Claims Admin-Risk Management - United Site Services

About USS:

United Site Services is the industry leader in comprehensive site services, committed to creating partnerships that help enable our customers’ project and event success. Our deep industry expertise, excellence in process management, and dedication to corporate responsibility are pillars of our value proposition; each supported by tangible, best-practice programs.

 

Our success is fueled by the dedication and collaboration of our diverse team, which includes field technicians, customer care representatives, sales professionals, and functional experts. Each member of our team plays a vital role in ensuring a seamless and reliable experience for our customers.

 

By joining United Site Services, you will be part of an organization that values continuous improvement, teamwork, and excellence in every aspect of our business.

Overview:

The Claims Administrator, Risk Management position maintains all auto/general liability/ workers compensation files current and complies with applicable regulations.

Responsibilities:

• 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 assigned

SUPERVISORY 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

Benefit 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 – $85,000.00 / yearPay 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.