BENEFITS AND CLAIMS COORDINATOR

Benefits:

• Health Insurance
• Dental Insurance
• Vision Insurance
• Paid Time Off
• 401(k) 
• 401(k) Matching
• Flexible Spending Account
• Employee Assistance Programs
• Life Insurance

Position Summary

The Benefits & Claims Coordinator is responsible for supporting the administration of the company’s employee benefits programs and risk management initiatives, including Workers’ Compensation (WC), General Liability (GL), and Auto Liability claims. This role serves as a key point of contact for benefits and claims-related inquiries, ensuring a high level of service and support for employees and internal stakeholders.

The position manages the full lifecycle of claims—from initial reporting through resolution—while also assisting with benefits administration, including enrollment, employee communications, and coordination with carriers and vendors. This role supports open enrollment, maintains accurate data in the HRIS (Paycom), and helps ensure compliance with applicable regulations.

Key Responsibilities

Benefits Administration & Employee Support

• Support administration of employee benefits programs, including medical, dental, vision, and voluntary benefits
• Assist with benefits enrollment, qualifying life events, and employee status changes
• Respond to employee inquiries regarding benefits coverage, eligibility, and claims issues
• Support open enrollment processes, including system updates and employee communications
• Coordinate with benefits carriers, brokers, and vendors to resolve issues
• Maintain accurate benefits data within HRIS and ensure data integrity
• Assist with compliance requirements related to benefits (e.g., COBRA, HIPAA)
• Contribute to ongoing benefits communication and education efforts

Claims Management & Administration

• Report, track, and manage all WC, GL, and Auto claims from inception through closure
• Serve as primary liaison with insurance carriers, third-party administrators, adjusters, and legal counsel
• Monitor claim progress, ensure timely follow-up, and advocate for appropriate and cost-effective resolutions
• Review and reconcile medical bills, invoices, and claim-related expenses for accuracy
• Maintain detailed and accurate claim files and documentation

Incident Investigation & Risk Analysis

• Conduct incident investigations, including interviews and site reviews
• Gather and preserve evidence, including photos, statements, and documentation
• Complete root cause analysis and recommend corrective and preventive actions
• Identify trends and recurring risk exposures; report findings to leadership

Safety Program Support

• Assist with safety meetings and training programs
• Partner with operations leaders to promote a culture of safety and accountability
• Support and track corrective actions
• Maintain safety records and documentation

Regulatory Compliance

• Maintain OSHA 300, 300A, and 301 logs
• Ensure timely and accurate regulatory reporting
• Assist with audits, inspections, and compliance inquiries

Reporting & Data Management

• Prepare reports on claims activity, loss trends, and key metrics
• Analyze data to support decision-making and continuous improvement
• Maintain confidentiality of sensitive employee and benefits information

Additional Responsibilities

• Support return-to-work and modified duty programs
• Coordinate with internal departments to ensure timely reporting of incidents

Perform other duties as assigned

Qualifications:

• Associate’s or Bachelor’s degree in Risk Management, Human Resources, Business Administration, or related field preferred
• 2–5 years of experience in risk management, claims administration, HR, or a related field preferred but not necessary
• Knowledge of Workers’ Compensation, General Liability, and Auto claims processes
• Familiarity with OSHA regulations and reporting requirements
• Strong investigative, analytical, and problem-solving skills
• Excellent communication and interpersonal skills
• High attention to detail and strong organizational skills
• Proficiency in Microsoft Office (Excel, Word, Outlook); experience with claims management systems a plus