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Risk Rep

Vallarta Supermarkets · vallartasupermarkets.com
PacoimaOn-site1+ yrs
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The job in short

Workers compensation and risk claims administration for a retail chain.

ExcelAuditInsuranceLegal

Details

Found
23 d ago · posted 2026-07-22
Location as listed
Pacoima, CA, USA
Role
Specialist / Analyst (other)
Pay (as listed)
$20.50–$28 an hour
Source
The company’s own careers site

Full description

Job Details: Job Location: GMC Gonzalez Management Company - Pacoima, CA, Position Type: Full Time, Salary Range: $20.50 - $28.00Hourly, ------ 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  Qualifications: General Roles & Responsibilities: 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      Job Requirements:   Education:  High School Diploma or Equivalent – Required College Degree Preferred Professional Certification IEA desirable       Experience:  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 Knowledge: 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   Skills and Ability:  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

Specialist / Analyst (other) jobs in the United States · All Vallarta Supermarkets jobs

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