Workers Comp Claims Analyst

Osmose inc; Atlanta (GA); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical Insurance

401k with excellent company match

Paid time off

Job summary

Osmose Utilities is seeking a Claims Analyst for an in-office position in downtown Atlanta. This role supports the multi-jurisdictional workers' compensation program by tracking and analyzing employee injury claims, ensuring timely reporting, investigation, and resolution in compliance with state laws and company policies.

The ideal candidate has experience handling claims and is eager to grow in a fast-paced environment.

Qualifications

• Bachelor's degree or Associate in Claims required.
• Two or more years of workers' compensation claims experience.
• Familiar with claims practices and OSHA rules; helpful if known.

Responsibilities

• Coordinate intake, reporting and follow-up of work-related injuries and illnesses.
• Assess classification of claims and support investigations for root cause and resolution.
• Serve as liaison between injured employees, supervisors, TPAs, and insurers.

Skills

MS Office

RMIS software

Verbal and written communication

Self-starter

OSHA rules knowledge

Claims practices

Education

Bachelor's degree or Associate in Claims

Tools

Microsoft Office

RMIS software

Job description

Summary of position

Osmose Utilities is seeking a Claims Analyst for an in office M F position in downtown Atlanta This team contributor role will play a key part in supporting the multi jurisdictional workers compensation program by managing tracking and analyzing employee injury claims This position will ensure timely reporting investigation and resolution of claims in compliance with state laws and Company policies The ideal candidate will have some prior experience handling or supporting workers compensation claims and is eager to grow their expertise in a fast paced field oriented environment

Responsibilities

• Must be authorized to work in the US without sponsorship
• Coordinate the intake reporting and follow up of work related injury and illness claims
• Assess the classification of each claim first aid medical only lost time or controverted and manage accordingly including support of internal investigations to determine root cause and acceptance or denial of claims as applicable
• Serve as a primary liaison between injured employees supervisors third party administrators TPAs and insurance carriers
• Monitor claim status and ensure timely and accurate claim documentation and communication including timely claim updates to relevant field and safety personnel
• Assist with andor coordinate return to work programs and modified duty assignments
• Work directly with outside counsel to document and defend controverted claims
• Collaborate with HR to ensure compliance with applicable employment laws
• Handle administrative claims functions including completion of state board forms light duty offer letters check requests invoices and mail processing
• Support safety and risk management initiatives and contribute to projects that further the Companys safety objectives
• Perform other related duties as assigned

Requirements

• A bachelors degree or Associate in Claims
• AIC certification is preferred but not required
• Two or more years experience in workers compensation claims management
• Must be familiar with claims practices and OSHA rules and regulations
• A proven ability to acquire new knowledge and expertise as necessary to function as a resource for others
• Working knowledge of MS Office products and RMIS software beneficial but not required
• Highly motivated self starter with excellent verbal and written communication skills
• Embrace core values of the Company
• Commitment to supporting all Company policies

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions While performing the duties of this job the employee is regularly required to talk and hear The employee frequently is required to stand walk climb stairs sit and use hands to finger handle or feel Specific vision abilities required by this job include close vision distance vision color vision and ability to adjust focus Must be able to lift up to 10 pounds

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions The noise level in the work environment is usually moderate The noise level may increase in certain areas of the Company locations

About Osmose

Osmose is the market leading provider of critical resiliency assessment and restoration services for electric transmission distribution and telecommunications companies

Benefits

• Medical Insurance and Health Savings Account with company contributionDental Vision Life Insurance STD LTD Critical Illness Plan and more401k with excellent company matchPaid time off vacation sick floating holidays

Osmose is an Equal Opportunity employer EOE MFDisabledVet