Workers’ Comp Claims & Safety Specialist

EMCOR Group

Irvine, Northern (CA, KY)

Hybrid

USD 50.000 - 58.000

Vollzeit

Vor 3 Tagen
Sei unter den ersten Bewerbenden
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Benefits dieser Stelle

Benefits package
401(k) Savings Plan
Life Insurance

Zusammenfassung

EMCOR Group in Irvine, CA is seeking a Workers’ Compensation Claims Administrator to manage WC and auto liability claims, ensuring compliance with regulations and supporting safety initiatives. You will collaborate with HR, safety, medical providers, and management to promote a safe, healthy work environment and to optimize claims outcomes.

The role requires strong communication, empathy, problem-solving, and organizational skills, plus experience in claims administration and workplace safety

Qualifikationen

  • Bachelor’s Degree or equivalent combination of education and/or related experience.
  • 3+ years of experience in Workers’ Compensation claims administration and workplace safety support.
  • Familiarity with OSHA reporting and safety compliance standards preferred.
  • Experience working with internal administrators, third-party administrators, and insurance carriers.
  • Proficiency in Microsoft Office Suite, with advanced Excel skills.

Aufgaben

  • Receive, review, and manage workers’ comp (WC) claims from start to finish, including initial reporting, investigation, and closure.
  • Investigate incidents, gather information, and determine the validity of claims.
  • Ensure compliance with state and federal WC laws, regulations, and policies.
  • Facilitate discussions and communication with employees, supervisors, HR Benefits, medical providers, and other stakeholders involved in the WC process.
  • Maintain accurate and detailed records of all claims, including documentation, correspondence, and any relevant information.
  • Assist and support the return-to-work program and light-duty assignments for injured employees.
  • Track and manage the cost of WC claims, including medical expenses and lost wages.
  • Provide training and education to employees and supervisors on WC procedures and regulations.
  • Support the root cause analysis meetings with managers/supervisors.
  • Prepare claim documentation for settlement and obtain EMCOR Risk Manager approval.
  • Generate monthly and quarterly WC data to identify trends and areas for safety and risk management improvement.
  • Provide support for WC-related litigation, including preparing documentation and working with legal counsel.
  • Support EMCOR Risk Manager with Auto and GL claims management, reporting, and analysis.
  • Determine and validate if claims fall under subrogation. Identify legal liability and pursue, negotiate and settle subrogation collection. Collaborate with legal to resolve.
  • Support and participate in all safety initiatives, including inspections, training, recordkeeping, and reporting.
  • Develop dashboards and metrics to track safety performance and claims trends.
  • Participate in quarterly claim reviews and subrogation efforts as needed.
  • Perform other duties and projects assigned by the Senior Safety Director.

Kenntnisse

Workers' Compensation knowledge
Communication skills
Caseload management

Ausbildung

Bachelor's degree

Tools

Microsoft Office Suite
Excel (Advanced)

Jobbeschreibung

EMCOR Group in Irvine, CA is seeking a Workers’ Compensation Claims Administrator to manage WC and auto liability claims, ensuring compliance with regulations and supporting safety initiatives. You will collaborate with HR, safety, medical providers, and management to promote a safe, healthy work environment and to optimize claims outcomes.

The role requires strong communication, empathy, problem-solving, and organizational skills, plus experience in claims administration and workplace safety

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