Workers’ Compensation Specialist

This is a fully remote position, open to applicants in California, +2 more states.

📋 Description

• Oversee the complete lifecycle of workers’ compensation claims, from the initial injury report to the final claim closure.

• Ensure that workplace injuries are reported promptly and accurately to insurance carriers, third-party administrators (TPAs), and regulatory bodies.

• Maintain thorough and confidential records and documentation related to claims.

• Monitor the status of claims and consistently follow up with insurance adjusters and medical providers.

• Act as the main point of contact for employees who have been injured regarding their workers’ compensation claims.

• Provide education to employees and managers about workers’ compensation processes, benefits, and their associated responsibilities.

• Facilitate communication among employees, supervisors, healthcare providers, insurance carriers, and legal representatives.

• Manage and administer leave of absence related to workers’ compensation, as well as return-to-work and modified-duty programs.

• Review work restrictions and work collaboratively with management to identify suitable accommodations.

• Track the recovery progress of employees and assist in their successful reintegration into the workplace.

• Ensure adherence to all relevant federal, state, and local workers’ compensation laws and regulations.

• Monitor OSHA recordkeeping mandates and assist with the reporting and documentation of injuries.

• Prepare and disseminate workers’ compensation reports, claim summaries, and trend analyses.

• Collaborate with insurance carriers, TPAs, medical providers, and legal counsel to ensure effective management of claims.

⛳️ Requirements

• A Bachelor’s degree in Human Resources, Business Administration, Occupational Health, Risk Management, or a related field is preferred.

• An equivalent combination of education and experience may be taken into account.

• 0–3 years of experience in managing workers’ compensation claims, leave administration, or risk management programs is required.

• Experience with insurance carriers, TPAs, and return-to-work programs is essential.

• Experience with multi-state workers’ compensation is preferred.

• Strong understanding of workers’ compensation laws, regulations, and claim management practices is necessary.

• Familiarity with OSHA reporting and workplace safety principles is important.

• Excellent communication, interpersonal, and conflict-resolution skills are required.

• Strong organizational skills and time-management abilities are essential.

• Capability to manage multiple claims and priorities simultaneously is a must.

• Proficiency in HRIS systems, claims management software, and the Microsoft Office Suite (Excel, Word, PowerPoint) is required.

• Ability to maintain confidentiality and demonstrate sound judgment is critical.

• Associate in Claims (AIC) certification is preferred.

• Certified Workers’ Compensation Professional (CWCP) designation is preferred.

• Professional in Human Resources (PHR) or SHRM-CP certification is a plus.

• Occupational Safety certifications are advantageous.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance.

• Generous paid time off and holiday leave.

• Retirement savings plan with employer matching contributions.

• Opportunities for professional development and continuing education.

• Flexible work arrangements and a supportive work environment.