Claims Administrator

About Us M. J. Electric, LLC , a Quanta Services company, has built long-standing relationships and an industry-wide reputation as the single source solution to our customer's electrical utility construction and maintenance needs. We value integrity, are inspired by our work, and are invested in delivering quality projects for our customers. Our culture is a product of our core values and operating principles which unite our personnel. Their professional competence and intelligent innovation result in outstanding customer satisfaction. We stand by everything we do. We are committed to investing in our employees and their growth through training, tools, equipment, industry-leading safety measures, advancement opportunities and more. At M. J. Electric, you aren’t just applying for a job, you are building a career. About this Role - Claims Administrator Are you a healthcare professional or nurse looking to transition out of direct patient care while still using your analytical skills, attention to detail, and documentation expertise? We are seeking a Claims Administrator to support and oversee claims operations across workers\' compensation claims. This role offers the opportunity to apply your experience reviewing documentation, identifying discrepancies, and ensuring compliance — all within a structured, professional environment. What You'll Do Manage and coordinate injury claims events involving workers\' compensation including routing, documentation, and data entry Evaluate and assist with directing injury care Review documentation and claims information to ensure accuracy, completeness, and compliance with applicable regulations Track, trend, and analyze claims activity and related costs to support informed decision-making Analyze and update claim data as new information becomes available Assist in improving claims reporting procedures and workflows Collaborate with third-party administrators to evaluate claims and determine company liability Review billing information and process claims accurately, including third-party subrogation Assess documentation and determine claim validity based on available information Conduct thorough investigations by gathering relevant details from multiple sources Communicate with claimants, witnesses, and other stakeholders to obtain additional information Maintain accurate and compliant records in accordance with state and federal guidelines Evaluate expenses, reserves, and assist in claims resolution within authorized limits Partner with internal teams and external contacts to resolve claims efficiently Support reporting, trending, and statistical analysis for department insights Utilize claims management systems such as Origami, Claims Management System, and Risktrac Respond to after-hours incidents as needed What You'll Bring Strong attention to detail and ability to review, interpret, and validate documentation Proven communication, organizational, and interpersonal skills Ability to manage sensitive information with confidentiality and professionalism Strong computer skills and ability to work within multiple systems Experience identifying discrepancies and ensuring accuracy in records or documentation Ability to anticipate needs, work independently, and meet deadlines Strong problem-solving and decision-making skills with the ability to assess complex situations Ability to collaborate with stakeholders at all levels and build effective working relationships Commitment to continuous improvement and process optimization Ability to function effectively both independently and within a team environment Healthcare Experience Prior claims management or case management experience preferred OR Experience in a healthcare or clinical setting (e.g., nursing, medical support roles) with exposure to documentation review, compliance, or case coordination What You'll Get 401(k) with company match (Traditional & Roth) Paid Holidays and PTO Medical, Dental, and Vision Flexible Spending Accounts Health Savings Account Accident Insurance Hospital Indemnity Insurance Critical Illness Insurance LifeLock Identity Theft Protection Employee Discounts Short-Term & Long-Term Disability For more benefit details, click here! #J-18808-Ljbffr