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Claims Specialist
Claims SpecialistArtera • Big Bend, WI, US
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Claims Specialist

Claims Specialist

Artera • Big Bend, WI, US
11 hours ago
Job type
  • Full-time
Job description

Do you want to help make a difference in building America's infrastructure?

Since 1953, Miller Pipeline has been a leader in building and maintaining America's infrastructure as a premier underground pipeline construction and repair contractor. Our workforce is made up of highly trained and skilled employees totaling over 3,500 with office locations in 20 states. While continually investing in gas infrastructure programs, Miller Pipeline's revenues have continued to grow year over year. Do you want to learn more about what we do? Click or .

Thinking about joining our team and building a career here? There is no better time than now!

At Miller Pipeline you will gain :

  • Growth opportunities for career advancement ( at Miller Pipeline);
  • Competitive wages and industry-leading benefits;
  • A team-oriented atmosphere centered around our core values of Safety, Quality, Commitment, and Reputation ( );
  • On-the-job work and safety training;
  • Employee recognition programs, Employee Care Fund, and more (also see ).

Take a look at our field work by watching the video.

We are hiring an experienced Claims Specialist to set up and handle all lines of claims under the general supervision of the Risk Services Manager.

Main Responsibilities

  • Receive initial notification of claims and guide employees on how to properly manage the circumstances.
  • Investigate claims for cause, compensability, and liability when severe injury or significant liability is involved.
  • Track the receipt of the appropriate paperwork for all claims; set up files; enter information into the database upon receipt.
  • Forward necessary information to Miller Pipeline's insurance carriers and maintain accurate documentation of claims by placing copies of all related paperwork in case files.
  • Actively track open claims and interface with our insurance carriers, physicians and other third parties to ensure that they are being managed aggressively.
  • Classify injuries per government and company criteria; track lost / restricted days.
  • Negotiate, settle and process payment for nominal claims.
  • Assist in preparing monthly risk management reports.
  • Ensure that state-specific information received from the carrier is disseminated to the appropriate area office.
  • Ensure that injury hotline materials are distributed to safety and compliance staff.
  • Attend safety incident reviews and update the database accordingly.
  • Attend safety meetings and compliance training to present field personnel with information regarding submission of claims.
  • Act as liaison with database vendors to address complaints and problems.
  • Required Qualifications

  • 2+ years professional administrative work requiring independent critical thinking and analysis.
  • High school diploma.
  • Excellent experience with Microsoft Office suite.
  • Ability to read, analyze and interpret common medical, legal and government documents.
  • Professionalism and effective communication in responding to common inquiries and complaints from customers, regulatory agencies, or members of the business community.
  • Ability to use basic mathematic functions, e.g., adding, subtracting, multiplying and dividing.
  • Preferred Qualifications

  • Bachelor's degree from accredited university.
  • Professional experience in natural gas pipeline industry, safety, or risk management.
  • Multi-state, multi-line background, medical training, knowledge of treatment protocols and medical terminology.
  • Knowledge of safety / insurance regulations.
  • Connect with us on Social Media! We are on , , , , and .

    PandoLogic. Category : , Keywords : Insurance Examiner

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    Claim Specialist • Big Bend, WI, US

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