<div style="text-align:justify;">About Transdev: Cities, counties, airports, companies, and universities across the U.S. contract with Transdev to operate their transportation systems, maintain their vehicle and fleets, and deliver on mobility solutions. Transdev U.S. employs a team of 32,000 across 400 locations while maintaining more than 17,000 vehicles.  </div><div style="text-align:justify;"> </div><div style="text-align:justify;">Part of a global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team members from around the world. As an operator and global integrator of mobility, we are driven by our purpose. Transdev – the mobility company – empowers the freedom to move every day thank to safe, reliable, and innovative solutions that serve the common good. Find out more at <a href="http://www.TransdevNA.com"><a href="http://www.TransdevNA.com">www.TransdevNA.com</a></a> or watch an overview video at <a href="https://youtu.be/ilO5cv0G4mQ"><a href="https://youtu.be/ilO5cv0G4mQ">https://youtu.be/ilO5cv0G4mQ</a></a> </div>About the Role: The Claims Specialist will assist the Director of Workers Compensation in overseeing the managing the operational excellence of the Workers’ Compensation Program. The Claims Specialist will play a critical role in ensuring quality claim file management. This will be completed by working with internal and external partners to drive performance. Proactively manage the day-to-day interface and expectations with the TPA and Transdev business partners. Provide technical direction on claim decisions and resolution in partnership with our external Third-Party Administrator (TPA) partner within the assigned authority level.The Claims Specialist will be expected to act as a subject matter expert and exhibit thought leadership to assist in enhancing collaboration with business partners across Transdev.Annual Salary Range: $69,000-$86,000<div style="">We offer a competitive compensation and benefits package including:</div><div style="">(Benefits may vary depending on location policy.)</div><div style="">Vacation: minimum of two (2) weeks</div><div style="">Sick days: 5 days</div><div style="">Holidays: 12 days; 8 standard and 4 floating</div><div style="">Other standard benefits: 401(k) retirement plan, medical, dental and vision, life insurance, short-term disability, voluntary long-term disability.</div>Principal Duties and Responsibilities<ul style="margin:0.0pt;padding-left:0.0pt;"><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Claims Quality Assurance (QA)<ul style="margin:0.0pt;padding-left:0.0pt;"><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Responsible for ensuring claims are handled in accordance with established guidelines and service instructions.</li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Ensures timely completion of file reviews </li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Identify claim handling trends by applying industry knowledge of the claims process, policies &amp; procedures</li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Meet regularly with Director of Claims to provide QA results and recommendations for opportunities for improvement.</li></ul></li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Claims Technical Oversight<ul style="margin:0.0pt;padding-left:0.0pt;"><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Manage claims to reduce costs and improve outcomes</li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Direct Third-Party Administrator (TPA) and assign and direct defense attorneys on litigated matters. </li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Authorize reserve and settlements</li></ul></li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Claims Customer Service<ul style="margin:0.0pt;padding-left:0.0pt;"><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Serve as a point of contact for our locations to provide general claim guidance and help set claim process expectations.</li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Participate in interactions with TPA adjusters and claims partners to drive optimized claims outcomes and top-notch claims experience.</li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Work to continuously improve our claims operations and look at opportunities and gaps in claim service, handling SOPs, protocols, and processes.</li></ul></li></ul>Requirements<ul style="margin:0.0pt;padding-left:0.0pt;"><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">High School Diploma or equivalent is required.</li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Bachelor's Degree or equivalent experience with some college coursework is preferred.</li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Minimum of 2-years workers’ compensation claims experience is required.</li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Strong communication (written and verbal) skills, to deliver more complex information effectively.</li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Strong problem-solving skills to be able to manage complex tasks and work through to solutions with little guidance and direction.</li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Demonstrated knowledge and experience in claim adjudication, medical management, and litigation management.</li><li style="background-color:rgb(255,255,255);font-family:verdana , geneva;font-size:10.0pt;margin:5.0pt 0.0pt 5.0pt 26.5pt;padding-left:9.5pt;text-indent:0.0pt;">Ability to use skills to overcome conflict and reach beneficial outcomes.</li></ul><div style="margin:0.0in;">The above statements are intended to describe the general nature and 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. </div><div style="margin:0.0in;"> </div><div style="margin:0.0in;">The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request. </div><div style="margin:0.0in;"> </div><div style="margin:0.0in;">Transdev is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, national origin, age, disability, veteran status, genetic data, gender identity, sexual orientation, religion or other legally protected status, or any other classification protected by federal, state, or local law. </div><div style="margin:0.0in;">Drug-free workplace </div><div style="margin:0.0in;"> </div><div style="margin:0.0in;">If based in the United States, applicants must be eligible to work in U.S. without restrictions for any employer at any time; be able to pass a drug screen and background check. </div><div style="margin:0.0in;"> </div>California applicants:  Please <a href="https://transdevna.com/california-employee-privacy-policy/">Click Here</a> for CA Employee Privacy Policy.

