Company

Dairiconcepts, L.P.See more

addressAddressDallas, TX
type Form of workFull-Time
CategoryHuman Resources

Job description

Job TitleSr. Claims Analyst (Workers' Compensation) - Hybrid
LocationDallas, Texas
Description

Dairy Farmers of America (DFA), a dairy marketing cooperative owned by more than 12,500 family farmers. Our mark matters and it represents the wholesomeness of dairy that we share with our communities and loved ones. DFA manufactures a variety of dairy products, including cheese, butter, fluid milk, ice cream, dairy ingredients and more, under well-known and established regional brands. Our fingerprints touch thousands of brands across the marketplace, and we’re passionate about delivering the simple pleasures of dairy to people everywhere, straight from our family farm-owners. We are proud to provide families with fresh delicious dairy products.   

 

By joining DFA, you can help us continue to make a difference that matters. We care deeply about the well-being of our neighbors and friends, and we celebrate the diversity of our company and our world. It takes an incredible team to deliver the goodness of dairy and enrich our communities – come join us! 

 

DFA has an opening for a Sr. Claims Analyst (Workers' Compensation). Work independently to perform or lead and monitor the reporting, investigation, payment, defense, and resolution of the claims incurred by covered entities. Review new and/or large, serious claims and perform needed investigations to determine compensability as well as possible subrogation or apportionment. Produce budgetary and performance reports for all claims. Assist in the development, implementation, and monitoring of claims management standards and best practices.  Oversee outside service providers, including carriers and third-party administrators. Promote compliance with insurance and claims programs. Ensure company compliance with applicable federal and state laws, including reporting requirements. Function as a resource for colleagues with less experience.

 

Job Duties and Responsibilities

 

  • Develop and monitor guidelines for reporting all injuries in a timely and proper fashion
  • Develop and monitor for compliance the requirements for adjusters and the insurance carriers to follow in the handling and adjudication of all assigned claims
  • Develop and implement the appropriate procedures to minimize covered operations exposures
  • Monitor all new and pending claims for proper contact and timely investigation and the placement of reserves, based upon the claim’s fact based exposure
  • Assist all covered locations with questions and issues of concern
  • Provide a weekly report documenting the number of pending claims and the total reserves for those claims
  • Analyze workers’ compensation within established guidelines
  • Handle a wide range of insurance claims or matters but mostly focus on workers’ compensation.
  • Correspond with insurance company personnel, brokers, legal counsel, other experts, employees, or claimants
  • Provide reports to facility or plant leaders to assist with determining trends and causes of loss
  • Oversee the claims information database and monitor the quarterly updates for accuracy and completeness
  • Review assigned adjusters’ handling of claims and push for prompt and economical resolution of pending files
  • Serve as a subject matter expert, advisor, and consultant on various claims, claims programs, and optional solutions
  • The requirements herein are intended to describe the general nature and level of work performed by employee, but is not a complete list of responsibilities, duties, and skills required. Other duties may be assigned as required

 

Benefits:

  • Health and Welfare benefits begin 1st of the month after start date
  • 401(k) with company contribution – 100% vested at day one of eligibility
  • Competitive pay
  • Paid vacation and holidays
  • Career growth opportunities – we promote from within!
  • Comprehensive healthcare benefits
  • Service recognition and employee rewards
  • Employee referral program
  • Tuition reimbursement
  • Work for dairy farm families

Requirements

Knowledge, Skills, and Abilities 

  • Strong knowledge of claims handling
  • Knowledge of Microsoft Office Suite and company computer systems
  • Strong analytical skills
  • Able to communicate clearly and effectively, both verbally and in writing, for a diverse range of internal and external audiences
  • Able to apply processing procedures, company guidelines, and analysis of serious or large claims to resolution
  • Able to correspond with insurance company personnel, brokers, legal counsel, other experts, employees and claimants
  • Able to organize time, energy, and resources effectively to achieve goals (i.e., organizational skills)
  • Able to comply with deadlines and priorities while maintaining composure when facing tight deadlines
  • Able to work with accuracy and detail oriented
  • Able to work in collaboration effectively and foster good teamwork
  • Able to work independently, exercising a high degree of sound personal judgment in handling moderately complex to complex matters
  • Must be able to read, write and speak English

Travel

 

 No travel required

X 5%-15% (1-3 times per year)

 15%-25% (1-2 times per quarter)

 25%-50% (up to 1 week per month)

 50%-75% (up to 2 weeks per month)

 75%-100% (3+ weeks per month)

 

 

An Equal Opportunity Employer

 


Pay Range
Refer code: 6916321. Dairiconcepts, L.P. - The previous day - 2023-12-12 10:36

Dairiconcepts, L.P.

Dallas, TX
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