Claims Analyst I

Job Posting End Date: Until Filled

Shift:                               1st

Security Clearance:      No Clearance

SUMMARY

Administer self-insured Workers’ Compensation claims. Reports to the Workers’ Compensation Manager.  Communicate with Claims Examiners, Claims Analysts, Workers’ Compensation Admin Supervisor, Workers’ Compensation Administrator, Workers’ Compensation Manager, Workers’ Compensation Assistants, Production, Human Resources, Medical Providers, Vendors, Attorneys, Injured workers, Department of Labor officials, and State WCAB officials.

ESSENTIAL FUNCTIONS AND DUTIES

• Administer Workers’ Compensation claims under the direction of the Workers’ Compensation Manager.

• Progressively complete milestones toward assuming the role of Claims Examiner, including designated Workers’ Compensation educational modules; company will pay 100% of approved tuition and provide required materials.
• Initiate and successfully complete coursework toward the Claims Practitioner in Workers’ Compensation (CPWC) certificate, beginning with the introductory course, Foundations of Workers’ Compensation.
• Develop proficiency with claims and medical terminology, standard claim forms, and established claims handling procedures.
• Learn to identify, classify, and administer various types of Workers’ Compensation claims (e.g., scheduled vs. unscheduled) and settlement types and stipulations (e.g., 908(i), 908(c), Compromise & Release, stipulations).
• Participate in and perform claim investigations, including maintaining claims files; learn to review and evaluate coverage and/or liability, and to obtain, analyze, and clearly document all necessary information.
• Ensure claim payments are processed accurately and in a timely manner.
• Learn to establish, document, and monitor claim reserves at appropriate intervals.
• Ensure claims handling is conducted in compliance with applicable statutes, regulations, and other legal requirements, and in accordance with company policies and management directives.
• Communicate claim information (e.g., work status, outcomes, decisions) clearly and professionally to all appropriate parties.
• Collaborate closely with the Workers’ Compensation Manager and other Workers’ Compensation staff.
• Successfully complete all assigned coursework and educational requirements.
• Actively participate in the implementation and monitoring of continuous improvement initiatives to enhance safety, improve quality, reduce cycle time, and control costs.

• Perform other duties and responsibilities as assigned.

SKILLS AND QUALIFICATIONS

• Bachelor’s degree in Business (Finance or Management preferred); Liberal Arts degrees will also be considered.

• Entry-level position

• Demonstrated ability to be alert, analytical, and composed, with strong interpersonal skills and a consistently positive, professional attitude.
• Demonstrates a great attitude, including openness to feedback, teamwork, and a willingness to learn.
• Strong verbal and written communication skills.
• Proven ability to manage and prioritize multiple assignments in a fast-paced environment.
• Excellent customer service orientation, including prompt and professional responses to customer needs.
• High attention to detail and accuracy.
• Strong organizational skills with the ability to meet deadlines.
• Proficiency with Microsoft Word and Outlook.

PHYSICAL DEMANDS  

Physical requirements consist of four (4) to six (6) hours/day keyboarding activities, lengthy periods in sitting position. Working environment consists of an office setting.   Periodic walking and standing required.

ACCOUNTABILITY

• Claim cost control.
• Full resolution of Employer’s liability for Workers’ Compensation benefits. 
• Timely resolution of claims.
• Ensure accurate and timely benefits (payments, notices, etc.).
• Ensure accurate reserves.

PAY SCALE 

$60,500 - $90,800 

This pay range is a reasonable estimate of the salary range for this role. It takes into account the wide range of factors considered in making compensation decisions; including but not limited to skill sets, experience, training, and education. General Dynamics NASSCO also provides a variety of benefits including medical & dental insurance coverage, 401(k) retirement savings plan, flexible spending accounts/HSAs, life and disability insurance, company paid holidays and paid time off (PTO), wellness coaching, and an onsite health services. 

General Dynamics NASSCO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other basis protected by local, state, or federal law.

To learn more about applicant rights under federal law, click here:

Know Your Rights: Workplace Discrimination is Illegal

If you have a disability that impacts your ability to complete the job application process and would like to request an accommodation, please contact our Human Resources Department.

Call (619) 544-8511 or email nasscohr@nassco.com. This contact information is for accommodation requests only, not to inquire about the status of applications.

NASSCO is an Equal Opportunity / Individuals with Disabilities / Protected Veterans Employer