Specialist, Risk Management
Rubio's Fresh Mexican Grill - Carlsbad, CA

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The Specialist, Risk Management position is responsible for coordinating Worker's Compensation and General Liability claims for multi-unit restaurant operations in a five-state area (CA, AZ, NV, CO, UT). Create accurate risk and loss analysis to measure insurance claim data. Develop claims systems for accurate data collection and reporting.

Essential
Job Duties
1)
Worker’s Compensation – Administers Workers’ Compensation
claims and provides support to Senior Risk Manager and Safety Manager on claims
investigation, coordination and reporting.

a) Reduces workers’ compensation costs:
i) Manages Workers’ Compensation claims and incident reporting
ii) Communicates with injured Team
Members and Guests within one business day.
Provides bi-lingual support and medical management for Workers’
Compensation claimants
iii) Attends investigations and depositions to provide an action plan
for claim resolution
iv) Acts as liaison between injured Team Member, claims adjuster,
medical facility and restaurant manager
v) Coordinates return to work and transitional work program
vi) Oversees Medical Provider Network and Incident Reporting System
(Medcor) Medical Provider Listing
vii) Communicates with injured workers’ and coordinates claim and
ensures timely claim closure
b) Prepares reports from carrier websites and updates claims system weekly
c) Creates accurate reports from claims system and carrier excel data

2)
General Liability –
a)
Responsible
for responding with Guests who have had injuries in the stores and coordinating
the investigation for any Guest liability issues
b)
Reports
claim and enters data into General Liability Claims system
c)
Collects
information and supports the adjuster for initial claim acceptance/denial of
liability

3) Miscellaneous

a)
Responsible
for ensuring that certificates of insurance and contracts are updated in the
Certificate of Insurance system
b)
Oversees
claims management system, is responsible for data flow between carrier and
claims system. Creates accurate
reporting
c)
The
position will require carrying a company phone and may require answering calls
on evenings or weekends for claim related questions or providing
direction. The restaurants are open 7
days per week and if an injury occurs, they may contact the Risk

Non-Essential
Job Duties
Perform
similar and incidental duties as required.

Job
Qualifications
Education: Bachelor’s
degree or equivalent combination of education and experience.
Experience: Minimum
of six years related experience in Workers’ Compensation, claims management
and/or Safety.
Knowledge: Hands-on
working knowledge of Worker’s Compensation programs, Safety and General Liability. Working
knowledge of creating loss and claim analysis through excel and creating pivot
tables to summarize data.
Language
Skills: Excellent oral, written, and
presentation communication skills. Bi-lingual Spanish speaking is a
requirement of the position.
Math
Skills: Analytical math skills and an
understanding of financial analysis related to claims management. Ability to create formulas in excel and calculate
claims data.

Other
Skills: Excellent analytical skills. Must
be proficient using word-processing and advanced spreadsheet software,
preferable Microsoft Office. Program
knowledge in MicroNiche is preferred.
Reasoning
Abilities: Ability to problem-solve and
interpret instructions and guidelines.
Other
Abilities: Ability to train team members on
Company safety policies and investigate alleged incidents. Ability to work in a team environment.

Reporting
Relationships
Reports
to the Senior Risk Manager.

Major
Business/Professional Contacts
Frequent
contact with various levels of Corporate and Restaurant Team Members concerning
safety and workers’ compensation claims.
In addition, interaction with guests with potential claims and/or issues
surrounding various incidents.

Working and
Environmental Conditions
Typically
functions in an office, restaurant and/or legal environment. The position requires carrying a company
issued cell phone and may require responding to phone calls or emails on weekends
or evenings.
Physical Demands
Requires
sitting for extended periods of time. May require time in front of a computer
terminal for periods of time. Routinely
travels to and from sites either by vehicle or airplane, when necessary.

If you are interested in working with a winning team, we are looking for you. Apply Now!!

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