Collect and distribute injury and property damage documentation, and respond to related information requests from corporate, site management, and insurance adjustors.
Engage injured workers and their supervisors at the onset of an injury to investigate and secure all relevant facts – in English or Spanish, depending on the employee's preferred language.
Maintain lists of approved, in-network medical providers for all remote sites.
Support injured workers throughout the claims process and alert appropriate managers to potential challenges in the recovery process.
Remain calm, empathetic, and supportive while assisting employees who are upset or in distress.
Serve as the point of contact for invoice processing of claims by Accounts Payable.
Conduct thorough investigations by contacting claimants, reviewing medical records, and gathering evidence to determine the validity and liability of a claim.
Maintain clear and timely communication with claimants, service providers, and other relevant parties throughout the claims process.
Prepare weekly and monthly reports on historical claims data and current trends.

Bilingual fluency in English and Spanish (spoken and written) – Required.
2+ years of experience in Administrative Support, Customer Service, Safety, or Claims.
Associate's Degree (2-year college or technical school) preferred.
Proficiency in Microsoft Office (Outlook, Excel, Word).
Strong organizational skills and the ability to manage multiple open claims at once.
Ability to handle confidential medical and personnel information with discretion.

Daily Pay Option – Access your earnings before payday.
PTO (Paid Time Off).
Full Benefits: Medical, Dental, and Vision Insurance – 3 medical plan options through Blue Cross Blue Shield with low weekly premiums starting at $28.75.
Health Savings Account (HSA) – Company contribution up to $750 annually with tax-advantaged savings.
401(k) retirement plan featuring up to a 4% employer match, eligibility the first of the month after 90 days, and access to a Financial Wellness Consultant.
Flexible Benefits – Multiple plan options to fit your needs and budget.
Prescription Drug Coverage – Low copays starting at $10 for generic medications.
FREE Life Insurance & AD&D – Basic coverage provided at no cost upon employment.
Vision Benefits – $10 eye exams and $150 frame allowance through Superior Vision by MetLife starting at $1.46 per week.
Dental Coverage – 100% preventive care coverage with MetLife plans starting at $5.76 per week.
Voluntary Short-Term Disability (STD) – Income replacement up to 60% of weekly covered earnings for a non-work-related injury or illness.
Employee Assistance Program (EAP) – Free and confidential support for work stress, grief, legal/financial issues, and more.
Additional Voluntary Benefits – MetLife Legal and Identity Theft Services and Pet Insurance with ASPCA.
LifeMart employee discounts (through ADP) on everyday stuff and larger purchases.
Dell Employee Purchase Program (EPP) discounts available for personal use.

Claims Specialist – Bilingual

Key skills