Claims examiner Jobs in Worcester, MA

Workers Compensation Claims Specialist

Nouria Energy Corporation is a multi-generational family-owned wholesale fuel distributor, convenience store operator and car wash operator in New England. Our wholesale and retail fuel businesses are multi-branded, which includes Shell, Mobil, Irving, Sunoco, Gulf, Valero, Citgo, Phillips 66, Exxon, and multiple unbranded brands. Our wholesale operations supply branded and unbranded fuel to 300+ locations across New England and New York. We are ranked within the top 50 largest convenience store chains in the country, operating 150+ company-operated locations throughout New England and ranked within the top 10 largest car wash chains in the country.

The Workers Compensation Claims Specialist works with a collaborative team of risk, safety, compliance, and legal professionals to administer and manage claims from investigation through resolution and to reduce enterprise risk. Under general direction, the core responsibilities include timely processing and effective administration of workers' compensation (and other insured) claims; evaluating incident reports for accuracy and completeness and facilitating investigation and information/evidence gathering; evaluating and facilitating return to work programs; related data analysis; coordinating with internal and external parties; and supporting the risk management, legal and safety departments to facilitate risk management.

Duties/Responsibilities:

• Review incident reports, investigate assigned claims as needed, and determine compensability.
• Prepare and submit reports and other paperwork to employees, insurers, attorneys, third party claims administrators, OSHA, and other federal and state agencies.
• Develop and facilitate return to work policy.
• Reduce administrative burden on affected employees and front-line managers by liaising administratively on their behalf.
• Assist injured employees in submitting claims and navigating the claims processes.
• Assist Risk Management in administering GL, PLL and other claims as requested.
• Monitor and manage workers compensation claims and oversee claims administrators.
• Maintain OSHA 300 logs.
• Assist in evaluating settlement proposals.
• Analyze claims data and make recommendations to mitigate risk.
• Participate in establishing claim reserves by estimating the cost of each assigned claim; monitor reserves and update amounts as necessary.
• Coordinate medical treatment for injured employees and provide information to treating health care providers.
• Compile, organize, and summarize claims/injury data to identify trends and prepare and present associated analytics.
• Participate in safety committee and other safety and risk management initiatives.
• Assist the Safety and Risk Management Departments in drafting policies, procedures, and other safety/risk management training.

Qualifications:

• Proactive, team player and collaborative spirit.
• Ability to handle private, sensitive, confidential information appropriately.
• Working knowledge of medical terminology, body systems and/or impairments and their disabling effects.
• Some general liability claims administration experience preferred.
• Working knowledge of office procedures and files.
• Strong attention to detail and organizational skills.
• High school diploma or equivalent; bachelor's degree and/or relevant work experience preferred.
• Prior OSHA recordkeeping preferred.

Skills, Abilities and Competencies:

• Strong written and verbal communication skills.
• MS Office skills, esp. Excel, Teams, Word, and PowerPoint.
• Operate office equipment including computers and associated software such as word processing, spreadsheet applications and Workers' Compensation software programs
• Desire to learn and grow within the organization.
• Ability to learn and work with online claims systems

Starting Rate: $29.73

Nouria Energy is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.