Specialist, Workers' Compensation

Pilot Company • Knoxville, TN

1d • Onsite

About The Position

The purpose of this Knoxville, TN based job is to investigate and resolve incidents of workers’ compensation claims.

Requirements

• High school diploma or equivalent certification required
• Minimum three years’ experience in related work experience preferred
• Intermediate Microsoft Office skills
• Strong Excel skills
• Strong conflict resolution and problem-solving skills
• Ability to handle multiple tasks, meet deadlines and work independently
• Professional demeanor when communicating in person, email or phone
• Ability to work in a fast-paced environment
• Strong attention to detail

Nice To Haves

• Associate’s degree in business or related field preferred

Responsibilities

• Investigate, evaluate and resolve Medical Only and/or Lost Time employee injury claims
• Facilitate and coordinate injured team member’s medical care, calculate and pay benefits based on statutory guidelines
• Manage, document, analyze, negotiate and settle claims
• Manage and control claim related documentation including Personally Identifiable Information (PII) and Health Insurance Portability and Accountability Act (HIPAA) related information
• Provide reserve recommendation to Pilot Corporate Management for cases processed by TPA and applicable in-house claims
• Resolve conflicts with claims in collaboration with senior or more tenured adjuster
• Collaborate with defense counsel on litigation closure strategy
• Manage litigation to obtain favorable outcome and resolution
• Focus on loss prevention and hazard correction during claim handling
• Model behaviors that support the company’s common purpose; ensure guests and team members are supported at the highest level
• Ensure all activities are in compliance with rules, regulations, policies and procedures

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED