Insurance Claims Specialist

ACCO Engineered Systems•Pasadena, TX

3d•$27 - $34

About The Position

Job Summary: We are seeking a detail-oriented and organized Claims Specialist to join our team. The Claims Specialist will play a crucial role in managing various types of insurance claims, ensuring accuracy, efficiency, and compliance with company policies and regulations. The ideal candidate will possess strong analytical skills, exceptional communication abilities, and a solid understanding of insurance procedures and protocols. A typical day includes reviewing claim activity, partnering with Safety and Risk, escalating medical care delays with insurance carriers, and coaching supervisors on return-to-work requirements. The position ensures consistency, accuracy, and employee-centered service across all ACCO locations. Essential Duties and Responsibilities: Gather data and filing third party property damage and bodily injury claims, automobile accident claims, first party property claims, and workers compensation claims with the carrier. Attend all claims reviews, track action items and provide follow-up reports. Work with director of risk, claims manager, and legal counsel on litigated claims. Is a key contributor in the return-to-work and modified duty program. Collaborate with managers to identify light duty or modified assignments that accommodate physical restrictions. Maintain a temporary disability log. Ensures timely medical care coordination through insurance partners and escalates treatment delays while supporting injured employees with a high level of customer service. Interact with claimants to ensure expeditious results. Maintain internal incidents logs and the incidents tracking system Arrange and process payment of the claims with the insurance carriers and/or claimants as well as legal invoices Generate report on claim activity, trends and patterns Engage claimants, ACCO Employees, and ACCO Management to investigate claims. Update internal claims with Insurance Carrier Loss Runs Collecting evidence such as witness statements, receipts, photographs, etc. that support a claim. Serve as a resource for other departments on claims-related matters. Other tasks and duties assigned by management.

Requirements

Demonstrated proficiency in insurance claims administration or office administration spanning over 2 years.
High School diploma or equivalent required; Bachelor's degree or Insurance Certification preferred.
Proficient in Microsoft Suite applications.
Possess strong investigative skills with meticulous attention to detail.
Excellent interpersonal and communication abilities.
Capable of generating comprehensive reports and adept at data analysis for executive management.
Proven ability to collaborate effectively in a team setting and enjoy interpersonal interactions.
Familiarity with claims processing procedures.
Minimum 2 years of experience in claims management.
Experience coordinating directly with insurance carriers and adjusters.
High school diploma or equivalent.

Nice To Haves

Bachelor’s degree in Human Resources, Business, Risk Management, Safety, or a related field.
Professional certifications (ARM, WCCA/WCCP).
Experience supporting multi-state field operations or large employee populations.
Bi-Lingual (English/Spanish)

Responsibilities

Gather data and filing third party property damage and bodily injury claims, automobile accident claims, first party property claims, and workers compensation claims with the carrier.
Attend all claims reviews, track action items and provide follow-up reports.
Work with director of risk, claims manager, and legal counsel on litigated claims.
Is a key contributor in the return-to-work and modified duty program.
Collaborate with managers to identify light duty or modified assignments that accommodate physical restrictions.
Maintain a temporary disability log.
Ensures timely medical care coordination through insurance partners and escalates treatment delays while supporting injured employees with a high level of customer service.
Interact with claimants to ensure expeditious results.
Maintain internal incidents logs and the incidents tracking system
Arrange and process payment of the claims with the insurance carriers and/or claimants as well as legal invoices
Generate report on claim activity, trends and patterns
Engage claimants, ACCO Employees, and ACCO Management to investigate claims.
Update internal claims with Insurance Carrier Loss Runs
Collecting evidence such as witness statements, receipts, photographs, etc. that support a claim.
Serve as a resource for other departments on claims-related matters.
Other tasks and duties assigned by management.