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GENERAL SUMMARY

The Claims Specialist is responsible managing claims for the work injury, general liability, and property programs acting as an analyst for all claims, conducting safety and environmental investigations for the claims. Duties include collecting, analyzing, and evaluating safety, loss and accident data and providing recommendations to minimize hazards.

CORE SCOPE OF POSITION

Manages the Work Injury Program, including, but not limited to managing the relationship with insurance carriers and/or third-party administrators, monitoring claims, maintaining files and providing necessary support in defense of claims.
Designs and manages the Light Duty Program. Coordinates team member return-to-work status and acts as liaison between team members on light duty and their departments.
Maintains OSHA and Viejas work injury logs, including determining if an injury/illness is recordable.
Manages general liability claims, including, but not limited to managing the relationship with insurance carriers and/or third-party administrators, monitoring claims, maintaining files and providing necessary support in defense of claims.
Manages property claims, including filing claims with outside insurance carriers, providing necessary documents, and monitoring claims.
Conducts and reviews accident investigation reports to assess liability, damage or injury.
Collects, analyzes, and evaluates safety, loss, and accident data. Looks for patterns and recommends loss control measures.
Coordinates the collection of data between security, surveillance, and other appropriate sources.
Recommends changes that reflect improvement to eliminate workplace accidents and injuries.
Researches laws, regulations, codes, and best management practices in support of risk projects.
Provides analyses and research in support of proactive projects aimed at attaining best practices and continuous improvement of risk processes and practices.
Identifies and evaluates hazardous conditions and practices in the workplace and prepares recommendations for corrective action to eliminate or minimize potential hazards.
Complies with and follows company and departmental policies and standard operating procedures, and any applicable governmental laws and regulations.
Ensures that a clean, safe, hazard-free work environment is maintained.
Adheres to all company and department policies, procedures, and standard operating guidelines.
Performs other duties as assigned.

STYLE SERVICE COMMITTMENT

All Team Members commit to delivering Viejas STYLE Service, our own unique delivery of hospitality service that creates an experience our Guests never want to leave. As a Viejas Team Member, your commitment to

and upholding of
these standards is important and necessary to ensure Viejas is a place our Guests and Team Members enjoy as a place to stay, play, dine, and work!

INTERACTION

Interacts with internal and external guests with a positive attitude and professionalism at all times. Regularly interacts with senior management or executive levels on matters concerning several functional areas, divisions, and/or guests.

SUPERVISION

Does not provide supervision to other team members.

EDUCATION/CERTIFICATION

High school diploma or general education degree (GED).

EXPERIENCE

Must be 21 years of age or older.
2 or more years of related experience with workers compensation claims.

KNOWLEDGE AND SKILLS

Ability to work in a professional high-pressure environment while demonstrating and maintaining good personal relation/people skills and a positive attitude.
Ability to multitask and work well under stress.
Must be a self-starter and able to adjust to change.
Must be able to work flexible hours during the day or evening including weekends, holidays, and all blackout dates.
Excellent verbal, written, and interpersonal communication skills.
Excellent guest service and organization skills.
Knowledge of safety equipment and supplies.
Knowledge of occupational health, safety, and environmental compliance with applicable federal and state regulations and standards.
Knowledge of Windows, Excel, and Word software programs.

Hiring Preference The Viejas Band of Kumeyaay Indians is an equal opportunity employer. Consistent with tribal and federal law, the Viejas Band of Kumeyaay Indians applies Native American preference in hiring. #

INDHP Pay:

From $76,600.00 per year

Benefits:

401(k) 401(k) matching Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance Application Question(s): Are you at least 21 years of age or older? Are you able to successfully complete a criminal background check? Are you able to successfully complete a drug screen to include THC?

Experience:

related worker's comp claims: 2 years (Required) Shift availability: Day Shift (Required)

Work Location:

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Find & Apply For Claims Specialist / Adjuster / Examiner Jobs in Alpine, California

Claims and Safety Specialist