Claims Admin-Risk Management

Company: United Site Services
Location: Sacramento
Posted on: May 2, 2024

Job Description:

About USS

You may not always notice United Site Services, but we are always there - at construction sites, industrial facilities, and live events all across America. We take pride in providing essential services like portable restrooms, hand hygiene solutions, temporary fence, trailer solutions, roll off dumpsters and more, for customers across the country. From state parks to the largest music festivals in the nation, our team is on the road and behind the scenes helping our customers create easy, safe and clean experiences for their employees or patrons. Join a company that makes a difference in communities across the country while providing for yourself and your family.

THE USS DIFFERENCE

• One-stop-shop for temporary site services, offering a full line of portable restrooms, hand hygiene solutions, temporary fence, trailer solutions and more.
• The largest inventory of equipment in the country.
• Coast-to-coast coverage with over 130+ locations in 27 states - and growing!
  Primary Purpose
  
  The Claims Administrator, Risk Management position maintains all auto/general liability/ workers compensation files current and complies with applicable regulations.
  
  Essential Functions
  
  
  • Review incident reports. Request additional information, supporting documents, photos, videos etc. to establish a complete investigation
  • Enter information into Claims Management System (CMS), and utilize CMS to report, manage, and diary caseload, thru claim resolution
  • Evaluate each incident/injury to determine if In-House claim, or report to Third Party Administrator (TPA), using established claims protocol
  • Adjust (determine liability, settle, deny etc.) in-house auto, general liability, or small internal injury claims to closure
  • Maintain communication with Operations Managers, Safety Managers, claimant/USS customer, and/or injured worker
  • Coordinate and administer ongoing investigations, relative to worker's compensation, auto and general liability insurance claims and work with internal and external partners to establish and execute action plans to achieve favorable claim resolution. Review claims status and action plans using advanced problem resolution skills
  • Request/review injured worker medical status reports. Provide Wage Statements and other information, as requested by WC adjuster
  • Negotiate return to work with our without job accommodations via the claimant's physician Human Resources, Ops Manager, and ADJ
  • Communicate any significant changes, problems, or concerns to Claims Manager
  • Request and monitor settlement requests - provide claim summaries to Risk Manager/Sr. Corporate Counsel
  • Work closely with TPA adjusters and Medical Providers to monitor the progression of claims to final resolution
  • Pursue 3rd party claims, to seek subrogation for USS damages
  • Manage and maintain a record of all losses and assist all risk management and safety personnel to reduce all losses for advocate sites
  • Coordinate, facilitate, and participate in claim meetings and reviews with internal and external partners
  • Support Legal Dept. with litigated claims- coordinate requests
  • Perform other duties as assignedSUPERVISORY RESPONSIBILITIES
    This position has no supervisory responsibilities.
    
    Qualifications
    
    QUALIFICATIONS
    
    EDUCATION
    Min/Preferred
    Education Level
    Description
    Preferred
    
    Preferred
    4 Year / Bachelors Degree
    
    in any field of study
    
    Property & Casualty Adjuster License
    EXPERIENCE
    Minimum Years of Experience
    Maximum Years of Experience
    Comments
    2
    
    Property and Casualty insurance or combination of equivalent education and expereince
    
    ADDITIONAL KNOWLEDGE, SKILLS, AND ABILITIES
    
    • Knowledge of data management systems and processes (i.e., Outlook, Claims Management Systems, Excel Spreadsheets, Internet, Word, PowerPoint, etc.)
    • Strong interpersonal and communication skills and the ability to work effectively with people in a wide range of positions
    • Excellent oral and written communication, including presentation skills Ability to document work in progress
    • Ability to read and interpret documents (i.e., accident forms, medical/legal documents, etc.)
    • Bilingual skills are a plus (English and Spanish)
    • Ability to work independently while maintaining all deadlines and critical date obligations
    • Effective time management and organization skills
    • Detail-oriented mindset with the ability to constructively challenge the status quo
    • Solid knowledge of data modeling software
    • Ability to establish credibility quickly and possess the ability to develop productive business relationships
      Physical Requirements
      
      PHYSICAL REQUIREMENTS
      
      Demand
      Frequency
      Sit while answering phones or reply to emails
      Constant
      Use hands and fingers to handle, control or feel objects tools or controls
      Frequent
      Repeat the same movements when entering data
      Frequent
      See details of objects that are less than a few feet away
      Constant
      Speak clearly so listeners can understand
      Frequent
      Understand the speech of another person
      Frequent
      Focus on one source of sound and ignore others
      Frequent
      Hear sounds and recognize the difference between them
      Frequent
      See differences between colors, shades and brightness
      Frequent
      
      Benefits Summary
      
      All full-time employees working an average of 30 hours or more per week are eligible for the below benefits. Part-time employees may be eligible for similar benefits.
      
      • Paid Time Off (pro-rated for Part-Time employees)
      • Paid Holidays
      • Medical/Pharmacy
      • Dental
      • Vision
      • 100% Employer-Paid Short-Term Disability
      • 100% Employer-Paid Long-Term Disability
      • 100% Employer-Paid Employee Basic Life & Accidental Death and Dismemberment
      • Voluntary Employee Life & Accidental Death and Dismemberment
      • Voluntary Spousal Life
      • Voluntary Dependent Life
      • Hospital Indemnity, Accident and Critical Illness
      • Commuter/Transit Account
      • Healthcare Flexible Spending Account
      • Dependent Care Flexible Spending Account
      • Health Savings Account
      • 401(k) with employer match
      • 100% Employer-Paid Employee Assistance Program (EAP)
      • Employee Discounts
        Salary Range
        
        $45,000.00/Hr. - $85,000.00/Hr. / year
        
        Pay Transparency Statement
        
        At United Site Services, our salary ranges reflect the minimum and maximum base pay for the posted position applicable to all locations across the US. Within the posted salary range, individual pay is determined by the geographic location, job related skills, experience, education, and certifications. Our total compensation package includes base pay plus a comprehensive benefits program.
        
        EEO Statement
        
        EEO STATEMENT
        
        United Site Services is an equal opportunity employer. In accordance with applicable law, we prohibit discrimination against any applicant or employee based on any legally-recognized basis, including, but not limited to: race, color, religion, sex (including pregnancy, lactation, childbirth or related medical conditions), sexual orientation , gender identity or expression , age, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status or any other status protected by federal, state or local law. Our commitment to equal opportunity employment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee, including supervisors and co-workers.

Keywords: United Site Services, Sacramento , Claims Admin-Risk Management, Executive , Sacramento, California