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In-House
Legal Staff
Litigation
Litigation - Whistleblower - CFTC
Claims Specialist Duties: Reports to the Senior Contracts Manager and is responsible for managing workers’ compensation, equipment, auto, professional, pollution and basic property claims, as well as assists in the environmental, safety and loss control functions of the organization. Ensure that no company, employee or customer information is inappropriately divulged to unauthorized parties. Ensures business is compliant with state specific regulations and Cascade policies and guidelines. Acts as the point of notification and contact for associates regarding any incident or injury that could or has resulted in a claim. Manages litigated and moderately complex claims. Assist in the management of safety and environmental issues as directed. Manages accountabilities in the administration of first and third party worker’s compensation claims. Understands and communicates claims management philosophy and strategy to various business units. Builds, maintains, and manages relationships with HR, claims adjusters, insurers, outside legal counsel, and other claims related parties. Ensures external reporting requirements are met. Manages the design, analysis and delivery of claim information which influences risk management behavior through performance metrics and benchmarking. Reviews first and third party claims for irregularities, accuracy and completeness, along with requesting additional information, where necessary, for completion of claim processing. Maintains updated records and prepares required reports. Assists in claims cost control. Performs the design, analysis and delivery of claim information. Meet weekly with EHS and Legal to review all open claims and any potential new claims. Point of contact for all documentation regarding incident. This includes, but is not limited to, internal safety documentation and investigation details as well as any medical records relevant to the claim from outside providers and treatment notes or any third party details. Point of contact for all written and telephonic correspondence regarding the claim. Ensures confidentiality of all claims records. Review all open claims every 30 days for opportunities for claims management and partner with all relevant parties on a plan of action.
Qualification and Experience
REQUIREMENTS: Bachelor Degree in EH&S, Risk Management, paralegal certification or 5 years' relevant experience required. Knowledge of claims management related laws and medical and legal terminology. Strong interpersonal and communication skills, with ability to professionally communicate both verbally and written with employees and outside partners, recognizing and appropriately responding to others’ perspectives. Must be well organized, detailed oriented, and able to adjust to changing priorities. Must know, practice, and ensure that the company policies and procedures along with state and federal laws are followed at all times.
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