Claims Representative

BREAK GROUND ON A REWARDING CAREER WITH US!

At MDC Holdings, Inc./Richmond American Homes, we encourage a company culture that promotes professionalism, teamwork, health & wellness and work-life balance. If you are a results-driven professional with a passion for success, consider building a career with us. We’re proud to be one of the most established homebuilders in the industry, with over 45 years of experience and 250,000+ homes to our credit.

We also take great pride in being a member of Sekisui House, a global leader in homebuilding. This impressive, 60+ year old company has built over 2.6 million new homes designed to reflect and adapt to the changing needs of today's home buyers. Drawing on Sekisui House's unparalleled history and superior service, we commit ourselves to a future where people around the world can live joyful lives in homes that are safe, secure, stylish and comfortable.

Position Summary

The Claims Representative will be responsible for set-up of new claims in multiple systems, generating data compilation, analysis and reports from the systems, and managing special projects as assigned.

• Initial response to liability claims presented against the Company, property damage claims and subrogation demands from other carriers.
• Reports and monitors workers’ compensation claims, OSHA forms and related processes, including reporting, trending, basic interpretation of laws and regulations. Supports National Safety Director with specific OSHA information by location when needed for inspections or hearings.
• Assists with projects such as mass mailings, mail merges, report preparation, data compilation and analysis, reconciliation of billings for claims and charges.
• Independently performs advanced department work activities of an administrative nature providing coordination of department tasks to support a specific department function.
• Work is primarily self-directed, requiring analysis, initiative and independent judgment. Must have effective interpersonal skills including the ability to maintain confidentiality.
• May make contacts of a sensitive, complex, and sometimes confidential nature both inside and outside of the company.

Essential Job Functions: (Duties and Responsibilities in order of importance)

• Sets-up, documents, does preliminary research and prep work on new claims. Assigns claims to adjusters based on content, workload distribution and other factors. Assists adjusters with claim management and documentation. (30% of the time)

• Administers the Workers’ Compensation Program. Files claims, tracks time loss, maintains contact with injured workers, claims adjusters, payroll and division HR representatives as needed. Reviews and requests payments monthly related to claims. Maintains

  confidentiality as required by HIPPA laws. (25% of the time)

• Reviews incoming invoices in Legal Tracker for compliance with billing guidelines and allocates payment to proper entity and accounting codes (25% of the time)

• Responds and requests additional information as needed for subrogation claims and utility demands. (15% of the time)

• Prepares, distributes and maintains OSHA forms/reports. Compiles OSHA forms and reports to include Company wide distribution per Federal Law. Maintains and distributes a list of WC Approved Medical Facilities / Providers as well as Division Contacts and phone numbers for each MDC/RAH location nationwide. (5% of the time)

Other Responsibilities:

• Attends meetings Varies
• Travel Requirements less than 5%

Requirements

Typically has two to five years of experience in database administration and administrative support within a corporate setting.

Skill in:

• Experience managing database applications and third-party software
• Must have advanced computer skills to include Excel, Word, and PowerPoint.
• Preferred experience with Legal Tracker and claims management software systems
• Strong analytical, time management, organizational and interpersonal skills
• Ability to communicate effectively in a variety of written and verbal formats with wide range of people to include internal and external individuals, organizations and agenciesn
• Must be self-motivated and team oriented
• Ability to maintain…