WORKERS COMPENSATION CLAIMS SPECIALIST

Facility: RISK MANAGEMENTCompensation Base: Compensation Bonus (if applicable): Equal Opportunity Employer.SummaryUnder minimal supervision, this position investigates Workers'' Compensation (WC) claims and Auto Liability claims and reports, and information provided to third-party administrators to ensure compliance with federal and state regulations and organizational policies. Monitors claim activities to conclusion in effort to reduce the financial impact to the organization.Primary Duties and ResponsibilitiesPrepares, reviews, and submits reports regarding claims for Worker''s Compensation and Auto Liability.Verifies data received from facilities, finance, and payroll departments for submission to insurance carriers on workers'' compensation.Coordinates and monitors the activity of vendor partners as it relates to individual claim outcomes.Monitors, maintains, and reviews all claims in designated states for timely and accurate reporting including, but not limited, to employee status, case reserving and litigated status.Maintains the Occupational Safety and Health Administration (OSHA) log module in Risk Management Information System (RMIS).Prepares, maintains and coordinates a variety of information with third party administrators including outstanding medical bills, employee lost time, employee return to work, and compensation pletes and maintains all forms and documents related to Workers'' Compensation and Auto Liability.Works closely with the Human Resources Department and Director, Risk Management to assist in early claims reporting and for designated claims that are in the litigation process.Assists and participates in claims file audits.Assists and monitors the Modified Duty Program and all associated costs.Performs other duties as assigned.

Created: 2021-11-29