RESPONSIBILITIES
Manage and resolve escalated issues arising from operations and coordinating with other departments
Manage and perform all necessary audits and reporting in accordance with Co.
policies and procedures
Design and implement policies and procedures for claims as needed
Analyze and process all claims, identifying all risks, ensuring optimal quality
Complete claim settlements, legal reviews, and investigations in accordance with Co.
policies and procedures
Investigate and evaluate all business unit associate claims
Provide accurate data and strategy to management for decision making processes
Prepare reports for various business units and management
Monitor all chargeback expenses and provide report to clients and management as needed
Monitor effectiveness of all programs and provide support to all open claim file reviews
Manage all payment cycle to ensure compliance to all contract requirements
Perform investigation on all reserve increases and perform regular surveillance of all claim issues and maintain efficient location code listing for TPAs
Schedule all internal and external audits on all claims issues and supervise processing of all billing issues
Interact and work closely with the Lawyers, Claim Consultants and Insurance Experts
QUALIFICATIONS
Previous experience in Safety and/or Claims Department and/or Business Development Department and/or Commercial Department
Experience in working on DOT and/or Highway and/or Tunnel projects in general is a plus
Exercise tact / diplomacy while building relationships with contractors, co-workers, and management
Must have excellent customer service, written, and verbal communication skills
Proficient with Microsoft office programs including Word, Excel, and Outlook
Position requires consent to undergo a background and drug test – subject to condition of employment
Bachelor’s Degree in Engineering or Business or Construction Management is preferred
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
41 CFR 60-1.
35(c)
Whatsapp