Transdev is a leading public transport company, delivering high quality transportation services around the world. We offer integrated &amp; multimodal mobility solutions that contribute to the development of territories &amp; the well-being of their inhabitants.
Our teams use our wealth of local knowledge and international experience to bring public transport services to the heart of communities.
Because moving is essential to meet, work... or simply to live, our purpose is to empower freedom to move every day thanks to safe, reliable and innovative solutions that serve the common good.
We are actively involved in the energy transition and bridging the social divide. We connect and reconnect people &amp; communities, the rural to the urban, providing solutions tailored to the needs of our customers and passengers.
We share and act for the collective, to contribute to the well-being of society and to create opportunities and progress. We care about people and the environment, in order to achieve reliable and sustainable mobility. We dare to take up challenges and step out of our comfort zone to always offer the best solutions and innovations in response to tomorrow's challenges. We are proud to make 11 million people travel daily across 5 continents. We are people serving people. And mobility is what we do.

Workers’ Compensation Claims Specialist

<div>About Transdev: Cities, counties, airports, companies, and universities across the U.S. contract with Transdev to operate their transportation systems, maintain their vehicle and fleets, and deliver on mobility solutions. Transdev U.S. employs a team of 32,000 across 400 locations while maintaining more than 17,000 vehicles.&nbsp;&nbsp;</div><div>&nbsp;</div><div>Part of a global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team members from around the world. As an operator and global integrator of mobility, we are driven by our purpose. Transdev – the mobility company – empowers the freedom to move every day thank to safe, reliable, and innovative solutions that serve the common good. Find out more at <a href="http://www.TransdevNA.com"></a><a href="http://www.TransdevNA.com">www.TransdevNA.com</a> or watch an overview video at <a href="https://youtu.be/ilO5cv0G4mQ"></a><a href="https://youtu.be/ilO5cv0G4mQ">https://youtu.be/ilO5cv0G4mQ</a> </div>About the Role: The Claims Specialist will assist the Director of Workers Compensation in overseeing the managing&nbsp;the operational excellence of the Workers’ Compensation Program. The Claims Specialist will play a critical role in ensuring quality claim file management. This will be completed by working with internal and external partners to drive performance. Proactively manage the day-to-day interface and expectations with the TPA and Transdev business partners. Provide technical direction on claim decisions and resolution in partnership with our external Third-Party Administrator (TPA) partner within the assigned authority level.The Claims Specialist will be expected to act as a subject matter expert and exhibit thought leadership to assist in enhancing collaboration with business partners across Transdev.Annual Salary Range: $69,000-$86,000<div>We offer a competitive compensation and benefits package including:</div><div>(Benefits may vary depending on location policy.)</div><div>Vacation: minimum of two (2) weeks</div><div>Sick days: 5 days</div><div>Holidays: 12 days; 8 standard and 4 floating</div><div>Other standard benefits: 401(k) retirement plan, medical, dental and vision, life insurance, short-term disability, voluntary long-term disability.</div>Principal Duties and Responsibilities<ul><li>Claims Quality Assurance (QA)<ul><li>Responsible for ensuring claims are handled in accordance with established guidelines and service instructions.</li><li>Ensures timely completion of file reviews </li><li>Identify claim handling trends by applying industry knowledge of the claims process, policies &amp; procedures</li><li>Meet regularly with Director of Claims to provide QA results and recommendations for opportunities for improvement.</li></ul></li><li>Claims Technical Oversight<ul><li>Manage claims to reduce costs and improve outcomes</li><li>Direct Third-Party Administrator (TPA) and assign and direct defense attorneys on litigated matters. </li><li>Authorize reserve and settlements</li></ul></li><li>Claims Customer Service<ul><li>Serve as a point of contact for our locations to provide general claim guidance and help set claim process expectations.</li><li>Participate in interactions with TPA adjusters and claims partners to drive optimized claims outcomes and top-notch claims experience.</li><li>Work to continuously improve our claims operations and look at opportunities and gaps in claim service, handling SOPs, protocols, and processes.</li></ul></li></ul>Requirements<ul><li>High School Diploma or equivalent is required.</li><li>Bachelor's Degree or equivalent experience with some college coursework is preferred.</li><li>Minimum of 2-years workers’ compensation claims experience is required.</li><li>Strong communication (written and verbal) skills, to deliver more complex information effectively.</li><li>Strong problem-solving skills to be able to manage complex tasks and work through to solutions with little guidance and direction.</li><li>Demonstrated knowledge and experience in claim adjudication, medical management, and litigation management.</li><li>Ability to use skills to overcome conflict and reach beneficial outcomes.</li></ul><div>The above statements are intended to describe the general nature and 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.&nbsp;</div><div>&nbsp;</div><div>The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.&nbsp;</div><div>&nbsp;</div><div>Transdev is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, national origin, age, disability, veteran status, genetic data, gender identity, sexual orientation, religion or other legally protected status, or any other classification protected by federal, state, or local law. </div><div>Drug-free workplace&nbsp;</div><div>&nbsp;</div><div>If based in the United States, applicants must be eligible to work in U.S. without restrictions for any employer at any time; be able to pass a drug screen and background check.&nbsp;</div><div>&nbsp;</div>California applicants: &nbsp;Please <a href="https://transdevna.com/california-employee-privacy-policy/">Click Here</a> for CA Employee Privacy Policy.

Workers’ Compensation Claims Specialist

About the Job

About the Company

Transdev

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