Claims Specialist - 00001 - Sugarland (Sugar Land, TX) - Burger King

WHO WE ARE:

The Dhanani Group (Burger King & Ayvaz Pizza Hut) is one of the world's top ranked QSR franchise owners. We are experts in the restaurant franchise model and lead the industry in successfully buying, owning, and operating restaurant franchises across the United States. We offer many career opportunities across the country with great benefits and possibilities for growth and advancement. We work at a fast pace in a collaborative, supportive and encouraging environment. And we like to have fun along the way.

WHO YOU ARE:

• Personable, Results-oriented self-starter, a go-getter.
• Team contributor and leader who thrives in a fast-paced setting.

HERE'S WHAT YOU WILL BE DOING:

As an integral member of the Team, this position is responsible for:

• Evaluate the information received to determine if the claim is compensable and if a claim needs to be set-up with our insurance carrier for General Liability claims.
• Advise and /or assists management in conducting investigation of accident reports, including interviewing of employees and witnesses, for workman's compensation claims, liability, and auto claims. Strong auto claims experience.
• Compile facts and data regarding accident reports and filed cases. Ensure that all employee incidents and injuries are reported.
• Manage drug testing to ensure that all employees complete all required drug and assessment testing following a claim.
• Responsible for keeping employees informed of their work status, requirements, and work accommodation specifications. Document the next doctor's visit until the employee is discharged. Work with payroll to obtain wages for the claim adjuster.
• Work directly with employees and the restaurant managers to facilitate a return to work either on a full-time or on modified duty basis.
• Enter all the claim information in the carrier database. Record detailed notes when speaking with a claim adjuster, manager, attorney, or employee.
• Work with both the claim adjuster and the nurse case manager if required, to manage the claim from initial medical requests to reviewing and evaluating on going medical information.
• Provides legal support by assembling documentation for settlement action.
• Process auto accident reports, set up claim files and report claim to employer's auto insurance carrier when necessary.
• Obtain field reports and other law enforcement reports that are applicable to auto accidents and workers compensation claims. Investigate and gather all applicable documentation and supporting evidence including objects, pictures, surveillance, employee, and witness statements.
• Manage both new and existing claims that are open and follow up with proper parties until closure.
• Accountable for updating OSHA 300 logs for required reporting, including updating the status of open claims monthly and closing of claims as they are completed.
• Maintain comprehensive knowledge of government safety regulations.
• Maintains good relationships with internal Operations team and external Insurance Carriers.

HERE'S WHAT Education & Experience YOU WILL NEED:

• High School Diploma or GED; Associate degree or equivalent from a two-year college or technical school preferred.
• 2-4 years of dedicated experience in processing Workers Compensation claims, General Liability and Auto claims.
• Extensive knowledge of insurance-related policies including Workers Compensation, General Liability and Auto.
• Strong property claims experience.

HERE'S WHAT Skills & Knowledge YOU WILL NEED:

• Proficiency with Microsoft Outlook, Excel, and Word.
• Must maintain strict confidentiality of all information.
• Must be able to communicate clearly, both written and orally to employees and management.
• Team orientation with respect for others.
• Requires excellent communicative and collaborative skills.

Note:

• This role requires on-site presence at our offices in Sugar Land, TX and does not offer remote or hybrid options.
• This position is temporary

SOME Perks & Benefits (Based on eligibility requirements): 

       A discount program that has discounts on things like glasses, hearing aids, weight loss programs, step tracking devices, shoes, etc. 

       A provider finder/cost estimation tool, allowing members to find in-network providers and get a cost estimation before the visit.

       A wellness program, where earning points for things like achieve step goals, can be redeemed to purchase wellness related items.

       A gym membership network, where employees may be able to go to their local gym, for less than the cost of a traditional membership. 

       A pregnancy planning tool, that helps track fertility, baby growth, milestones, etc. 

The Company reserves the right to conduct a background check of its employees, and your employment may be conditioned on satisfactory results.

Dhanani Group, Inc. is an equal opportunity employer.