Claims Specialist

Claims Specialist

The Claims Specialist role at Ocean State Job Lot ("OSJL" and "Company") reviews claims for irregularities, accuracy, and completeness. This role ensures claims eligibility, requests necessary additional information, and maintains up-to-date records. The role also assists with cost control, prepares required reports, and communicates with individuals about their claims, including providing counsel on benefit amounts.

Key Responsibilities :

• Claims Management & Processing : Manage the entire claims lifecycle from intake to resolution which involves the exercise of discretion and independent judgment on significant matters, including screening new reports, collaborating with stores to gather information for investigations, and ensuring the insurance carrier handles claims in a timely manner. Handle new reports that do not require carrier involvement, adhering to internal procedures.
• Liaison & Communication : Serve as a key liaison between customers, OSJL, and the insurance carrier. Provide excellent customer service while facilitating communication between all parties.
• System & Financial Administration : Assist with managing and tracking Certificates of Insurance in the Origami risk management system and monitoring the company fleet. Assist with invoice processing and related financial tasks within Oracle.
• Risk Mitigation : Identify potential liability exposures related to injuries and damages, and make recommendations for remedial action.
• Project Support : Participate in various projects and assignments to support the overall function of the Risk Management Department.

Qualifications :

Work Environment :

OSJL Featured Total Rewards & Perks :

The annual salary for this position is between $55,000 - $65,000. Salary commensurates with qualifications and years of experience.