Claims Specialist
Winston, Florida, United States of America
Full Time
1 day ago
Key skills
LeadershipCommunication
About this role
Position: Claim Specialist
Location: Winston-Salem, NC (ONSITE)
Schedule: Monday-Friday
Who We Are:
West Shore Home is growing at an explosive rate. To do so, we must operate at an above average pace to meet our mission of Bringing Happiness to Every Home. We are goal oriented and take extreme ownership of our work. Our vision is to become America’s Most Admired Home Remodeling Brand®. West Shore Home operates at its best when every employee works to achieve their individual potential. To facilitate this, West Shore Home provides the structure and support to challenge you as you grow professionally, provides fair compensation as you progress in your career, and offers tools to achieve personal satisfaction.
Purpose of Position:
The Claims Specialist manages workers’ compensation and liability claims to ensure timely reporting, documentation, and resolution. This role works closely with employees, managers, insurance providers, and HR to support post-accident care, maintain compliance with OSHA reporting requirements, and ensure accurate tracking of workplace injuries and related leave.
Key Role Accountabilities:
• Submit workers’ compensation and liability claims to insurance providers and maintain communication with employees, managers, and carriers throughout the claim lifecycle.
• Authorize injury care and drug screens with approved medical facilities and collect physician documentation, treatment updates, and screening results.
• Review and approve accident and incident reports within the HRIS system and communicate with managers to ensure accurate and timely report submission.
• Identify incidents that require investigation in partnership with the Claims Manager and review reports for safety compliance, including proper PPE use.
• Track employee follow-up appointments, missed workdays, and work restrictions; coordinate with managers and HR on scheduling adjustments, accommodations, and return-to-work updates.
• Maintain OSHA logs and documentation, including annual OSHA 300 reporting and required workplace postings, and support the Claims Manager with disputed claims or litigation matters.
Must-Have/Preferred Requirements:
• High School Diploma or GED required.
• 2+ years of experience in an HR, safety, or claims-related role.
• High attention to detail and ability to manage multiple priorities.
• Experience with HRIS systems preferred.
• Must have a smartphone or smart device to access company systems with two-factor authentication.
Benefits:
• Comprehensive Health Insurance options (Medical, Dental, Vision, Accident, Life, Critical Illness, Short and Long-Term Disability)
• 401(k) plans with company match
• HSA plan with company match
• Paid holidays and paid time off (PTO)
• Employee Referral Program
• Employee Discount Program
• Paid training and unlimited professional growth potential
Culture and Community:
We believe that when employees feel valued and supported, they perform at their best. Our dedication to fostering a strong, value-driven culture has consistently earned us the Top Workplaces USA award as one of the nation’s top employers, including recognition in Leadership, Purpose & Values, and Compensation & Benefits.
West Shore Home strives to Bring Happiness to Every Home® and that goes beyond our customers and employees. We support positive change in our communities by volunteering, giving back, and supporting nonprofits that make a difference. Learn more here: https://westshorehome.com/community/
It is the policy of West Shore Home to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. All employees are subject to a pre-employment screening process including a background check and drug screen. In addition, we will provide reasonable accommodations for qualified individuals with disabilities. If you require reasonable accommodation in completing the application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to your recruiter.
Location: Winston-Salem, NC (ONSITE)
Schedule: Monday-Friday
Who We Are:
West Shore Home is growing at an explosive rate. To do so, we must operate at an above average pace to meet our mission of Bringing Happiness to Every Home. We are goal oriented and take extreme ownership of our work. Our vision is to become America’s Most Admired Home Remodeling Brand®. West Shore Home operates at its best when every employee works to achieve their individual potential. To facilitate this, West Shore Home provides the structure and support to challenge you as you grow professionally, provides fair compensation as you progress in your career, and offers tools to achieve personal satisfaction.
Purpose of Position:
The Claims Specialist manages workers’ compensation and liability claims to ensure timely reporting, documentation, and resolution. This role works closely with employees, managers, insurance providers, and HR to support post-accident care, maintain compliance with OSHA reporting requirements, and ensure accurate tracking of workplace injuries and related leave.
Key Role Accountabilities:
• Submit workers’ compensation and liability claims to insurance providers and maintain communication with employees, managers, and carriers throughout the claim lifecycle.
• Authorize injury care and drug screens with approved medical facilities and collect physician documentation, treatment updates, and screening results.
• Review and approve accident and incident reports within the HRIS system and communicate with managers to ensure accurate and timely report submission.
• Identify incidents that require investigation in partnership with the Claims Manager and review reports for safety compliance, including proper PPE use.
• Track employee follow-up appointments, missed workdays, and work restrictions; coordinate with managers and HR on scheduling adjustments, accommodations, and return-to-work updates.
• Maintain OSHA logs and documentation, including annual OSHA 300 reporting and required workplace postings, and support the Claims Manager with disputed claims or litigation matters.
Must-Have/Preferred Requirements:
• High School Diploma or GED required.
• 2+ years of experience in an HR, safety, or claims-related role.
• High attention to detail and ability to manage multiple priorities.
• Experience with HRIS systems preferred.
• Must have a smartphone or smart device to access company systems with two-factor authentication.
Benefits:
• Comprehensive Health Insurance options (Medical, Dental, Vision, Accident, Life, Critical Illness, Short and Long-Term Disability)
• 401(k) plans with company match
• HSA plan with company match
• Paid holidays and paid time off (PTO)
• Employee Referral Program
• Employee Discount Program
• Paid training and unlimited professional growth potential
Culture and Community:
We believe that when employees feel valued and supported, they perform at their best. Our dedication to fostering a strong, value-driven culture has consistently earned us the Top Workplaces USA award as one of the nation’s top employers, including recognition in Leadership, Purpose & Values, and Compensation & Benefits.
West Shore Home strives to Bring Happiness to Every Home® and that goes beyond our customers and employees. We support positive change in our communities by volunteering, giving back, and supporting nonprofits that make a difference. Learn more here: https://westshorehome.com/community/
It is the policy of West Shore Home to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. All employees are subject to a pre-employment screening process including a background check and drug screen. In addition, we will provide reasonable accommodations for qualified individuals with disabilities. If you require reasonable accommodation in completing the application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to your recruiter.