Workers Compensation Specialist

This is a fully remote position, open to applicants in New York.

📋 Description

• Oversee the administration of workers’ compensation claims for employee incidents across various companies and states.

• Manage relationships with insurance carriers, vendor partners, and other service providers related to claims.

• Assist in Loss Control and Safety Training initiatives.

• Develop, formulate, and coordinate activities related to claims to minimize workers’ compensation risks and claims.

• Serve as a liaison between the company and its customers.

• Facilitate activities related to workers’ compensation claims and devise strategies to enhance claim management procedures.

• Review and manage incident reports from employees and patients from initial report to closure.

• Assess whether claims should be submitted to insurance carriers.

• Handle payroll and claims reporting specifically for monopolistic states.

• Clarify the claims process to employees.

• Collaborate with HR, medical providers, management, and third parties to coordinate return-to-work programs.

• Direct third parties to ensure claims are resolved promptly and cost-effectively.

• Process treatment and billing for injured workers.

• Collect claims data and facilitate reviews with carriers and third parties.

• Complete annual Bureau of Labor Statistics (BLS) reporting to relevant states.

• Manage retention and updates of workers’ compensation policies based on organizational changes.

• Maintain internal claims files and data within information systems or databases.

• Compile, review, and analyze reports to identify trends.

• Report relevant Urgent Care events and claims to insurance carriers.

• Establish and maintain relationships with carriers, third parties, outside legal counsel, and other stakeholders involved in claims.

• Support safety training and address any safety issues and concerns.

• Assist with risk projects and initiatives while promoting strategies for loss prevention.

⛳️ Requirements

• Preferred college degree, or over two years of experience in claims.

• At least 2 years of experience in a claims analyst, administrator, or similar role.

• Capability to lead a multi-state program involving employees located at different sites.

• Experience in customer service.

• Ability to investigate and direct the claims management process effectively.

• Proficiency in Microsoft Office applications.

• Knowledge of Risk Management Information Systems (RMIS).

• Strong organizational skills.

• Excellent written and verbal communication abilities.

• A history of implementing programs that positively influence claim costs is an advantage.

• Technical and professional knowledge in claims management and loss prevention.

• Flexibility to adapt to changing priorities.

• Ability to collaborate and communicate effectively with others.

• Demonstrated initiative, problem-solving skills, analytical thinking, and focus on results.

• Commitment to honesty and integrity.

• Capacity to maintain confidentiality.

• Ability to read and interpret regulatory rules and regulations.

• Strong presentation skills.

• Effective time management skills.

🏝️ Benefits

• Bonus incentives.

• Comprehensive benefits package.

• Paid time off.

• Health insurance coverage.

• Dental insurance.

• Vision insurance.

• 401(k) savings plan with employer match.