Claims Specialist - Military Veterans

AppleOne is proud to present:
We are looking for a Claims Specialist to process Workers Compensation Claims!

100% on site in Melbourne, FL

$20-$24/hour

Long term temp to possible perm.

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.

Responsibilities:
· Monitor and record appropriate leave usage relative to Workers Compensation benefits; notify payroll and other appropriate personnel regarding adjustments
· Provide technical guidance and advice to supervisors, managers and site representatives regarding Workers Compensation, Auto Accidents and General Liability issues
· Analyze circumstances of claims, injury records and medical evaluations, accident videos and photos
· Assist Risk Manager with facilitating and coordinating program-related training as appropriate
· Prepare and maintain a variety of records, logs, correspondence, and files related to assigned activities; maintain OSHA records
· Receive, file and organize employee accident reports
· Coordinate and maintain schedules for ergonomic evaluations for employees with the ergonomic evaluator; assist the evaluator as requested
· Receive and process information on property and liability claims
· Evaluate accident reports, ensuring the timely processing of medical bills, temporary total disability benefits and deductible payments
· Review witness statements, department investigation results and other documentation and compiles facts and data regarding accident reports and filed cases
· Maintains subrogation records and files for those incidents involving third parties
· Reviews documentation to determine whether medical bills and temporary total disability benefits should be continued

Qualifications:
· High school diploma or equivalent required, college degree preferred
· Prior onboarding Workers’ Compensation & Vehicle Repair required
· Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
· Smartsheets or other EHS platforms
· Detailed oriented, Troubleshooting, Problem solving, Work independently, Time management, good Communication skills
· Prior work with TPA’s and Liability Insurance carriers
· Excellent organization and time management skills to handle multiple tasks in an environment with large volumes of data and paperwork
· Ability to interpret, apply and explain Workers Compensation coverage and benefits to employees
· Ability to maintain confidentiality with sensitive data
· Ability to establish and maintain comprehensive records and prepare reports
· Ability to interpret, apply and explain applicable laws, codes, rules and regulations
· Ability to analyze facts, information, and data

Apply today!


EEO/AA Employer/Vet/Disabled.





The Know Your Rights poster is available here:


https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf





The pay transparency policy is available here:


https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf





For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.





We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.





AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.


https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf





We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.


#1070

Experienced (Non-Manager)