Job Posting Title:
Sr Claims Rep-Workers CompReq ID:
10066222Job Description:
Senior Claims Representative Job Description
Job Description
“We make magic.” That’s our motto at Walt Disney Parks and Resorts and it permeates everything we do. At Disney, you’ll help inspire that magic by enabling our teams to push the limits of entertainment and create the never-before-seen!
Responsibilities.
The qualified candidate will be responsible for the investigation, management, and disposition of Florida workers' compensation claims for the Walt Disney World Resort and affiliated companies. Candidates should be comfortable presenting training and information sessions to an audience and to leaders across the Resort. The qualified candidate will participate in initiatives to meet department’s goals. Candidates must be willing to have periodic on-call responsibilities, which in some cases will necessitate responding to incidents after hours.
Basic Qualifications
Florida 6-20 All-Lines Adjuster license in good standing
Minimum of 3 years workers compensation claims handling experience
Demonstrated ability to administer litigated claims, including experience in depositions, hearing testimony, mediation, and comprehensive case evaluation
Demonstrated ability to effectively solve problems and make decisions
Proven ability to deliver concise and informative written summaries in memo and presentation format, with appropriate business writing and usage of professional grammar.
Demonstrated ability to prepare and submit excess carrier claims reports and monitor/track reimbursement.
Proven ability to communicate and work with all levels of Cast Members
Ability to work under deadline pressures and effectively prioritize multiple tasks in a fast-paced environment.
Demonstrated strong relationship-building, negotiating, and influencing abilities
Demonstrated ability to train and mentor claims representatives on all aspects of claims administration.
Demonstrated ability to handle confidential information.
Demonstrated strong organizational skills.
Demonstrated excellent time management skills.
Demonstrated familiarity with automated claims administration and management systems.
Demonstrated understanding of medical and legal terminology
Ability to complete compliance related claims documentation to support federal and state reporting.
Computer proficiency within a Windows environment, including Outlook, Word, Excel, PowerPoint, and TEAMS
Ability to work in multiple computer programs and in a paperless claims environment.
Preferred Qualifications
5+ years claims handling experience adjusting Florida Workers' Compensation claims
Proven Third Party Administrator or Employer Self-Administered workers' compensation claims handling
Demonstrated ability to administer claims with complex Medicare Set Aside considerations and claims with costly and complex medical treatment
Proven bilingual ability
Required Education
Bachelor’s degree or equivalent experience
Job Posting Segment:
Other SupportJob Posting Primary Business:
Legal (WDW)Primary Job Posting Category:
Ops Workers CompEmployment Type:
Full timePrimary City, State, Region, Postal Code:
Kissimmee, FL, USAAlternate City, State, Region, Postal Code:
Date Posted:
2023-10-24More Information
Application Details
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Organization Details
1001 Walt Disney Parks and Resorts U.S., Inc. US
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