Workers' Comp Claims & Compliance Specialist

Geisinger; Danville (PA); On-site; USD 55,000 - 85,000; Full time

Job summary

Geisinger seeks an experienced Workers' Compensation Administrator to support system-wide operations. This role handles administration, processing, coordination, and maintenance of workers' compensation data and reporting.

You will gather and analyze claim information, advise on claim outcomes, coordinate wage and benefits data, and ensure documentation is submitted to the WC carrier. A minimum of 5 years' relevant experience is required.

Qualifications

• Minimum of 5 years of relevant experience (Required).
• High School Diploma or GED (Required).

Responsibilities

• Completes detailed claim investigations for Workers' Compensation.
• Gathers and analyzes pertinent criteria and advises on whether to accept or contest claims.
• Obtains information from the Medical Records and Payroll Departments to assure required documentation is submitted to Workers' Compensation carrier.
• Coordinates gathering of wage information, educating employee and supervisor on proper supplemental payments.
• Monitors employee's use of paid time off and communicates with Payroll and supervisors to ensure correct PTO payments.
• Determines OSHA recordability of every work-related injury, reviews medical notes, Return to Work Instructions, and investigates the claim.
• Maintains the OSHA 300 Log and Summary of Occupational Injuries and Illnesses for all locations and entities.
• Monitors all Return to Work documentation from providers to determine appropriate completion of forms.
• Attends Workers' Compensation hearings as needed.
• Receives requests, searches pertinent records, selects proper informational material, or determines other appropriate actions.
• Administered OCIP claim filings, investigations and management.
• Supports director with Litigated Claims/Files/Scheduling/Hearings.

Education

High School Diploma or GED

Job description

Geisinger seeks an experienced Workers' Compensation Administrator to support system-wide operations. This role handles administration, processing, coordination, and maintenance of workers' compensation data and reporting.

You will gather and analyze claim information, advise on claim outcomes, coordinate wage and benefits data, and ensure documentation is submitted to the WC carrier. A minimum of 5 years' relevant experience is required.