General Liability Attorney Rep Claims Specialist, Risk Mgmt Lakeland
About the position
In the Risk Management department at Publix, the General Liability Claims Specialist plays a crucial role in managing and adjudicating a variety of general liability claims. This position is primarily focused on analyzing low and mid-level bodily injury claims, ensuring that all claims are handled in accordance with company standards and industry best practices. The Claims Specialist is responsible for conducting thorough liability assessments for both non-litigated and attorney-represented customer claims, as well as handling specific events related to Fleet, CQA, QRE, and Crime and Casualty incidents. This role also involves the preliminary identification of subrogation opportunities, which is essential for effective claims management. The General Liability Claims Specialist works within a team of approximately 80 associates in the Customer Claims Unit (CCU) and the Represented Claims Unit (RCU). Reporting directly to a Represented Claims Supervisor and Manager, the Specialist is tasked with analyzing, investigating, and adjusting claims to reach resolutions. This includes evaluating potential risk transfer referrals and overseeing the administrative functions necessary for resolving claims against third parties. The role requires entering detailed claim information into the Risk Management claims system and ensuring compliance with federally mandated Medicare reporting on settled claims. Additionally, the Claims Specialist is responsible for developing action plans for managing litigated claims throughout the handling process and identifying liability claims that may necessitate special risk mitigation strategies. The position may also involve other responsibilities as assigned, making it a dynamic role within the organization.
Responsibilities
Analyze and adjust low and mid-level general liability bodily injury claims.
,
Conduct liability assessments for non-litigated and attorney-represented customer claims.
,
Handle Fleet, CQA, QRE, and Crime and Casualty events.
,
Identify subrogation opportunities for claims.
,
Enter claim details into the Risk Management claims system.
,
Review and analyze negotiation/settlement claim details, ensuring compliance with Medicare reporting.
,
Develop action plans for managing litigated claims during the handling process.
,
Identify liability claims requiring special risk mitigation consideration.
,
Perform additional responsibilities as assigned.
Requirements
High School diploma or equivalent experience.
,
2 years of liability claims handling experience.
,
Knowledge of general liability principles, legal negligence, and insurance adjusting procedures.
,
Strong analytical, negotiating, written and verbal communication, problem-solving, organizational, and time management skills.
,
Ability to manage confidential and sensitive information with discretion and independent judgment.
,
Basic knowledge of Microsoft Word and Excel.
,
Availability to work extended hours, travel locally, and work nights as needed.
Nice-to-haves
Bachelor's degree in any discipline.
,
3+ years of liability claims handling experience.
,
Paralegal Certification.
,
Active Florida All Lines Adjuster's License.
,
Knowledge of state-specific legal issues and burden of proof relating to General Liability and Auto negligence.
,
Intermediate skills in Microsoft Word and Excel.
,
Basic skills in Microsoft PowerPoint.
,
Experience with Risk Management Claims Systems and/or Medicare Reporting Systems.
Benefits
401(k) retirement savings plan
,
Dental insurance
,
Disability insurance
,
Employee stock ownership plan
,
Health insurance
,
Paid parental leave
,
Paid time off
,
Tuition reimbursement
,
Free hot lunches at facilities with a cafeteria
,
Year End Bonus (13th month of pay)
Apply Now
In the Risk Management department at Publix, the General Liability Claims Specialist plays a crucial role in managing and adjudicating a variety of general liability claims. This position is primarily focused on analyzing low and mid-level bodily injury claims, ensuring that all claims are handled in accordance with company standards and industry best practices. The Claims Specialist is responsible for conducting thorough liability assessments for both non-litigated and attorney-represented customer claims, as well as handling specific events related to Fleet, CQA, QRE, and Crime and Casualty incidents. This role also involves the preliminary identification of subrogation opportunities, which is essential for effective claims management. The General Liability Claims Specialist works within a team of approximately 80 associates in the Customer Claims Unit (CCU) and the Represented Claims Unit (RCU). Reporting directly to a Represented Claims Supervisor and Manager, the Specialist is tasked with analyzing, investigating, and adjusting claims to reach resolutions. This includes evaluating potential risk transfer referrals and overseeing the administrative functions necessary for resolving claims against third parties. The role requires entering detailed claim information into the Risk Management claims system and ensuring compliance with federally mandated Medicare reporting on settled claims. Additionally, the Claims Specialist is responsible for developing action plans for managing litigated claims throughout the handling process and identifying liability claims that may necessitate special risk mitigation strategies. The position may also involve other responsibilities as assigned, making it a dynamic role within the organization.
Responsibilities
Analyze and adjust low and mid-level general liability bodily injury claims.
,
Conduct liability assessments for non-litigated and attorney-represented customer claims.
,
Handle Fleet, CQA, QRE, and Crime and Casualty events.
,
Identify subrogation opportunities for claims.
,
Enter claim details into the Risk Management claims system.
,
Review and analyze negotiation/settlement claim details, ensuring compliance with Medicare reporting.
,
Develop action plans for managing litigated claims during the handling process.
,
Identify liability claims requiring special risk mitigation consideration.
,
Perform additional responsibilities as assigned.
Requirements
High School diploma or equivalent experience.
,
2 years of liability claims handling experience.
,
Knowledge of general liability principles, legal negligence, and insurance adjusting procedures.
,
Strong analytical, negotiating, written and verbal communication, problem-solving, organizational, and time management skills.
,
Ability to manage confidential and sensitive information with discretion and independent judgment.
,
Basic knowledge of Microsoft Word and Excel.
,
Availability to work extended hours, travel locally, and work nights as needed.
Nice-to-haves
Bachelor's degree in any discipline.
,
3+ years of liability claims handling experience.
,
Paralegal Certification.
,
Active Florida All Lines Adjuster's License.
,
Knowledge of state-specific legal issues and burden of proof relating to General Liability and Auto negligence.
,
Intermediate skills in Microsoft Word and Excel.
,
Basic skills in Microsoft PowerPoint.
,
Experience with Risk Management Claims Systems and/or Medicare Reporting Systems.
Benefits
401(k) retirement savings plan
,
Dental insurance
,
Disability insurance
,
Employee stock ownership plan
,
Health insurance
,
Paid parental leave
,
Paid time off
,
Tuition reimbursement
,
Free hot lunches at facilities with a cafeteria
,
Year End Bonus (13th month of pay)
Apply Now