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Claims Administrator

Emeryville, CA, United States

About Grocery Outlet:

Our Mission:

Touching lives for the betterOur Vision:

Touching lives by being the first choice for bargain-minded consumers in the U.S.Our Values & Behaviors:

Achievement, Diversity, Entrepreneurship, Family, Fun, Integrity & ServiceAbout the Team:

The claims management function is part of our Legal Department, and the Claims Administrator would report to our Senior Risk Manager. Our Legal team's mission is to help our business succeed by mitigating risk and loss and insuring safe keeping of the company's assets. Our team is a fun, business-oriented group that prides themselves on being diplomatic, equitable, highly analytical, and exceptional communicators.

About the Role:

This position will be responsible for administering the handling of all General and Product Liability, Auto, Workers Compensation and Property claims including receiving and recording, investigation, degree of liability, subrogation and recovery, and record retention.

Responsibilities Include:

Receive and review all claims for accuracy and data completion.Analyze and process claims by investigating and gathering information to determine the exposure.Report all claims to third party administrators and insurance companies.Work with the appropriate supervisors to review incidents, conduct root cause analysis, follow up with witness statements, video retention and ensure appropriate follow up.Track and update claim database with new notes, financials and claim documents.Prepare claim documents for settlement and presentation for Risk Manager's approval and follow-up to ensure closure with the insurers and third-party administrator.Prepare monthly and quarterly Risk Management status reports, ad hoc loss runs and other claim data analyses from the third-party administrator system, company information and other sources.Interact with injured employees to ensure awareness and understanding of the workers' compensation process and requirements.Work with the benefits department to account for employee absences due to workers compensation injuries to avoid duplication of pay.Join forces with Safety, Human Resources, supervisors, and administrators to facilitate reporting of work-related illnesses and injuries and return to work.Coordinate ergonomic evaluations with vendor and injured worker.Coordinate quarterly claim reviews with third-party administrators.Determine and validate if claims fall under subrogation. Identify legal liability and pursue, negotiate, and settle subrogation collection. Collaborate with other members of the Legal team to resolve.Interact with transportation supervisor to gauge fleet safety and provide directions for opportunities to improve performance.Prepare OSHA 300 logs, Annual Summary and OSHA 301 Incident Report forms.Develop dashboard and metric reporting of claims and benchmarks, proficiency with systems and reporting.Develop procedures and processes for claims, including written communications and cross-departmental training.Certificates of Insurance - coordinate and manage third party certificates (product, professional providers), including implementing a software program to manage them.Assist in data collection related to insurance policy applications across all lines of business coverage.Other projects and assignments as needed and instructed by the Risk ManagerAbout The Pay:

Base Salary Range: $70,000 - $80,000 AnnuallyAnnual Bonus ProgramEquity401(k) Profit SharingMedical, Dental, Vision & More!Final compensation will be determined based upon experience and skills and may vary based on location.About You:

Bachelor's Degree Preferred or any equivalent combination of education and/or related experience.3-5 years Claims Management/Administration experience.Good interpersonal skills with ability to work across all levels of the organization.Excellent communication skills - verbal and written.Good organizational and analytical abilityAbility to muti-task and manage a caseload of claims with associated deadlines and requirements.Able to work as part of a team as well as ability to take initiative and work independently - a self-starter.Good problem-solving and negotiating skills.Excellent attention to detail and accuracyProficient in MS Office suite of tools (Excel, Access, Word, PowerPoint)

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Claims Administrator jobs in Emeryville, CA, United States

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