Insurance Claims Coordinator II

Additional Job Info:

This position offers a base hourly range of $23.72 - $43.14 per hour, depending on experience and qualifications, plus bonus based on company performance.

 

One of the MANY work perkz at Sheetz is quarterly employee bonuses based on company performance! And there’s more – A LOT more… like competitive salaries, PTO and parental leave, 401k match and employee stock ownership, limitless professional development and growth opportunities, tuition reimbursement, full medical, vision and dental coverage, and snack discounts!

Overview:

Responsible for coordinating and supporting workers compensation and or general liability claims to include investigation, evaluation, negotiation and disposition for the organization. Acts as liaison between the organization, claimants, providers and attorneys.

Responsibilities:

1. Contact the injured party promptly to obtain information necessary to investigate the claim.
2. Conduct a prompt and fair investigation and fact evaluation of the incident. Disposition of the claim in a timely manner.
3. Create and implement action plans for case resolution, including medical management, litigation management, negotiation and disposition in consultation with Defense Counsel.
4. Review claims in order to identify trends or procedures that causes losses for the company.
5. Review and update physician panels.
6. Provide assistance/guidance to the Claims Assistant with the managing of his/her claim workload while providing guidance when necessary.
7. Handle customer complaints with respect to a wide-range of issues.
8. Assist Food Safety and Quality Assurance departments with food/beverage complaints.
9. Process and investigate subpoena requests for police departments, attorneys and the Court.

Qualifications:

(Equivalent combinations of education, licenses, certifications and/or experience may be considered)

Education
• Associates degree in related field required

 

Experience
• Minimum 3 years’ experience in legal or insurance related field adjusting workers compensation and or general liability claims required.

 

Licenses/Certifications
• Must pass and hold adjuster license in the states of PA, WV, VA, MD, NC and Ohio within 1 year of employment.

 

Tools & Equipment 
• General office equipment

Accommodations:

Sheetz is committed to the full inclusion of all qualified individuals. Sheetz is committed to considering all applicants regardless of disability who can perform all essential job duties with or without accommodations.