Los Angeles, California, United States · On-site
$20/hr–$28/hr
Job DetailsJob Location: Pacoima, CA 91331Position Type: Full TimeSalary Range: $20.50 - $28.00 Hourly------ The Risk Representative position will support the administration and management of the Vallarta’s Propert…
Skills: Workers Compensation Claims Handling, Risk Management, Claims Database Management, Microsoft Excel, Microsoft Outlook
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The Risk Representative supports the administration of Property and Casualty programs, focusing on Workers Compensation and General Liability claims. Responsibilities include investigating losses, coordinating return-to-work programs, and maintaining accurate injury logs and safety documentation.
A high school diploma is required, while a college degree and IEA certification are preferred. Candidates should have experience in claims handling, proficiency in Microsoft Office, and strong organizational skills for managing confidential medical and legal data.
Job DetailsJob Location: Pacoima, CA 91331Position Type: Full TimeSalary Range: $20.50 - $28.00 Hourly------
The Risk Representative position will support the administration and management of the Vallarta’s Property and Casualty program. Assist in the administration of the Safety Program, Workers compensation, General Liability programs including TPA audit/quality control, claim file review, litigation and analysis of exposure and reserve accuracy.
The Risk Representative’s responsibilities include, but are not limited to:
Setting up the initial file for injury and determining if this is a claim that needs to be reported to the insurance company, it is a First Aid claim or if it is a non-industrial incident
Investigate new losses and report losses to TPA/Carrier with supportive documentation
Liaison between Operations and TPA for workers compensation claims process
Maintain an accurate log of all injuries received and complete employer level investigation
Maintain updated medical status on all open files
Assists the Safety Department by keeping track of various Safety incentive projects
Maintain and manage multiple report using spreadsheets
Participates in claims review with the insurance carrier/TPA
Coordinate return to work program with injured worker, Stores and TPA
Documentation of file activities in accordance with established policy and maintenance of an effective diary management system to ensure timely handling of claims
Maintain constant communication with Store personnel and Store Management to assist with Safety related issues and claims management
Review and approving medical bills received from the clinics as it pertains to First Aid incidents/charges
Review and process subpoena
Assist with the management of customer complaints and resolution
Daily data entry is required into the Workers Compensation log and into the database (Origami)
Daily communication with injured workers, stores and insurance company, and attorney involved in the file
Gathering weekly reports from all stores
Follow-up with store management, vendors and injured workers on a daily basis or as issues arise
Provide Human Resources department and Benefits with updated information as it affects their respective departments
Assist in the daily administration of Vallarta’s Safety program, which includes the collection of various Safety documentation, assist with the Safety incentive program and logistic support for all stores
High School Diploma or Equivalent – Required
Professional Certification IEA desirable
1-year experience in handling Workers Compensation claims Preferred
Must have detail oriented with financial date and statutory due dates
Medical, legal and/or insurance related experience Preferred
Experience with managing a claims Database system
Advanced technical knowledge and skills in claims handling Preferred
Proficiency in Microsoft applications (e.g.-Excel, Outlook, Word, Power Point).
Typing 35 WPM
Experience with 10 key, fax and multi line phone system.
Bi-Lingual desirable
Good communication skills required
Good interpersonal skills, dealing with employees. Dealing with delicate situations and confidential information
Ability to interact and work in conjunction with other department within the company.
Ability to work independently
Superior project management and time management skills
Analytical and Problem-Solving skills recommended
Vi-Art-Ah Home of the Original Carne Asada™️ #vallartasupermarkets Order now on VallartaGO
Grocery store with over 60 locations in Southern California. Vallarta Supermarkets has pioneered experiential marketing by providing a unique shopping experience that combines fresh meat and produce, and colorful atmospherics in a multicultural environment.
Offices: 28480 Avenue Stanford, Santa Clarita, California 91355, US
Vi-Art-Ah Home of the Original Carne Asada™️ #vallartasupermarkets Order now on VallartaGO
Grocery store with over 60 locations in Southern California. Vallarta Supermarkets has pioneered experiential marketing by providing a unique shopping experience that combines fresh meat and produce, and colorful atmospherics in a multicultural environment.
Offices: 28480 Avenue Stanford, Santa Clarita, California 91355, US
