Claims Specialist - US

JOB DESCRIPTION

Title

Project Workers' Compensation Claims Administrator - Thacker Pass Project

Reports To

Overview:

The Claims Administrator is responsible for implementing all aspects of the project workers'

compensation program under the guidance of Bechtel claims team. This position will also assist

with the administration of auto and other insured claims. The position is located at the project

construction site in Winnemucca, Nevada, and is not remote work. The anticipated work schedule is

Monday through Saturday, 6:00 a.m. to 4:30 p.m. While this is an AON contingency position, the

employee is seconded to Bechtel. The Claims position works under the direction of Bechtel Head of

Workers' Compensation and the AON Claims Director, acting independently to manage routine matters

while keeping Bechtel Claims fully informed at all stages.

Responsibilities:

• Communicates effectively with injured workers, medical professionals, insurers, brokers,

internal/external counsel, corporate management, and various related regulatory

agencies.

• Develops and maintains project-specific workers' compensation claims manual, compliance of

ESIS NV provider panel, related processes and procedures for statutory claims. Implements

improvements based on lessons learned, legislative changes or Court decisions, and Bechtel

operating imperatives.

• Develops and provides onsite training related to workers' compensation.
• Monitors claims activity to identify early negative claim trends or other issues

that may negatively impact project performance.

• Is responsible for oversight and processing of workers' compensation claims:

o Responsible for initiating, preparing, and maintaining all documentation

associated with claims.

o Investigates and documents eligibility for workers' compensation benefits and

communicates same to insurer and related interested parties.

o Assists with investigation and coordination of issues surrounding subrogation.

o Interprets laws and regulations, determines appropriate courses of action, and

presents solutions to resolve the claims.

o Identifies potential subrogation issues, for internal discussion and next steps.

o Monitors claim resolution activities implemented by insurer(s).

o Maintains Project Risk Management Information System (RMIS).

• Directs and monitors the activities and performance of Bechtel's insurance provider to

ensure compliance with applicable regulations.

o Implements, monitors, and ensures compliance of "Special Account"

requirements.

o Conducts regular claim reviews, claim audits and prepares related reports.

o Interfaces with insurer to effectively manage claims, including but not limited to

authorizing claim reserve changes, authorizing insurer referral to outside

counsel, and assessing and approving settlement strategies.

• Coordinates and supports early return to work.

o Manages relationships with onsite clinic, panel physicians and other medical

providers, to ensure effective claims management and return to work.

o Works with injured worker and supervision on developing and implementing

return to work plan.

o Assists in management fitness for duty and ADA accommodation issues as

needed.

• Assists Bechtel Risk Management in the defense of litigation or other complex case

support. (i.e., responding to interrogatories and other discovery requests).

• Assists with gathering information and filing other insured claims as requested.
• Performs other tasks as required by Bechtel Claims.

Requirements:

• Requires a Bachelor's Degree or at least 3 years of experience in the field or in a related

area.

• Extensive knowledge of / experience with workers' compensation and occupational

rehabilitation procedures, practices and processes.

• Extensive knowledge of claim's resolution techniques and strategies, legal principles

related to claim resolution and familiarity with all phases of the litigation process.

• Working knowledge of / experience with bodily injury and 1st and 3rd party property

damage claims practices and processes.

• Working knowledge of / experience with and other insured claims practices and

procedures.

• Relies on experience and judgment to plan and accomplish goals.
• Highly skilled in written and verbal communication.
• Proficient with computer skills and knowledge.
• Ability to create, edit, and format high-quality documents using Microsoft Word 365

applications (Outlook, Word, Excel, Power Point, etc.)

• Collaborate with team members in real time through Outlook and Teams applications.
• Typing skills / proficiency (45-65 WPM).
• Bilingual language proficiency (i.e., English and Spanish) is a plus.