Our West Houston client has an immediate need for a General Liability Claims and Guest Relations Specialist:
Primary Responsibilities:
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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.
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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.
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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.
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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.
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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.
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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.
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Assist in development of new programs and services as they relate to Guest Relations and Human Resources.
Preferred Qualification:
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Bachelor’s Degree preferred.
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Multiple years experience in handling general liablity claims as an adjuster.
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Texas adjuster license preferred.
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Knowledge of Tort and Liability statutes in jurisdictions in some of the states which we operate is required.
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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.
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Claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims.
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Knowledge of medical terminology recommended.
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Strong negotiating, presentation skills and organizational skills are necessary.
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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.
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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.
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