Remote Workers' Compensation Specialist

Cayuga Health System; Hayts Corner (NY); Remote; USD 75,000 - 95,000; Full time

Job summary

Cayuga Health System is seeking a Workers' Compensation Specialist to administer its self-insured WC program across the organization, ensuring regulatory compliance, cost-effective claims management, and timely return-to-work processes.

You will collaborate with HR, Risk Management, Finance, Legal, TPAs, brokers, and NYS WCB, while driving program enhancements, data reporting, and audits to reduce exposure and protect patient care across Cayuga Health facilities.

Qualifications

• Associate's degree in Human Resources, Business Administration, Finance, Safety, Risk Management, or related field.
• Experience with Workers' Compensation, claims management, or risk management preferred.
• Strong analytical, financial, and problem-solving skills.
• Excellent written and verbal communication skills.

Responsibilities

• Oversee and administer Centralus Health's self-insured WC program, including filing and managing reports of injury.
• Manage WC-related spend, including claim costs, TPA services, NYS WCB assessments, and excess WC coverage with broker partners.
• Develop, implement, and monitor early return-to-work and transitional duty programs.
• Standardize WC processes across business units to improve efficiency and reduce TPA fragmentation.
• Complete NYS Workers' Compensation Board quarterly and annual self-insured assessments.
• Coordinate and lead regular claim audits with TPAs to ensure proper reserving and strategy alignment.
• Participate in claim reviews, settlement discussions, and legal proceedings when beneficial.
• Maintain OSHA 300/300A/301 logs and ensure regulatory reporting compliance.
• Provide safety guidance and coordinate with HR/Benefits on WC, FMLA, disability, and leave programs.
• Support stakeholders with timely data requests and compliance needs.
• Monitor loss trends and provide reporting to senior leadership.

Skills

Analytical thinking

Financial acumen

Communication skills

Problem-solving

Discretion

Education

Associate's degree in Human Resources, Business Administration, Finance, Safety, Risk Management, or related field

Job description

Cayuga Health System is seeking a Workers' Compensation Specialist to administer its self-insured WC program across the organization, ensuring regulatory compliance, cost-effective claims management, and timely return-to-work processes.

You will collaborate with HR, Risk Management, Finance, Legal, TPAs, brokers, and NYS WCB, while driving program enhancements, data reporting, and audits to reduce exposure and protect patient care across Cayuga Health facilities.