Associate Risk Solutions Rep en H-E-B

As an Associate Risk Solutions Representative, you - ll manage and administer Risk Solutions Programs with the guidance of Risk Leadership: Work Injury Benefit Plan, Return-to-Work Benefit Plan, Premises and Products Liability Program, and Loss Prevention Litigation. You - ll handle claims and conducts litigation management. Facilitate safety initiatives with assigned stores / locations within OSHA regulations.



Once you - re eligible, you - ll become an Owner in the company, so we - re looking for commitment, hard work, and focus on quality and Customer service. - Partner-owned - means our most important resources - People - drive the innovation, growth, and success that make H-E-B The Greatest Omnichannel Retailing Company.



Do you have a:

HEART FOR PEOPLE - connect with Partners?

HEAD FOR BUSINESS - ability to understand financials?

PASSION FOR RESULTS - facilitate safety initiatives?



We are looking for:

Bachelor - s degree or comparable formal training, certification, or work experience

0+ years related experience

0-2 years claims handling experience (case management involving medical, vocational, subrogation / recovery, return to work program, etc.)

Valid Texas driver license, no DUI, and no more than 2 moving violations in last 2 years



What is the work?

Reviews and codes new claims; makes contact with partner within 24 hours from report of injury, opens files and set reserves according to department SOP

Reviews reports, makes initial contact with partner, determines eligibility for benefits on work injuries, and administers all benefits due in accordance with the with the provisions of the Work Injury Benefit Plan, including coordination of the Return to Work (RTW) Program

Reviews reports, verifies coded fields, makes initial contact, attempts first call settlement for general liability.

Conducts investigation and research on property damage cases and other third-party cases as assigned

Facilitates subrogation / recovery efforts from third parties responsible

Coordinates litigation case management to ensure cost containment; attend mediations, depositions and trials when needed, reports on trial to management, ensures clear and concise communication between defense attorney and management

Reviews and approves payments on all cases within assigned authority.

Monitors open claims via diary to ensure regular updates and contacts with Partners, customers, and vendors

Ensures adequate reserving, communication, and resolution on attorney-represented or litigated cases

Negotiates and diffuses claims with third parties and plaintiff Attorneys

Responds to serious incidents

Assists attorney with investigation of serious events

Attends appointments with Partners on complex Work Injury cases

Creates, runs, analyzes, and communicates incident trends reports for Operations Leadership

Instills a safety culture by training safety champions and Operations Leadership Partners on proper incident reporting and safety awareness training

Communicates with clinics and providers and monitors treatment for compliance with Work Injury Benefit Plan, and manages the network of Work Injury Benefit Plan providers

Participates with HR and Operations Leadership in the interactive process and ensures compliance with the Work Injury Benefit Plan

Performs other functions pertinent to this job as assigned



What is your background?

Bachelor - s degree or comparable formal training, certification, or work experience

0+ years related experience

0-2 years claims handling experience (case management involving medical, vocational, subrogation / recovery, return to work program, etc.)

Valid Texas driver license, no DUI, and no more than 2 moving violations in last 2 years



Do you have what it takes to be an H-E-B Associate Risk Solutions Representative?

Attention to detail

Ability to understand SOP for in-house claim handling

Ability to understand financial impact of reserves on company budget

Excellent customer service skills

Excellent telephone skills

Obtain an All-Lines Claim Adjuster License through the Texas Dept. of Insurance within 90 days in position

Bilingual preferred (English & Spanish)

Moderate PC skills, including Microsoft Office Software and a Claims Management System

Some working knowledge of PPO utilization, communication with medical providers, etc.

Attends OSHA 10-hour certification, CE classes, and stays up to date on all state-required certification as well as HEB SOPs



Can you...

Function in a fast-paced, retail, office environment

Travel by car or plane with overnight stays

Lift 20 lbs or more on an occasional basis

Work extended hours

Sit for an extended period of time

Hand / Finger dexterity

Available for emergency contact 24 hours a day



09-2024