Bilingual Claims Specialist — Workers' Comp & Liability

Socket.dev; Ontario (CA); On-site; USD 30,000 - 32,000; Full time

Job summary

Heritage Grocers Group, LLC is seeking a Claims Specialist to direct and process workers' compensation and general liability claims. You will coordinate with store admins, HR, clinics, insurers, and legal representatives to ensure timely, accurate claim handling.

Ideal candidates have 1–3 years in claims management, bilingual Spanish skills, and strong attention to detail. This office-based role emphasizes data accuracy and cross-functional communication in a dynamic environment.

Qualifications

• Attention to detail and thoroughness of work completed.
• Positive attitude and ability to manage multiple tasks at once.
• Timely execution of deliverables.
• Proficiency in typing required.
• Basic to intermediate proficiency with Microsoft Office applications.
• Excellent communication, collaboration, organizational, and critical thinking skills.

Responsibilities

• Oversee and navigate the complete lifecycle of the workers' compensation claims and general liability claims, guaranteeing precise and punctual resolution.
• Evaluate and review all claim intake paperwork for accuracy.
• Ensure the claim files follow company best practices.
• Report on-the-job injuries of team members to the third-party administrator via online portal within 24-hours of receipt of injury.
• Report customer incidents and injuries to the third-party administrator via online portal within 24-hours of receipt of Letter of Representation or failure to resolve the incident in-house.
• Maintain incident and claim information in the claims' assignment log and in the SharePoint folder.
• Monitor to ensure all the necessary paperwork is submitted to the third-party administrator.
• Communicate with injured team members, store administrators, store directors and insurance adjusters to provide updates on claims and medical status.
• Monitor the claims to ensure they are processed accordingly, and that proper medical treatment is provided to the injured team member.
• Provide support to store administrators/store directors for submission of transitional work report documents and ensure modified work restrictions are being followed.
• Investigate, address, and resolve any inconsistencies in the handling of the claims.
• Communicate to insurance adjusters, legal representatives, and other outside parties with questions involving medical/indemnity/litigated claims within 24 hours.
• Collaborate with the Safety Department when a workplace danger or safety risk is recognized for investigation and documentation.
• Prepare and analyze various reports - disbursement expenses such as replenishment and claim activity payments from Third Party Administrators.
• Adhere to strict confidentiality and ethical standards when handling sensitive claim information.
• Other projects and duties as assigned.

Skills

Attention to detail

Typing

Communication

Collaboration

Organizational skills

Critical thinking

Education

High School Graduate

Tools

Microsoft Office

Job description

Heritage Grocers Group, LLC is seeking a Claims Specialist to direct and process workers' compensation and general liability claims. You will coordinate with store admins, HR, clinics, insurers, and legal representatives to ensure timely, accurate claim handling.

Ideal candidates have 1–3 years in claims management, bilingual Spanish skills, and strong attention to detail. This office-based role emphasizes data accuracy and cross-functional communication in a dynamic environment.