Specialist, Workers' Compensation

Pilot Flying J; Knoxville (TN); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical plan

Dental & Vision

401(k) plan

FSA

Fuel discount

Tuition reimbursement

Onsite gym

Weekly pay

Confidentiality per EEO

Job summary

Pilot Company in Knoxville, TN, on site, seeks an experienced Workers’ Compensation Claims Adjuster to investigate and resolve employee injury claims. You will coordinate medical care, calculate benefits, and ensure timely, compliant handling of claims.

Responsibilities include managing documentation (PII and HIPAA), negotiating settlements, and collaborating with defense counsel on litigation strategies. Strong Excel and MS Office skills and US work authorization required.

Qualifications

• High school diploma or equivalent required.
• Associate degree in business or related field preferred.
• Minimum three years’ experience in related work experience preferred.
• Intermediate Microsoft Office skills.
• Strong Excel skills.
• 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.
• 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.

Skills

Excel skills

MS Office

Conflict resolution

Problem solving

Multitasking

Professional demeanor

Fast-paced environment

Attention to detail

US work authorization

Education

High school diploma or equivalent

Associate’s degree in business

Job 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
• Intermediate Microsoft Office skills
• Strong Excel skills
• 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