premier destination for HVAC professionals. Elevate your career by joining Nextech today!
Role
Under the direction of the assigned Manager, the Claims Specialist performs a variety of specialized and analytical duties involved in managing claims. This role is responsible for monitoring, coordinating, and processing Workers Compensation, Automobile and General Liability claims; this includes maintaining case history documentation, contacting, and interviewing involved parties, and serving as a technical resource to employees.
The Claims Specialist is responsible for ensuring timely processing of claims; evaluating accident reports to determine accuracy and completeness and ensuring adequate investigation. This position is also responsible for ensuring that the Company is in compliance with applicable laws and regulations and providing training and guidance, as needed.
Company Benefits
- Excellent Health Insurance options including a FREE employee only option
- Dental, Vision, Accident, Critical Illness, Disability and Supplemental Life Insurance options
- FREE life insurance equal to your annualized pay rate
- 401k with a 50% match up to the first 6% of your contributions
- 7 paid Holidays
- 2 paid Personal days
- 10 paid Vacation days
Min Compensation USD $26.44 / Hr. Max Compensation USD $28.85 / Hr. Responsibilities
Monitor and record appropriate leave usage relative to Workers Compensation benefits; notify payroll and other appropriate personnel regarding adjustmentsProvide technical guidance and advice to supervisors, managers and site representatives regarding Workers Compensation, Auto Accidents and General Liability issues; serve as liaison between : return-to-work program, injured employees and managers in relation to returning injured employees back to work, repair shop and Fleet department for auto repairs, and provide documentation as necessary to adjusters and Defense counsel in law suitsAnalyze circumstances of claims, injury records and medical evaluations, accident videos and photos; document injuries; assure prompt delivery of medical and financial services and the return of injured workers to safe and productive employment in a timely manner, timely repair of company vehiclesAssist Risk Manager with facilitating and coordinating program-related training as appropriate; assist in providing training to departmental administrative personnel regarding roles in recording / reporting job-related injuries, damage to company vehicles and liability coveragePrepare and maintain a variety of records, logs, correspondence, and files related to assigned activities; maintain OSHA recordsReceive, file and organize employee accident reports; determine reportable accidents; initiate and process claims; maintain files and correspondence regarding employee accident reports; maintain communication with third party administrators; notify managers regarding employee accident reports, trends or preventative measuresCoordinate and maintain schedules for ergonomic evaluations for employees with the ergonomic evaluator; assist the evaluator as requested; maintain related spreadsheets; submit and track work orders placed to the appropriate department for the installation of employee's ergonomic suppliesReceive and process information on property and liability claims; provide requesting parties appropriate documentation and forms regarding property and liability claimsReceive billings and estimates; obtain appropriate signatures and submit to accounts payable for paymentEvaluate accident reports, ensuring the timely processing of medical bills, temporary total disability benefits and deductible paymentsReview witness statements, department investigation results and other documentation and compiles facts and data regarding accident reports and filed casesMaintains subrogation records and files for those incidents involving third parties; send subrogation letters to third parties in an effort to obtain reimbursement of monies spent by the Company for medical treatment, time loss, and awards and settlements paid; submits amounts paid for medical treatment and / or temporary total disability benefits to the State Attorney's Office in order to seek reimbursement in cases where criminal charges have been filedReviews documentation to determine whether medical bills and temporary total disability benefits should be continued; authorizes payment of medical bills and temporary total disability benefits and deductible payments upon receipt of proper documentationOther related duties, as assignedQualifications
Excellent organization and time management skills to handle multiple tasks in an environment with large volumes of data and paperworkExcellent verbal and written communication skillsExcellent customer service skills, both orally and in writingHigh degree of accuracy and exceptional attention to detailProven time management skills with a proven ability to meet deadlinesAbility to interpret, apply and explain Workers Compensation coverage and benefits to employeesAbility to maintain confidentiality with sensitive dataAbility to function well in a fast-paced and demanding environmentAbility to establish and maintain comprehensive records and prepare reportsAbility to interpret, apply and explain applicable laws, codes, rules and regulationsAbility to analyze facts, information, and dataAbility to establish and maintain cooperative and effective working relationships with othersAbility to appropriately prioritize tasks and to meet schedules and timelines (time management)Ability to execute tasks independentlyEducation and Experience
High school diploma or equivalent required, college degree preferredPrior onboarding Workers' Compensation & Vehicle Repair requiredProficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)Smartsheets or other EHS platformsDetailed oriented, Troubleshooting, Problem solving, Work independently, Time management, good Communication skillsPrior work with TPA's and Liability Insurance carriersHVAC Industry experience or service industry a plusPhysical Requirements
Continuously able to work in office environmentAble to operate a computer and other office productivity machinery, such as a copy machine, telephone, and computer printer.Continuously able to work in office environmentContinuously able to operate a computer and other office productivity machinery, such as a copy machine, telephone, and computer printerContinuously able to sit at a computer for up to 8 hoursAble to alternate between sitting and standing, as needed throughout the dayOccasionally able to lift up to 15 lbsContinuously requires vision, hearing, twisting, and talkingOccasionally requires walking, lifting, carrying, reaching, kneeling, pushing / pulling, bending, and crouchingRarely requires climbingPandoLogic. Keywords : Insurance Examiner, Location : Melbourne, FL - 32936 , PL : 596224828
Salary : $26 - $29
