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WC Claims Specialist

Job ID: 1722401
OA Reference: 1115-VT-Claims

  • $49,900 to $49,900
  • Melbourne, 32904

About Company: We are proud to be America’s Largest Independent Self-Performing HVAC/R Service Provider.

Position: Claims Specialist
Location: 100% on site - John Rodes Blvd | Melbourne, FL 32904
Pay: $24/hour
Type: Long term temp to possible perm
Target start date: 11/25/2024

Responsibilities:

Essential Duties and Responsibilities:
• Monitor and record appropriate leave usage relative to Workers Compensation benefits; notify payroll and other appropriate personnel regarding adjustments
• Provide technical guidance and advice to supervisors, managers and site representatives regarding Workers Compensation, Auto Accidents and General Liability issues; serve as liaison between: return-to-work program, injured employees and managers in relation to returning injured employees back to work, repair shop and Fleet department for auto repairs, and provide documentation as necessary to adjusters and Defense counsel in law suits
• Analyze circumstances of claims, injury records and medical evaluations, accident videos and photos; document injuries; assure prompt delivery of medical and financial services and the return of injured workers to safe and productive employment in a timely manner, timely repair of company vehicles
• Assist Risk Manager with facilitating and coordinating program-related training as appropriate; assist in providing training to departmental administrative personnel regarding roles in recording/reporting job-related injuries, damage to company vehicles and liability coverage
• Prepare and maintain a variety of records, logs, correspondence, and files related to assigned activities; maintain OSHA records
• Receive, file and organize employee accident reports; determine reportable accidents; initiate and process claims; maintain files and correspondence regarding employee accident reports; maintain communication with third party administrators; notify managers regarding employee accident reports, trends or preventative measures
• Coordinate and maintain schedules for ergonomic evaluations for employees with the ergonomic evaluator; assist the evaluator as requested; maintain related spreadsheets; submit and track work orders placed to the appropriate department for the installation of employee’s ergonomic supplies
• Receive and process information on property and liability claims; provide requesting parties appropriate documentation and forms regarding property and liability claims
• Receive billings and estimates; obtain appropriate signatures and submit to accounts payable for payment
• Evaluate accident reports, ensuring the timely processing of medical bills, temporary total disability benefits and deductible payments
• Review witness statements, department investigation results and other documentation and compiles facts and data regarding accident reports and filed cases

Education and Experience:
• High school diploma or equivalent required, college degree preferred
• Prior onboarding Workers’ Compensation & Vehicle Repair required
• Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
• Smartsheets or other EHS platforms
• Detailed oriented, Troubleshooting, Problem solving, Work independently, Time management, good Communication skills
• Prior work with TPA’s and Liability Insurance carriers
• HVAC Industry experience or service industry a plus



EEO/AA Employer/Vet/Disabled.

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Additional Skills

(none specified)

AppleOne Representative Contact Info

Account Executive:
Veronica
Branch Phone:
Location:
Altamonte Springs, FL