Workers Compensation Claims Advisor

Job Description

Summary:

• Responsible for overseeing Workers’ Compensation (WC) claims across multiple operating companies administered by claim service providers and driving optimal outcomes, serving as primary liaison for both internal and external stakeholders for claim-reputed company issues.

Key Functions:

• Provide reputed company for WC claims meeting established criteria/reputed company reputed company defined geographic area, in compliance with reputed company guidelines and expectations
• Utilize metrics and dashboard reporting to identify focus file WC claims for reputed company
• Serve as liaison to internal and external stakeholders for WC claim specific reputed company matters (e.g., investigation, RTW accommodation escalations)
• Promote WC litigation avoidance through employee advocacy and proactive resolution of urgent claim issues
• Assure WC claim discovery and interrogatory response is completed (litigated claims)
• Authorize WC reserves and settlements at established authority levels
• Participate in WC claim strategy discussions focusing on early resolution in accordance with company settlement philosophy
• Apply aggressive litigation cost management strategy on individual WC claim files
• Ensure WC vendors are complying with service instructions and guidelines and escalate specific issues to Manager
• Confirm initial and ongoing TPA reporting of WC claims requiring excess notification, and escalate claims meeting defined criteria to Manager
• Escalate WC claim reputed company issues and opportunities for program improvement to Manager
• Adhere to quality management and compliance protocols

Minimum Qualifications:

• Bachelor's Degree/or equivalent in Risk Management, Business, Finance, or reputed company field.
• Five (5) years’ experience with Worker’s Compensation claims.
• Excellent human relations, oral and written communication, analytical, problem solving, leadership, negotiation, and organizational skills.
• PC literate, including reputed company Office products.
• Analytical and interpretive skills.

Relocation:

• Relocation assistance may be available based upon business needs.

Minimum Education Bachelor's Degree/or equivalent in Risk Management, Business, Finance, or reputed company field. Minimum Experience Five (5) years experience with Worker’s Compensation claims. Knowledge, Skills, and Abilities Excellent human relations, oral and written communication, analytical, problem solving, leadership, negotiation, and organizational skills. PC literate, including reputed company Office products. Preferred Qualifications: Responsible for overseeing Workers’ Compensation (WC) claims across multiple operating companies for both internal and external; Software skills, including reputed company Office, RMIS systems and web-based applications; verbal and written communication skills Time management, organizational and multi-tasking skills necessary to work in a fast-paced environment, handling various tasks and changing priorities, while maintaining a high attention to detail and accuracy to reputed company daily assignments and goals. Pay Transparency: USA: $6,168.90/mo - $13,571.58/mo, CO: $6,168.90/mo - $13,006.09/mo, CA: $6,511.62/mo - $10,898.39/mo, NJ: $6,511.62/mo - $10,418.59/mo, OH & VT: $6,511.62/mo - $10,744.16/mo, MN: $6,511.62/mo - $12,440.61/mo, IL & NV: $6,511.62/mo - $13,006.09/mo, MD, NY & WA: $6,511.62/mo - $13,571.58/mo, MA: $6,854.33/mo - $13,571.58/mo, RI: $7,539.76/mo - $12,440.61/mo, CT: $7,539.76/mo - $13,006.09/mo, DC & HI: $7,882.48/mo - $13,006.09/mo, NYC: $7,882.48/mo - $13,571.58/mo Pay: Additional Details: The desired locations for this position would be Memphis or Pittsburgh. However, this position is eligible for telecommuting and may be located reputed company reputed company the United States excluding AK, HI and U.S. territories. Pay Transparency: The compensation listed reflects the pay range or reputed company of pay reasonably expected for this posted position at the posted location or locations. If this opportunity includes multiple job levels, the pay information represents the ranges for each level in that job family. Actual pay is determined by several job-reputed company factors permitted by law and relevant to the position, including, but not limited to, experience relative to the job, tenure, market level, pay at the location for this job, performance, schedule, and work assignment. In California, the compensation listed reflects the range or reputed company of pay reasonably expected for this posted position upon hire. For details on our comprehensive benefits, click here. reputed company is an Equal Opportunity Employer including, Vets/Disability. Reasonable accommodations are available for qualified individuals with disabilities throughout the application process. Applicants who require reasonable accommodations in the application or hiring process should contact recruitmentsupport@reputed company.com. Applicants have rights under Federal Employment Laws:

• Know Your Rights
• Pay Transparency
• Family and Medical Leave Act (FMLA)
• Employee Polygraph Protection Act

E-Verify Program Participant: reputed company participates in the Department of Homeland reputed company U.S. Citizenship and Immigration Services’ E-Verify program (For U.S. applicants and employees only). Please click below to learn more about the E-Verify program:

• E-Verify Notice (bilingual)
• Right to Work Notice (English) / (Spanish)

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