Risk Management Administrator
Apply NowCompany: Foundation Building Material
Location: Santa Ana, CA 92704
Description:
Foundation Building Materials (FBM), is currently seeking a detail-oriented Risk Management Administrator to expand our Risk Management team. This position reports directly to the Director of Risk Management and will be based in Santa Ana, CA.
This position partners with the Director, Risk Management to assure superior management of the company's insurance programs in the US and Canada, with a focus on workers' compensation. This position will be responsible for the oversight of workers' compensation claims, partnering with branches and claims administrators to return injured employees to work at the earliest opportunity. Manages and coordinates modified duty to ensure successful transition back to the employee's usual and customary duties. Provides technical support to the branches for all claims. Monitors the activity of claims administrators for resolution of claims that is compatible with the goals of the company.
Essential Risk Management Administrator Functions/Qualifications:
Foundation Building Materials (FBM) is a leading North American distributor of building materials focused on meeting and exceeding the needs of local construction trades with best-in-class products and services. Based in California, FBM has more than 3,400 employees in more than 175 locations across the U.S. and Canada. FBM's core values - safety first, a focus on customers and team members, honesty and integrity - form the foundation for an outstanding customer experience that is recognized across the industry.
FBM promotes an equal employment opportunity workplace with respect to all categories protected under applicable State and Federal law.
This position partners with the Director, Risk Management to assure superior management of the company's insurance programs in the US and Canada, with a focus on workers' compensation. This position will be responsible for the oversight of workers' compensation claims, partnering with branches and claims administrators to return injured employees to work at the earliest opportunity. Manages and coordinates modified duty to ensure successful transition back to the employee's usual and customary duties. Provides technical support to the branches for all claims. Monitors the activity of claims administrators for resolution of claims that is compatible with the goals of the company.
Essential Risk Management Administrator Functions/Qualifications:
- Monitor and screen RMIS alerts for potential claims
- Complete claim abstracts for all coverages and report to appropriate insurer
- Review all WC modified duty and lost time claims and document RMIS for OSHA recordkeeping
- Implement and support programs for transitional and modified duty
- Interact with branch staff to manage employees on modified duty
- Interact with adjusters to ensure appropriate claims and medical management activities
- Identify and escalate claims needing investigations or special handling, and monitor adjusters' activity
- Identify WC claims with permanent restrictions for interactive accommodation under ADA
- Review RMIS data for accuracy
- Prepare month-end reports, including chargebacks
- Support Safety and Fleet with RMIS expertise and reports
- Analyze claim trends to develop recommendations for improved safety and claims management efforts
- Support and train branches with insurance and risk management processes, using RMIS, LMS, policies and procedures, reference manuals, etc.
- Create and maintain state-specific WC notices, medical panels, etc., for branches
- Track certificates of insurance
- Help prepare renewal applications
- Complete OCIP/CCIP documents
- Compile data for premium audits
- Monitor workers' compensation claims using RMIS tools to diary and document activity, including close supervision of large and/or severe cases
- Consult with attorneys, adjusters and carriers regarding claims or claims services
- Monitor claims for settlement, approves settlements within the authority level and prepares reports to seek higher settlement authority
- Conduct periodic claims reviews or audits
- Maintain current knowledge of industry information and trends and make recommendations for process changes to ensure best practices
- Prepare reports to management regarding workers' compensation claims, including large and/or severe cases
- Assist in developing quality control procedures, and support implementation and monitoring for compliance
- Other duties may be assigned
- Bachelor's Degree, or equivalent experience required
- ARM, CPCU, IEA certificates preferred
- 6+ years' experience workers' compensation claims experience, preferably in multiple states
- Excellent oral and written communication skills
- Ability to read, analyze and interpret professional journals, legal documents, technical procedures or governmental regulations
- Ability to solve practical problems in situations where only limited standardization exists
- Excellent administrative and organizational skills
- Computer skills in Windows environment, working knowledge of Word, Excel, Outlook, on-line database claims and risk management information systems
- Support company values in the stated areas of Safety, Customer Focus, Teamwork, Integrity, and being a Company of Choice for both employees and customers.
- Dependable and great work ethic
Foundation Building Materials (FBM) is a leading North American distributor of building materials focused on meeting and exceeding the needs of local construction trades with best-in-class products and services. Based in California, FBM has more than 3,400 employees in more than 175 locations across the U.S. and Canada. FBM's core values - safety first, a focus on customers and team members, honesty and integrity - form the foundation for an outstanding customer experience that is recognized across the industry.
FBM promotes an equal employment opportunity workplace with respect to all categories protected under applicable State and Federal law.