The Insurance Claims Specialist is primarily responsible for coordinating and administering the company's casualty and property insurance claims. The Insurance Claims Specialist will be responsible for the daily management and coordination of Workers’ Compensation claims between the third-party claims administrator (TPA) and Operations. The Specialist will work closely with Operations, insurance TPA and various stakeholders to ensure an efficient and comprehensive claims administration process.
Company Overview
With roots dating to 1891 and 8,500+ employees, MYR Group is a publicly traded holding company of 13 specialty electrical construction companies. MYR Group and our subsidiaries work on large-scale electrical construction projects throughout the U.S. and Canada. We contribute to a clean energy future while fostering a safe, supportive, and inclusive work environment. Our culture is built on shared values and mutual respect, where teamwork and collaboration occur naturally.
Throughout our history, we have partnered with utilities, municipalities, commercial clients, and developers to deliver some of the largest and most notable projects including transmission/distribution/substation, commercial and industrial, storm restoration, and renewable (solar and wind farms) energy. We are consistently recognized as one of the top five specialty electrical construction firms by Engineering News Record.
Essential Functions
Responsible for daily administration of General Liability, Automobile and Workers’ Compensation claims; reviews and evaluates all work-related accident reports for completeness and clarity of data; analyze data to ensure compliance with policy and regulatory requirements.
Educate and advise employees and departments on compliance issues pertaining to workers’ compensation policies, procedures, state statutes and regulations.
Maintain contact with individuals both inside and outside of the company who might have an affect on workers’ compensation, health and safety issues.
Identify and analyze problems regarding workers’ compensation claims; Recommend investigation and surveillance on employees through a third-party administrator (TPA); Monitor attendance and medical appointments of employees on workers’ compensation.
Refine methods of recording workers’ compensation injury information; Review records and reports claims to ensure compliance with state statutes; Maintain and audit workers’ compensation data and payroll system; Troubleshoot and resolves discrepancies in the data.
Coordinate with the Safety Department and Operations to develop and implement comprehensive light duty and return to work programs to reduce workers’ compensation costs and minimize lost time
Work closely with FMLA administrator on cases where workers’ compensation, ADA, and FMLA intersect.
Assist in preparing claim trend reports as needed for senior management and Operations. Including, but not limited to monthly and quarterly loss run reports, open litigation reports, annual claims cost, and other custom reports.
Identify claim trends and coordinate with Safety Department to recommend safety measures to eliminate or reduce incidence of occupational injuries.
Coordinate and conduct training on proper Workers’ Compensation procedures.
Serve as a resource and provide authoritative advice and guidance regarding casualty and property insurance for the legal team, operations, and safety department.
Work with MYR’s Fleet Department to file auto claims directly against at-fault third-party’s insurance carrier to cover first party property damage.
Manage and report on TPA’s subrogation recovery performance.
Coordinate with Operations to investigate, evaluate and respond directly to minor third-party claims, including denial letters, negotiating settlements, and executing claim releases.
Assist the Director of Risk Management in the management of Third-Party Claims Administrator (RFP, quarterly claims reviews, claims handling efficiency, financial analysis).
Other duties as assigned.
Regular and predictable attendance.
Essential functions of this position are to be performed at a company-designated office or field location.
Understand and comply with the Company's Code of Business Conduct and Ethics Policy and other industry-specific professional and ethical standards.
Qualifications
Minimum 7 years of experience in insurance claims management. Relevant experience related to automobile, workers’ compensation, and third-party property claims.
Work experience in a unionized environment is preferred.
Bachelor's degree in Business Administration, Risk Management or similar discipline is preferred; combination of relevant education and experience considered in lieu of degree.
Certified Professional Claims Adjuster (CPCA) or Certified Claims Adjuster (CCA) Certified Workers' Compensation Professional (CWCP) or Associate in Claims (AIC) would be beneficial.
Knowledge/Skills/Abilities
Demonstrated experience preparing and delivering presentations and training.
Compensation & Benefits
Position may be subject to pre-employment screening, which may include background check and drug testing. Accessibility: If you need an accommodation as part of the employment process, contact our Employment Hotline at 1-855-635-1321.
MYR Group, Inc. and our subsidiaries are proud to be Equal Opportunity Employers. We promote diversity of thought, culture, and background, which connects our family of brands. We are committed to a work environment that supports, inspires, and respects all individuals and in which personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, or other protected characteristics. We celebrate diversity and are committed to creating an inclusive environment for all employees.
MYR Group does not sponsor applicants for work visas. Applicants must be currently authorized to work in the United States for any employer.
MYR Group, Inc. and our subsidiaries do not work with any third-party recruiters or agencies without a valid signed agreement and partnership with the Corporate Talent Acquisition Team.
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