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Our West Houston client has an immediate need for a General Liability Claims and Guest Relations Specialist:
Primary Responsibilities:
Works as a Staff Adjuster using Risk Management system to manage an assigned caseload focusing on Guest Relations and Claims Management which includes making decisions about
liability/compensability, evaluating losses, and negotiating settlements.
Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties. Locate and interview guests, employees and/or witnesses to determine liability and claim
value, maintain contact with employees and customers, provide information,
explain benefits and coordinate claims resolution.
Utilize diary management to ensure that all claims are handled timely and managage case back-log. At required time intervals, evaluate liability and manage medical issues and review medical
records to make a determination on the cost of the claims. Process and
distribute medical reimbursements. Verify medical provider bills for reasonable
and customary charges.
Occasionally, attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed acting within established professional guidelines and have knowledge of the
applicable state laws.
Manage the guest relation’s process by entering customer comments into guest relations matters into database, forward comments to assigned department/division/management, and provide regular status
updates to customers.
Occasionally, assist department/division/management on the investigation of guest matters by contacting facility location and inquiring with management and employees
regarding on the matter.
Assist in development of new programs and services as they relate to Guest Relations and Human Resources.
Preferred Qualification:
Bachelor’s Degree preferred.
Multiple years experience in handling general liablity claims as an adjuster.
Texas adjuster license preferred.
Knowledge of Tort and Liability statutes in jurisdictions in some of the states which we operate is required.
Skilled in liability and damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law, and have knowledge in
litigation management.
Claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims.
Knowledge of medical terminology recommended.
Strong negotiating, presentation skills and organizational skills are necessary.
Must have effective written and verbal communication skills to provide information in a clear and concise manner to communicate with a variety of individuals and to
understand, synthesize, interpret and convey, in a simplified manner, complex
data and information to audiences with varying levels of expertise.
Regular attendance is required.
Please visit us on the web at www.frontlinesourcegroup.com
Equal Opportunity Employer, M/F/V/D. Candidates must have authorization to work in the U.S. Clients will not sponsor visas.
Frontline Source Group™ is one of the fastest growing Information Technology, Accounting, Legal, Human Resources, Administrative, and Clerical staffing and direct hire firms with offices
throughout Texas, Tennessee, and Arizona, with locations in: Austin, Dallas,
Fort Worth, Plano, Houston, Sugar Land, The Woodlands, Nashville and
Phoenix.
Frontline specializes in matching top talent with companies for direct, contract, and contract-to-hire placements. We work with clients and candidates in all areas of the United States and Canada.
Frontline Source Group is a proud sponsor of www.jobertalk.com. Please visit the site to get involved with social job networking across the web.
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