Benefits Specialist Workers Comp

AAA Auto Club Enterprises

Costa Mesa (CA)

On-site

USD 84,100 - 111,900

Full time

14 days+

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Benefits offered by this job

Health coverage for medical, dental, vision

401(K) saving plan with company match AND Pension

Tuition assistance

PTO for community volunteer programs

Wellness program

Employee discounts

Job summary

An insurance company in Costa Mesa is seeking a Benefits Specialist to manage employee benefits with a focus on workers' compensation. The role requires expertise in compliance with federal and state regulations, supporting employees through the claims process, and collaborating with stakeholders for workplace safety. Ideal candidates will have 4-6 years of experience in workers' compensation. A competitive salary range of $84,100 - $111,900 is offered, alongside a robust benefits package.

Qualifications

Bachelor's or equivalent combination of education and experience preferred.
4-6 years significant knowledge in workers' compensation.
Professional written, verbal, and interpersonal skills to communicate policies and procedures.

Responsibilities

Track claim status, reserves, payments, and medical updates.
Coordinate with adjusters on disputed claims, delays, or settlement issues.
Educate employees and managers on workers' compensation policies.
Maintain compliance with all applicable laws and regulations.

Job description

Join to apply for the Benefits Specialist Workers Comp role at AAA Auto Club Enterprises. We are seeking a detail-oriented and compassionate Human Resources Benefits Specialist to manage and administer employee benefits programs with a specialized focus on workers’ compensation. This role is pivotal in ensuring compliance with federal and state regulations, supporting injured employees through the claims process, and collaborating with internal and external stakeholders to promote workplace safety and recovery.

Responsibilities

Track claim status, reserves, payments, and medical updates.
Coordinate with adjusters on disputed claims, delays, or settlement issues.
Identify and escalate potential fraud cases.
Work closely with employees and management on processing the workers’ compensation claim paperwork.
Monitor and analyze claim trends to identify opportunities for risk mitigation and cost containment.
Assist with claims administration, audits, report preparation, and compilation of statistics.
Educate employees and managers on workers’ compensation policies, procedures, and return-to-work programs.
Maintain compliance with all applicable laws and regulations, including OSHA and state-specific workers’ compensation statutes.

Qualifications

Bachelor’s or Equivalent combination of education and experience preferred
4-6 years Significant knowledge in workers’ compensation.
Professional written, verbal, and interpersonal skills to effectively communicate policies and procedures to all levels of staff and management preferred.
Advanced understanding of federal and state legislation regarding human resource management programs and practices preferred.
Experience with Workday a plus
Professional Human Resources - Human Resource Certification Institute preferred

Compensation

The starting pay range for this position is $84,100.00 - $111,900.00.

Additionally, for full-time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.

Benefits

Health coverage for medical, dental, vision
401(K) saving plan with company match AND Pension
Tuition assistance
PTO for community volunteer programs
Wellness program
Employee discounts

Equal Opportunity Employer: AAA is an Equal Opportunity Employer.

The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA).

Seniority level