Sterling Construction Company, Inc. (Ralph L. Wadsworth Construction, Texas Sterling Construction Co., and J. Banicki Construction)

  • Claims Specialist (Construction)

    Job Locations US-TX-The Woodlands
    Job ID
    2019-3391
    # of Openings
    1
    Category
    Safety and Quality
  • Overview

    Sterling is seeking a career minded individual to fill an opening in our Western Region as a “hands on” Clams Specialist.

     

    The successful candidate will be responsible for managing, reporting to insurance carriers and overseeing day-to-day claim processing activities for Construction Workers’ Compensation, General Liability, Auto, Equipment (Inland Marine), Utility and Property Damage Claims for designated business units.

    Sterling and its family of companies enjoys an unsurpassed reputation for customer service, reliability and high-quality performance.

    Responsibilities

    The Role

    • Assists in the day-to-day processing, reporting and documentation of Workers’ Compensation, General Liability, Auto, Utility, Equipment and Property damage claims, including obtaining, checking, recording, reporting and evaluating employee as well as third party information related to these claims.
    • Reporting notices to Insurance Carriers, overseeing, documenting and managing adjuster actions and activities.
    • Evaluates information and reports relative to claims payments.
    • Attend telephonic biannual Insurance Carrier claims reviews and prepare and present internal claim reviews biannually with designated business units.
    • Addresses questions about Workers’ Compensation programs, informs employees of their rights and benefits under various state workers’ compensation laws.
    • Gathers information/data on accident causes and reports on hazardous or dangerous conditions/actions on company property/worksites and coordinates with Safety and/or the Company’s insurance providers.
    • 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 to verify suspicious claims, questioning and resolving discrepancies, monitoring of medical treatment, including rehabilitation, and reviewing case reserves for adequacy.
    • May confer with and assist with insurance carrier defense attorneys.
    • Provides courteous and expeditious customer service to administrators, employees, and the general public.
    • Reviews and evaluates settlement authority requests and makes recommendations for approval or revision.
    • Acts as a Liaison to the Company’s Return to Work program, as required.
    • May assist in restitution/subrogation activities for damage to company property and equipment.
    • May review medical bills, disability benefits, and payroll records to ensure compliance and accuracy of information provided to third parties.
    • Coordinates and documents activities and actions with company Safety and Shop managers for proof of loss and 3rd party reimbursement for auto accident repairs, equipment invoices and property damage claims.
    • Performs related duties as assigned.
    • Supervision is received from Senior Counsel, as well as general direction from Senior Claims Administrator, and interfaces with regional Safety personnel, Human Resources, and or business unit management.

    Qualifications

    Qualifications

    • 2+ years of college, preferably supplemented by courses in workers’ compensation, general business, insurance, or state issued workers’ compensation certifications.  
    • 1-3 years of experience in general liability an automobile claims processing, reporting, investigative activity or litigation on major claims including the posting of appropriate reserves in a timely manner, and coordinating discovery and litigation strategy with Senior Counselor panel attorneys.
    • 1+ years preferred experience working in the construction or related industry processing motor vehicle claims, general liability claims or inland marine claims.
    • 1-3 years of experience preferred as a workers' compensation claims processor/adjuster, handling workers’ compensation claims in one or more of the following state laws: Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, Texas, or Utah.   Or the successful candidate must demonstrate a willingness to be trained to adjust worker’s compensation claims.

     

     

    Great benefits

    • Medical and prescription drug plans
    • Dental and Vision insurance benefits
    • Life/AD&D insurance benefits
    • Health Care and Dependent Care Flex Spending accounts
    • Health Savings Account
    • Disability income protection
    • Paid time off (vacation and holidays)
    • 401(k) retirement savings plan
    • Relocation assistance available

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