Insurance Claims Processing Jobs in Boca Raton, FL

About Suffolk  

Suffolk is a national enterprise that builds, innovates, and invests. We provide value across the entire project lifecycle through our core construction management services and complementary business lines in real estate investment, design, self-perform construction, and technology start-up investment (Suffolk Technologies). By integrating data, artificial intelligence, and advanced technology through our Seamless Platform, we connect design, construction, and operations to deliver smarter, more predictable results and redefine how America builds. 

Suffolk - America's Contractor - is a national company with more than $9 billion in annual revenue, 3,000 employees, and 17 offices, including Boston (headquarters), New York City, Miami, West Palm Beach, Tampa, Estero, Dallas, Los Angeles, San Francisco, San Diego, Las Vegas, Herndon, U.S. Virgin Islands, and other key markets. Suffolk manages some of the most complex and transformative projects in the country, serving clients across healthcare, life sciences, education, gaming, aviation, transportation, government, mission critical, and commercial sectors. Suffolk is privately held and is led by founder, chairman and CEO John Fish. Suffolk is ranked #8 on ENR's list of "Top CM-at-Risk Contractors." For more information, visit www.suffolk.com and follow Suffolk on Facebook, Twitter, LinkedIn, YouTube, and Instagram. 

At Suffolk, we believe that our total rewards program should offer you and your family the support you need when it matters most. That's why we have created a program that provides employees with access to a wide variety of options that can be personalized to support you and your loved ones physically, emotionally, and financially. 

Benefits include, competitive salaries, auto allowances and gas cards for certain roles, access to market leading medical and emotional and mental health benefits, dental, and vision insurance plans, virtual care options for physical therapy and primary care, generous paid time off, 401k plan with employer match and access to expert financial resources, company paid and voluntary life insurance, tax deferred savings accounts, 10 backup daycare days each year, short- and long-term disability, commuter benefits and more. For more information, clickhere. 

This role can sit in Boston or West Palm Beach. 

In office 5 days a week. 

The Claims Specialist under the supervision of the Director of Claims is responsible for proactively investigating, managing, and resolving Workers' Compensation, General Liability, and Automobile Liability claims. The Claims Specialist will timely and accurately process all claims from filing to closure in accordance with Suffolk Construction Company, Inc., best practices and state regulations.  The Claims Specialist will work closely with Suffolk's carriers, brokers, operations team, and attorneys to achieve the best possible outcome for each claim.  The Claims Specialist will assist in the implementation and maintenance of processes and procedures to eliminate, mitigate, and control the financial impacts of losses across several lines of business.

Responsibilities:

• Review, investigate, analyze and adjust claims in accordance with current laws and regulations.
• Report new incidents to the appropriate insurance carriers.
• Assist with risk transfer efforts, including drafting tender letters.
• Establish and maintain working relationships with claimants, employees, medical providers, Suffolk's insurance broker, insurance carriers and outside defense counsel to ensure timely and accurate liability decisions.
• Determine when vendor involvement is necessary, such as medical case management, vocational rehabilitation counseling, legal, surveillance, etc. and direct and monitor the vendor services to ensure the effective cost containment of expenses on claims.
• Initiate "Three-Point Contact" with Suffolk's insurance carrier(s), injured employee, and medical provider.
• Initiate, coordinate and ensure early return to work efforts.
• Review progress of claims internally, providing a well-documented action plan.
• Attend conferences, hearings, and mediations as necessary to properly administer resolution of claims.
• Perform monthly job-site visits to engage operations in the claims process, meet with employees and subcontractors, and perform site safety checks.
• Stay apprised of current changes in the law, court rulings and related matters that might affect the handling of claims.
• Act as an internal claims resource to assist with investigating and compiling data and financial information to support Suffolk's position on claims.
• Participate in the administration of CCIP claims.
• Assist with discovery responses for litigated matters.
• Assist the claims, legal, risk, and operations departments with other duties as assigned.
• Pursue ongoing professional development opportunities.

Qualifications

• Education: Bachelor's degree
• Experience: 3-5 years of claims management experience or similar background in insurance industry and/or construction industry.
• Knowledge of workers' compensation laws and guidelines. (Preferred)
• Knowledge of legal and medical terminology. (Preferred)
• Knowledge of insurance claims adjusting. (Preferred)
• Excellent working knowledge of Excel, Word and Power Point.

Necessary Attributes

• Actively participate as a team member within the Claims Department and with all departments within the company.
• Excellent written and verbal communication skills.
• Highly developed interpersonal skills.
• Ability to prioritize multiple demands in a fast paced, changing work environment.
• Initiative to meet designated time tables with minimum supervision.
• Detail oriented.

While performing the duties of this job, the employee is regularly required to sit for long periods of time; talk or hear; perform fine motor, hand and finger skills in the use of a keyboard, telephone, or writing. The employee is frequently required to stands; walk; and reach with arms and/or hands. Specific vision abilities include close vision, distance vision, depth perception and the ability to adjust focus. The employee will spend their time in an office environment with a quiet to moderate noise level. Job site walking.

Suffolk provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, pregnancy or maternity, national origin, citizenship, genetic information, disability, protected veteran, gender identity, age or any other status protected by law.  This policy applies to recruiting, hiring, transfers, promotions, terminations, compensation, benefits, and all other terms and conditions of employment.  Suffolk will not tolerate any unlawful discrimination toward, or harassment of, applicants or employees by anyone at Suffolk, or anyone working on behalf of Suffolk.

The expected salary range for this position (Claims Specialist) in US-MA-Boston is between $78,000 and $106,000 USD.  This represents the typical salary range for this position and is just one component of Suffolk's total compensation package.  Actual salaries may be based on several factors including, but not limited to, skill set, experience, education and other qualifications.  Suffolk offers a comprehensive benefits package as part of its overall compensation strategy.  Salary ranges may differ by geography and are reviewed regularly to reflect market trends.