Claims/Insurance Specialist

Employer
Dartmouth College
Location
Hanover, NH

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Employment Type
Full Time
Institution Type
Four-Year Institution
Posting date:

01/04/2022

Open Until Filled:

Yes

Position Number:

1010922

Position Title:

Claims/Insurance Specialist

Department this Position Reports to:

Risk and Internal Controls Services

Hiring Range Minimum:

$30,240 (equivalent to $50,400 at 1.0 FTE)

Hiring Range Maximum:

$37,800 (equivalent to $63,000 at 1.0 FTE)

SEIU Level:

Not an SEIU Position

FLSA Status:

Exempt

Employment Category:

Regular Part Time

Scheduled Months per Year:

12

Scheduled Hours per Week:

24 (.6FTE)

Schedule:

Primarily M-F with flexible rotation of morning and afternoon hours totaling 24 hrs/week.

Location of Position:

6012 North Fairbanks
8 Cemetery Lane
Hanover, NH

Remote Work Eligibility?:

Hybrid

Is this a term position?:

No

Is this a grant funded position?:

No

Position Purpose:

The position is responsible for the investigation and management of workers’ compensation claims in compliance with applicable statutes, rules, regulations and policy provisions. The Specialist will support the administration of Dartmouth’s insurance program through managing workers’ compensation claims and providing underwriting support, evaluate and resolve claims in a timely manner in compliance with applicable statutes, rules, regulations and policy provisions.

Required Qualifications - Education and Yrs Exp:

3+ years of experience

Required Qualifications - Skills, Knowledge and Abilities:

  • Strong analytical and critical thinking skills that demonstrate sound decision making
  • Excellent communication and interpersonal skills
  • Ability to speak effectively before staff, faculty, and managers
  • Ability to compose professional letters, emails and file notes
  • Ability to provide a high degree of customer service
  • Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously
  • Computer literacy, including working knowledge of MS Office Product Suite,
  • Ability to travel for business purposes, approximately less than 5%
  • Commitment to diversity and to serving the needs of a diverse population
  • Desire to learn and grow
  • New Hampshire WC Adjuster’s License is required

Preferred Qualifications:

  • AIC designation is a plus

Department Contact for Cover Letter and Title:

Tina Feeney

Talent Acquisition Consultant:

Rabia Gandhi

Equal Opportunity Employer:

Dartmouth College is an equal opportunity/affirmative action employer with a strong commitment to diversity and inclusion. We prohibit discrimination on the basis of race, color, religion, sex, age, national origin, sexual orientation, gender identity or expression, disability, veteran status, marital status, or any other legally protected status. Applications by members of all underrepresented groups are encouraged.

Background Check:

Employment in this position is contingent upon consent to and successful completion of a pre-employment background check, which may include a criminal background check, reference checks, verification of work history, and verification of any required academic credentials, licenses, and/or certifications, with results acceptable to Dartmouth College. A criminal conviction will not automatically disqualify an applicant from employment. Background check information will be used in a confidential, non-discriminatory manner consistent with state and federal law.

Special Instructions to Applicants:

In accordance with federal requirements and guidance, all Dartmouth College employees must be fully vaccinated against COVID-19 or receive a qualifying medical or religious exemption from vaccination. Every offer of employment made is contingent upon submission of appropriate documentation evidencing either vaccination against COVID-19 or the receipt of an approved exemption. Failure to meet this condition of employment may result in Dartmouth in its sole discretion delaying your start date or rescinding its offer of employment. Visit https://dartgo.org/vaxpolicy to review the policy and for details and information on requesting an exemption and/or reasonable accommodation. Compliance with this policy is a condition of employment.

Quick Link:

https://searchjobs.dartmouth.edu/postings/61144

Description:

Claims Duties

  • Timely investigate assigned claims consistent with industry best practices.
  • Determine compensability and issue prompt payment or denial within statutory requirements.
  • Complete and file all applicable state mandated forms.
  • Determine potential subrogation and second injury fund recovery
  • Evaluate exposure and establish appropriate reserves with supporting rationale.
  • Communicate frequently with injured workers to maintain appropriate case management.
  • Collaboratively work with Dartmouth departmental supervisors to execute return to work strategies
  • Establish and implement pro-active action plans to facilitate case resolution.
  • Achieve appropriate balance between allocated expenses and loss outcome.
  • Review medical/vendor bills and issue timely payments consistent with payment protocols
  • Negotiate settlements within granted authority.
  • Attend hearings and appeals as required.
  • Identify and monitor claims requiring reporting to excess carriers.
  • Demonstrate technical proficiency through timely, consistent execution of claim management best practices
  • Distribute and ensure compliance with all workers’ compensation posting rules and regulations
  • Identify and implement loss control strategies
  • Keep abreast of jurisdictional requirements, applicable case law and insurance best pratices
  • Establish and maintain close working relationships with services providers and legal counsel
  • Support the insurance renewal and underwriting activities of the Office
  • Support and repsent the Office in other areas as needed

Percentage Of Time:

100

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Demonstrates a commitment to diversity, inclusion, and cultural awareness through actions, interactions, and communications with others.

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Performs other duties as assigned

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