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Specialist, Workers' Compensation

icon building Company : Pilot Company
icon briefcase Job Type : Full Time

Number of Applicants

 : 

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Job Description - Specialist, Workers' Compensation

Company Description

Pilot Company is an industry-leading network of travel centers with more than 30,000 team members and over 750 retail and fueling locations in 44 states and six Canadian provinces. Our energy and logistics division serves as a top supplier of fuel, employing one of the largest tanker fleets and providing critical services to oil operations in our nation's busiest basins. Pilot Company supports a growing portfolio of brands with expertise in supply chain and retail operations, logistics and transportation, technology and digital innovation, construction, maintenance, human resources, finance, sales and marketing.

Founded in 1958 by Jim A. Haslam II and currently led by CEO Adam Wright, our founding values, people-first culture and commitment to giving back remains true to us today. Whether we are serving guests, a fellow team member, or a trucking company, we are dedicated to fueling people and keeping North America moving.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected under applicable federal, state, or local law.

Military encouraged to apply.

Job Description

*We are seeking applicants with a local presence in Knoxville, TN or the surrounding communities*

The purpose of this Knoxville, TN based job is to investigate and resolve incidents of workers’ compensation claims.

  1. Investigate, evaluate and resolve Medical Only and/or Lost Time employee injury claims
  2. Facilitate and coordinate injured team member’s medical care, calculate and pay benefits based on statutory guidelines
  3. Manage, document, analyze, negotiate and settle claims
  4. Manage and control claim related documentation including Personally Identifiable Information (PII) and Health Insurance Portability and Accountability Act (HIPAA) related information
  5. Provide reserve recommendation to Pilot Corporate Management for cases processed by TPA and applicable in-house claims
  6. Resolve conflicts with claims in collaboration with senior or more tenured adjuster
  7. Collaborate with defense counsel on litigation closure strategy
  8. Manage litigation to obtain favorable outcome and resolution
  9. Focus on loss prevention and hazard correction during claim handling
  10. Model behaviors that support the company’s common purpose; ensure guests and team members are supported at the highest level
  11. Ensure all activities are in compliance with rules, regulations, policies and procedures

 

Qualifications

  • This position requires candidates to be legally authorized to work in the United States without employer sponsorship.
  • High school diploma or equivalent certification required
  • Associate’s degree in business or related field preferred
  • Minimum three years’ experience in related work experience preferred
  • Intermediate Microsoft Office skills
  • Strong Excel skills
  • Strong conflict resolution and problem-solving skills
  • Ability to handle multiple tasks, meet deadlines and work independently
  • Professional demeanor when communicating in person, email or phone
  • Ability to work in a fast-paced environment
  • Strong attention to detail

 

Additional Information

  • Travel required less than 5%
  • General office work requiring sitting or standing for long periods of time

 

 

Original job Specialist, Workers' Compensation posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.
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