Specialist, Workers' Compensation

Pilot-Company-3; Knoxville (TN); On-site; USD 52,000 - 75,000; Full time

Benefits offered by this job

Medical/Dental/Vision plan

401(k)

Fuel discount

Adoption assistance

Tuition reimbursement

Onsite gym

Job summary

Pilot Company in Knoxville, TN is seeking an on-site Workers’ Compensation Claims Investigator. You will investigate, evaluate and resolve Medical Only and Lost Time claims, coordinate medical care, and manage claim documentation to ensure timely resolutions.

Ideal candidates have a high school diploma (associate preferred), at least 3 years’ experience, and strong conflict resolution and communication skills. This role requires U.S.

Qualifications

• High school diploma or equivalent required.
• Associate’s degree in business or related field preferred.
• Minimum three years’ experience in related work experience preferred.
• Strong conflict resolution and problem-solving skills.
• Ability to handle multiple tasks, meet deadlines and work independently.
• Professional demeanor when communicating in person, email or phone.
• Ability to work in a fast-paced environment.
• Strong attention to detail.
• Candidates must be legally authorized to work in the United States without employer sponsorship.

Responsibilities

• Investigate, evaluate and resolve Medical Only and/or Lost Time employee injury claims.
• Facilitate and coordinate injured team member’s medical care, calculate and pay benefits based on statutory guidelines.
• Manage, document, analyze, negotiate and settle claims.
• Manage and control claim related documentation including PII and HIPAA related information.
• Provide reserve recommendation to Pilot Corporate Management for cases processed by TPA and applicable in-house claims.
• Resolve conflicts with claims in collaboration with senior or more tenured adjuster.
• Collaborate with defense counsel on litigation closure strategy.
• Manage litigation to obtain favorable outcome and resolution.
• Focus on loss prevention and hazard correction during claim handling.
• Model behaviors that support the company’s common purpose; ensure guests and team members are supported at the highest level.
• Ensure all activities are in compliance with rules, regulations, policies and procedures.

Skills

Conflict resolution

Problem solving

Multitasking

Communication

Independent work

Detail-oriented

Fast-paced environment

Work authorization

Education

High school diploma

Associate’s degree in business or related field

Job description

Company Description

Pilot Company is an industry-leading network of travel centers with more than 30,000 team members and over 750 retail and fueling locations in 44 states and six Canadian provinces. Our energy and logistics division serves as a top supplier of fuel, employing one of the largest tanker fleets and providing critical services to oil operations in our nation's busiest basins. Pilot Company supports a growing portfolio of brands with expertise in supply chain and retail operations, logistics and transportation, technology and digital innovation, construction, maintenance, human resources, finance, sales and marketing.

Founded in 1958 by Jim A. Haslam II and currently led by CEO Adam Wright, our founding values, people-first culture and commitment to giving back remains true to us today. Whether we are serving guests, a fellow team member, or a trucking company, we are dedicated to fueling people and keeping North America moving.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected under applicable federal, state, or local law.

Military encouraged to apply.

Job Description

The purpose of this Knoxville, TN (on site) job is to investigate and resolve incidents of workers’ compensation claims.

• Investigate, evaluate and resolve Medical Only and/or Lost Time employee injury claims
• Facilitate and coordinate injured team member’s medical care, calculate and pay benefits based on statutory guidelines
• Manage, document, analyze, negotiate and settle claims
• Manage and control claim related documentation including Personally Identifiable Information (PII) and Health Insurance Portability and Accountability Act (HIPAA) related information
• Provide reserve recommendation to Pilot Corporate Management for cases processed by TPA and applicable in-house claims
• Resolve conflicts with claims in collaboration with senior or more tenured adjuster
• Collaborate with defense counsel on litigation closure strategy
• Manage litigation to obtain favorable outcome and resolution
• Focus on loss prevention and hazard correction during claim handling
• Model behaviors that support the company’s common purpose; ensure guests and team members are supported at the highest level
• Ensure all activities are in compliance with rules, regulations, policies and procedures

Qualifications

• High school diploma or equivalent certification required
• Associate’s degree in business or related field preferred
• Minimum three years’ experience in related work experience preferred
• Strong conflict resolution and problem-solving skills
• Ability to handle multiple tasks, meet deadlines and work independently
• Professional demeanor when communicating in person, email or phone
• Ability to work in a fast-paced environment
• Strong attention to detail
• his position requires candidates to be legally authorized to work in the United States without employer sponsorship

Additional Information

Nation-wide Medical Plan/Dental/Vision

401(k) and Flexible Spending Accounts

Employee Fuel Discount

Adoption Assistance

Tuition Reimbursement

Onsite Gym and Cafeteria

Weekly Pay

All your information will be kept confidential according to EEO guidelines