Specialist, Workers Compensation Claims

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Date: Apr 13, 2024

Location: Saint Louis, MO, US, 63101

Company: Spire Inc.

Summary

Spire is seeking a Workers’ Compensation Claims Specialist to work in St. Louis. This position will be responsible for investigating and resolving workers’ compensation claims for all of Spire’s territory.

Company Overview

At Spire, we believe energy exists to help people. To enrich their lives, grow their businesses, advance their communities. It’s a simple idea, but one that’s at the heart of everything we do. We are committed to understanding the needs of the homes and businesses we serve. That's why we're always looking for driven, collaborative people to join our team. Because we believe that offering our customers the best service means bringing together the best people.

And we find the best by hiring those who share our values of drive, safety, inclusion and integrity, and demonstrate our four essential behaviors that bring the Spire vision, mission and culture to life:

• We make it happen: We are a company of go-getters, acting on every opportunity to help our company advance.

• We collaborate: We put teamwork first, bringing in everyone’s ideas, because our collective energy makes us stronger.

• We seek out perspective: We challenge ourselves to be open to different ways of doing things, because learning from each other leads to breakthroughs.

• We care: We treat people how we want to be treated, listening closely and doing what’s right, even when it’s hard.

  By living our values and behaviors every day, we strive to create an environment where every employee feels welcome, respected and valued.

Duties and Responsibilities

• Investigate, evaluate and determine compensability on workers’ compensation injuries as mandated by various state laws in Spire’s territory through our self-insured program. This involves interaction with injured employees; supervisors; medical providers and nursing staff for claims as assigned by WC Claims Manager.

• Handle WC claims; ensure timely and appropriate closure of all claims assigned.

• Enter appropriate claim information into the claim system including setting up new claims; claim notes; payments; claim reviews.

• Analyze exposure; set proper reserves; administer benefits per state laws.

• Work with Safety and Operations on loss control and preventative programs.

• Complete state forms and file with each state timely.

• Manage statistical data including OSHA record keeping.

• Develop and maintain relationships with medical providers, nursing staff and legal in Spire’s territory.

• Pursue recovery; report cases to excess carrier and Captive.

• Direct outside counsel with assistance of WC Claims Manager and Legal.

• Maintain a high level of professional ethics and compliance.

• Strong interpersonal skills with the proven ability to build and establish rapport with a diverse array of people.

• Attend seminars and conferences for continuing education relative to legal and/or medical matters to ensure up to date knowledge of workers’ compensation in Spire’s territory.

• All other duties as assigned.

Essential Characteristics and Competencies

• Ability to lead by example in support of the Company’s essential characteristics and values: strong ethics and integrity, dedication to a safe work environment, commitment to a diverse workforce that recognizes and respects every individual’s unique skills and perspectives.

• Ability to work independently and manage time effectively in order to meet individual goals and deadlines.

• Ability to work under pressure and meet tight deadlines.

• Ability to adapt in a fast-moving and changing culture.

• Strong interpersonal skills with the proven ability to build and establish rapport with a diverse array of people.

• Ability to work as part of a team and display a positive attitude for this dynamic environment.

Required Education (certifications, licenses)

• Bachelor’s degree or 4 years of equivalent experience.

Required knowledge, skill and abilities

• Three plus years of prior Worker’s Compensation claims adjusting (or commensurate) experience, required.

• Knowledge of workers’ compensation laws, required.

• Knowledge of workers' compensation laws in Missouri, preferred.

• Knowledge of state statutes.

• Knowledge of medical terminology, diagnosis, and treatment protocols.

• Knowledge of OSHA regulations and recording requirements.

• Strong investigative and fact-gathering skills.

• Ability to comprehend and analyze facts.

• Must have professional interpersonal communication skills and the ability to communicate at all levels effectively.

• Good knowledge of PC Skills, with an understanding of Microsoft Office Suite.

• Ability to evaluate and estimate the Company’s potential exposure and the appropriate monetary reserve needed to settle any WC claims made against the Company.

• Ability to obtain recorded/written statements from Company employees.

• Ability to evaluate and negotiate to a successful conclusion with the injured worker and/or plaintiff attorney for WC claims.

• Must have the ability to influence others and gain consensus.

Physical demands, environment and schedule

• Requires occasional work during nonstandard business hours with periodic travel and will require you at times to be on call during evenings and weekends.

Posting Requirements

Disclaimer: The above statements are intended to describe the general nature of the level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

Posting requirements: The above posting description is intended to describe the general nature of the level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. To perform this job successfully, an individual must be able to perform each duty and responsibility satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Spire, Inc., and its subsidiaries are Affirmative Action and Equal Employment Opportunity employer.

We are committed to providing equal employment opportunity in all areas, including but not necessarily limited to, recruitment, selection, training, education, compensation, benefits, promotion, job transfer, upgrading, separation and recall regardless of the individual’s race, color, sex, age, religion, national origin, genetics, sexual orientation, gender identity, disability, veteran status, and/or other protected categories under all Federal, State, and local laws. For more information, please view our Integrity and Inclusion pages of our career site.

Job Location: St Louis Job Segment: Compliance, Law, Legal

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