Senior Workers’ Compensation & Risk Manager

EMSA- Emergency Medical Services Authority; Oklahoma City (OK); Presencial; USD 65.000 - 90.000; Jornada completa

Descripción de la vacante

EMSA- Emergency Medical Services Authority in Oklahoma City seeks an experienced worker’s compensation claims administrator to manage end-to-end claims processes, collaborate with TPAs and legal teams, and maintain compliance with safety and regulatory standards.

You will monitor open claims, coordinate medical evaluations, and support return-to-work initiatives while preparing budgets and analyzing trends for leadership review.

Formación

• High school diploma or GED, associate or bachelor’s degree in health and safety or business administration preferred or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job such as those listed in this job description.
• Minimum of three (3) years of progressively responsible workers' compensation claims administration, claims management, occupational health, risk management, or related experience.
• Advanced skills in MS Excel and Microsoft Office Suite.
• EMS or healthcare experience is strongly preferred.
• UKG experience preferred.
• CSCS/CWCA preferred.
• Must possess a valid Oklahoma driver’s license.

Responsabilidades

• Claims Intake & Case Management: Manage the end-to-end workers’ compensation claims process, including creating, reviewing, and submitting First Reports of Injury and associated documentation for completeness and timeliness.
• Collect and maintain all documentation related to on-the-job injuries, including reports, witness statements, medical records, and accident investigation results.
• Proactive monitoring of all open claims daily for status changes, documenting all communications and updates within the case files.
• Medical coordination: Partner with team members, adjusters, and medical providers to ensure injured employees receive appropriate, timely evaluation and treatment using an approved list of medical providers.
• Serve as the primary point of contact for third-party administrators (TPAs), legal counsel, and insurance brokers to ensure efficient claim resolution.
• Internal communication: contact management, HR, scheduling nd the injured team member within 24-48 hours of an incident; provide regular updates to the Director of Risk & Occupational Health regarding claim and return-to-work status.
• Facilitate, schedule, participate in, and keep minutes for periodic claims reviews with operations, adjusters’ brokers, and attorneys.
• Facilitate light duty assignments for team members which keep them performing work assignments within their identified restrictions and navigate return-to-work initiatives.
• Present claim trends, loss analyses, financial forecasts, and risk management recommendations to leadership and other stakeholders as needed.
• Conduct comprehensive analysis of workers' compensation, liability, and insurance loss run data to identify claim trends, emerging risks, and opportunities for risk reduction.
• Prepare and manage annual budgets and financial forecasts related to workers' compensation, insurance, claims administration, and risk management programs.
• Perform root cause analyses of workplace incidents, injuries, and claims to identify contributing factors and recommend corrective and preventive measures.
• Will be responsible for administering and tracking temporary total disability (TTD), maximum medical improvement (MMI), and permanent partial disability (PPD)
• Coordinate with scheduling and payroll staff to ensure accurate timecard coding for continuation of pay and light-duty hours.
• Coordinates with Human Resources on injuries arising from occupational injuries or illnesses with respect to matters involving FMLA, EMSA Provisional Leave, ADA accommodations, and/or fitness-for-duty evaluations.
• Collaborates with Risk and Safety Department Team Members on workplace safety, accident prevention, incident investigation, regulatory compliance, injury trend analysis, corrective action initiatives, employee safety awareness, and other programs designed to reduce risk, prevent injuries, and promote a safe and healthy work environment.
• Litigation assistance: prepare materials, evidence, and documentation to assist defense attorneys with hearing, lawsuits, and insurance investigations.
• Regulatory recordkeeping: review incident reports and prepare additional documents to meet organization, safety, and regulatory reporting requirements Oklahoma Department of Labor PEOSH Program forms OK Form 300 Log of Work-Related Injuries and Illnesses, OK Form 300A Summary of Work-Related Injuries and Illnesses, and OK Form 301 Injury and Illness Incident Reports
• Promote safety standards and foster an organizational culture that aligns with EMSA’s mission, vision, and values.
• Develop and conduct workers’ compensation and safety training for supervisors and team members.
• Adhere to, enforce, and model all organizational policies and safety standards in an ethical and professional manner.
• Administrative flexibility: perform special projects and other duties as assigned by leadership.

Conocimientos

MS Excel

Microsoft Office

EMS experience

UKG experience

CSCS/CWCA

Driver's license (OK)

Educación

High school diploma or GED

Associate or Bachelor’s in health and safety or business administration

Descripción del empleo

EMSA- Emergency Medical Services Authority in Oklahoma City seeks an experienced worker’s compensation claims administrator to manage end-to-end claims processes, collaborate with TPAs and legal teams, and maintain compliance with safety and regulatory standards.

You will monitor open claims, coordinate medical evaluations, and support return-to-work initiatives while preparing budgets and analyzing trends for leadership review.