Summary Statement:
The Risk Management Specialist is responsible for overseeing the administrative operation and functions of the Risk Management office and provides direct administrative support to the Risk Manager and Claims Examiner.
PrimaryJob Duties:- Includes but is not limited to:
Initiates contact with employees, supervisors, TPA Adjuster, and doctor's office regarding Lost time workers' compensation claims.
Establishes and maintains case files in the risk management system, logs, and indexes, reviews documentation and records.
Liaison between department managers and workers compensation TPA to ensure proper communication with property workers compensation program for lost time work comp cases.
Provide Administrative Support to Risk Management department including answering phones, responding to emails, working as directed on general liability claims at the direction of the risk manager.
Use personal device/cellular phone for job related operational tasks, job duties, review of company documents, etc.
Perform other job-related duties as assigned by the risk manager.
Review and maintain the certificates of insurance in the database (spreadsheet) and approve certificates of insurance.
Management of the evidence room as directed by the risk manager.
Qualifications: Includes but is not limited to:
Working knowledge of the principles of general liability claims.
Basic medical terminology related to the cause and treatment of occupational injuries and diseases and Nevada work comp laws.
Practices and procedures of claims management including investigation and evaluation as directed by the risk manager.
Understanding of litigation processes in direct support of the risk manager.
Communicate effectively with a variety of individuals representing diverse cultures and backgrounds and function calmly in situations which require a high degree of sensitivity, tact, and diplomacy
Ability to work varied shifts, including nights, weekends, and holidays.
Preferred:
Working knowledge of claim systems.
Knowledge of general liability, business auto claims, and workers compensation processing.
Basic understanding of certificates of insurance.
Knowledge of and support of litigation processes and discovery.
Prior experience with managing office with high volume in-coming (internal and external) phone calls and mail.
Previous experience working in a large, luxury resort setting.
Minimum Education and Experience:
Preferred:
Certificates, Licenses, Regulations:
At Resorts World Las Vegas, we believe that every member of our team is an ambassador and is essential to the success of our company. We expect all Team Members to take personal ownership in ensuring everything they do is in the best interest of the company and that all will adhere to our five core non-negotiable responsibilities.
- Everyone is an Ambassador-No matter where you work at Resorts World Las Vegas, it is your responsibility to treat this property like you would your own home. No one gets hurt, everyone feels secure, the environment is clean, and every guest gets what they need.
- Everyone works in Safety-If you have a safety concern, it is your responsibility to address it by correcting it or notifying the appropriate department or individual.
- Everyone works in Security-If you See Something, it is your responsibility to Say Something. You must notify the appropriate department or individual if you feel there is a security concern.
- Everyone works in EVS-If there is trash on the floor, it is your responsibility to pick it up. If it is a mess that needs more attention, it is your responsibility to notify the appropriate department or individual.
- Everyone works in Guest Experience-If a guest needs assistance, it is your responsibility to assist that guest and do so with a smile. If the guest needs more assistance than you can provide, it is your responsibility to notify the appropriate department or individual.