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

Job Summary:

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 [WC Claims Specialist’s] 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 spirt.
• 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.