Claims auditor Jobs in Saint Paul, MN

Are you interested in working for the nation's leading fire protection company and beginning a rewarding and satisfying career that helps save the lives of thousands each year? Do you want to be a part of a growing and expanding team of industry experts? If so, exploring career opportunities with Summit Companies may be right for you!

Summit Companies, through its subsidiaries, is a full-service provider for fire detection, suppression, and security with a full suite of capabilities that includes design, installation, testing, inspections, and maintenance. We serve customers across many verticals on a local, regional, and national scale. We're proud of our well-deserved reputation for quality work that's completed by our talented and experienced installation workforce. Summit Companies is a dynamic organization with endless growth opportunities spanning over 100 locations in more than 30 states.

Our company is consistently recognized for service excellence in the fire protection industry. Summit Companies supports trade skills and workforce development by hosting Recognized Apprenticeships and on-the-job training (OJT) programs for new career-seekers. Many members of our leadership team serve as chair on NFPA code compliance committees, serve on regional safety boards, and support technical education in local schools. Summit Companies supports employees in their professional development by offering continued development, training, and education by encouraging NICET and other career-advancing certifications. We continually strive to be the Employer of Choice for highly motivated team members who want to succeed in a high-growth environment. We encourage initiative, independence, diversity, and personal career growth.

The combination of experience, knowledge, and customer service is the key to our performance and helps us achieve our goal of providing the highest quality of fire protection services to protect lives and property.

JOB SUMMARY :

The Claims Coordinator is responsible for managing workers compensation, general liability, and auto crash claims. The Claims Coordinator will coordinate with superintendents, branch offices, insurance adjusters, brokers, nurse case managers, legal resources, and medical providers to effectively manage claims from inception to closure. The CC is responsible for helping Branch Managers and Field Superintendents understand the claim process by providing updates and suggestions of training to meet claims objectives.

ESSENTIAL JOB DUTIES :

• Responsible for managing workers compensation, general liability, and auto claims from inception to closure.
• Monitor all injuries related to work accidents and driving accidents with the goal of promoting prevention of injuries, reducing frequency of injuries & facilitating timely reporting.
• Maintain the claims accurately and completely within the company's RMS System.
• Answer client (internal & external) questions to ensure understanding and satisfaction or refers them to the Director of Field Risk Management.
• Develop and maintain strong business relationships with internal and external customers.
• Identify and communicate with Director of Risk Management and our executive team, claims that have potential to have high exposure.
• Work with our Safety team to promote the company's AWAIR Program policies to ensure compliance with internal policies.
• Promote the company's Return to Work Program with branch offices and human resources department.
• Manage claims to ensure deductibles are not exceeded, expenses are in line with standard care guidelines, and claims are progressing efficiently towards closure.
• Develop strong working relationships with insurance brokers, insurance agents / adjusters, and medical providers to facilitate aggressive claims management.
• Report the previous week's status of claims and other relevant areas of responsibility and provide reports as requested.
• Manage claims administrators request for reserve adjustments and payments timely and in accordance with your authority level.
• Manage posting internal claim costs that are paid on claims not posted by claims administrator to accurately reflect cost on each claim.
• Manage processing invoices for approval (prefunding and internal payments) in a timely manner.
• Once established, assist in the maintenance of the guidelines for the processing incidents & claims.
• Adhere to all statutory and regulatory fair claims practices.
• Other duties may be assigned.

QUALIFICATIONS

The qualifications listed below are representative of the elements required to perform the job successfully; however, in some cases, an equivalent combination of Education, Training, Certifications and Experience may meet the job qualifications.

Education, Training, Certifications :

Experience, Knowledge, Skill Requirements :

Communication Skills :

Systems and Software Skills :

Other Qualifications :

PHYSICAL & WORK ENVIRONMENT REQUIREMENTS

Reasonable accommodations may be made to enable individuals with disabilities to perform essential job duties.

Physical Requirements :

While performing the duties of this job, the employee is required to sit and stand for long periods. Employee will occasionally be required to drive, bend, kneel, balance, lift

Work Environment :

Employee will consistently be required to work indoors in an office or remote setting, work alone and with others. Employee will occasionally be required to wear appropriate personal protective equipment, as required by company safety policies. Employee will rarely be required to travel.

Benefits

Summit Companies offers extensive training opportunities, career advancement, competitive pay, bonus opportunities, along with an industry leading and affordable benefits package for eligible employees. Our benefits package includes :

Our Core Values

PIPE

Summit Companies participates in E-Verify & in alignment with our commitment to safety, we promote a drug-free workplace. Summit Companies is an equal-opportunity employer committed to diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with a disability.

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