Claims & Risk Management Coordinator

Job Description

The Claims and Risk Coordinator will be responsible for managing claims and performing day to day insurance related administrative tasks.

Job Responsibilities

• Lead by example and place Quality, Health & Safety, Security, and the protection of the Environment as core values while never intentionally placing employees, our processes, customers, or the communities in which we live and work at risk

• Work closely with vendor within their portal, Risktrack, to support and handle a caseload of illness or injury cases, serving as the primary point of contact (POC) for injured personnel (IP), providers, insurance carriers, medical providers, and other stakeholders

• Coordinate care for IP with vendor, including arranging for payment of medical bills, providing guarantor letters, and coordinating payment through finance and third-party medical review/reduction providers

• Track and log all costs, such as paid receipts, maintenance paycheck stubs, medical bills, third-party adjustor costs, and legal fees

• Track and file all communications related to a claim.

• Provide regular updates to clients on status of their cases and address any questions or concerns they may have.

• Gather information, develop strategies, and achieve optimal outcomes for clients in collaboration with stakeholders.

• Maintain accurate and up-to-date records for each case, including medical records, claim forms, photos, emails and other relevant documentation.

• Advocate for clients’ rights and entitlements throughout claims process, ensuring they receive the appropriate medical treatment and compensation they deserve.

• Report new all claims or assist the business with reporting requirements as necessary.

• Work with finance to ensure timely processing of payment and submit bills to insurance carriers for payment.

• Manage employee maritime claims with underwriters by assisting in the coordination of medical care, arrange for payment of bills, track and file all medical expenses, legal fees, communications with third party medical review panels, among other duties.

• Report and manage the region’s property and auto claims and assist with gathering information needed for the reporting of said claims and management of various liability claims and maritime employer’s liability (i.e. Jones Act) claims.

• Submit Department of Labor (DOL) paperwork as requested, i.e. Workers Compensation forms.

• Ensure certificates of insurance (COI) are provided and received in a timely fashion.

• Drive the data collection process for insurance renewals and audits as needed.

• Use a Risk Management information System (RMIS) system to generate, review, and distribute claims and loss run reports to business management.

• Support compliance efforts with all relevant regulations and industry standards related to insurance and risk management.

• Stay informed about development in laws, regulations, and best practices related to offshore cases and workers’ compensation claims and incorporate this knowledge into day-to-day operations.

• Ensure accordance to company standards, industry standards, QHSSE policy and local regulations.

Job Requirements

• Legally authorized to work in the United States without restrictions.

• Possess an Associates or certification in healthcare administration, nursing, case management, legal studies.

• Must have 3 years or more experience in claims management, coordination, and record keeping in a corporate setting, risk management group, third-party administrator, insurance broker, or similar.

• Certified Case Manager a plus, but not required.

• Must have excellent and effective oral and written communication, interpersonal, and organizational skills.

• Must be highly detail oriented with an ability to manage multiple tasks and changing priorities.

• Possess strong working knowledge of computers and fluent in a variety of software applications (including but not limited to MS Office)

• Advanced knowledge of Windows operating system, including but not limited to Windows 7.

What’s in it for you?

At Fugro, our people are our number one priority and central to our purpose to create a safe and livable world. Our values set the foundation for our unique culture: we are determined to deliver, we prepare for tomorrow, we do what’s right, and we build trust. Our talent philosophy is seeded by our values and fueled by a passion for learning, developing leadership behaviors, transparency, and accountability.

Fugro offers opportunities to sharpen skills and provide career growth through on-the-job learning experiences, LinkedIn Learning access, business and technical training, and leadership development programs.

We value the mental, physical, and financial health of our employees and their families and offer a variety of flexible work models. Fugro USA’s comprehensive benefits package also ensures you have choices that fit your needs at any life stage.

Disclaimer for recruitment agencies:

Fugro does not accept any unsolicited applications from recruitment agencies. Acquisition to Fugro Recruitment or any Fugro employee is not appreciated**.**

Fugro USA posting Disclaimer

Fugro is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors.

Individuals with disabilities needing assistance in the recruitment process are encouraged to contact Human Resources directly at 713-369-5600, option 5 or recruiting.usa@fugro.com.

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