Reports To:

Duties and Responsibilities:

• Evaluates accident/loss reports. Reviews employee and witness statements, medical reports, department investigation results, and other documentation. Compile facts and data regarding accident/loss reports and filed cases.
• Advises and/or assists departments in conducting investigation of claims, including interviewing of witnesses, and procurement of relevant documentation.
• Documents telephone conversations, witness statements, and accident investigation results; prepares summaries of medical reports, claim adjuster notes, attorney reports, etc.
• Manage carrier claims relationship and ensures effective claims service. Work closely with assigned lawyers and monitoring of litigated claims.
• Train staff members on the proper procedures and forms to be utilized in claims processing, including workers' compensation matters.
• Review accident reports to identify patterns of injury and to determine whether unsafe conditions contributed to the accident; on a quarterly basis advises departments of trends in injuries and proper safety procedures that may result in reduction of injuries; provides department with information that will aid in reducing accidents and improve safety.
• Prepare various claims reports, data mining, and root cause analysis.
• Track and present monthly trend analysis on all claim’s metrics – new/open, closing ratios, etc. by claim type and financial impact analysis.
• Report monthly accrual to Corporate Accounting – loss runs, outstanding reserves and accrue for any anticipated large variances timely.
• Process all monopolistic state WC reporting requirements (WA, OH, ND, WY).
• Develop and coordinate Vendor Day presentations/activities/agendas for sites.
• Coordinate and schedule annual on-site loss control visits to KAVX facilities with broker, insurance carrier risk control engineers – property and casualty programs.
• Assist Manager with performing other projects as necessary or as business needs change relating to Fleet Safety, Claim Closure Projects, RTW/Modified Duty program development and reduction of claims metrics, frequency and severity of claims that affect overall TCOR (Total Cost of Risk) for KAVX.

Job Requirements:

• BA/BS degree (Accounting/Business Administration/Legal Studies) is preferred
• Minimum of 2 year of insurance/claim handling experience, preferably within the workers’ compensation sector.
• Strong analytical skills with heightened problem-solving ability.
• Intermediate/advanced skills in Microsoft Excel.
• Detail oriented with ability to multitask, follow-up, and work within a deadline.
• Excellent communication skills, both verbal and written.
• Understand multi-state laws, rulings, and regulations applicable to state and federal court – workers’ compensation, auto and general liability litigation processes. Ability to apply a working knowledge of claims process, adjusting and adjudication procedures.
• Working knowledge of medical terminology, body systems and/or impairments and their disabling effects.
• Ability to manage confidential information while using sound judgment and discretion.
• Ability to define problems, collect data, establish facts, and draw valid conclusions timely.
• Ability to obtain facts that ensure that claim information is complete and accurate.
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages.