Specialist, Workers' Compensation at Pilot Company

Knoxville, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Jun, 26

Salary

0.0

Posted On

26 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Workers' Compensation Claims, Claim Investigation, Medical Care Coordination, Benefit Calculation, Statutory Guidelines, Claim Management, Documentation Control, PII Management, HIPAA Compliance, Reserve Recommendation, Conflict Resolution, Litigation Management, Loss Prevention, Hazard Correction, Microsoft Office, Excel

Industry

Retail

Description

Company 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 *We are seeking applicants with a local presence in Knoxville, TN or the surrounding communities* The purpose of this Knoxville, TN based 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 This position requires candidates to be legally authorized to work in the United States without employer sponsorship. 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 Additional Information Travel required less than 5% General office work requiring sitting or standing for long periods of time Position Category: Risk Management (RISK MANAGEMENT)

Responsibilities

The primary function of this role is to investigate, evaluate, and resolve both Medical Only and Lost Time employee injury claims, which includes coordinating medical care and calculating/paying statutory benefits. This position also involves managing claim documentation, negotiating settlements, providing reserve recommendations, and collaborating on litigation closure strategies.