Workers’ Compensation Analyst (Work from Home)

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

Job Summary

Serves as system-wide support related to the administration, processing, coordination, and maintenance of Workers' Compensation. Responds to requests for reporting, statistical, and financial data to support the Workers' Compensation function.

Job Duties

• 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 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 directly with the Payroll Department and supervisors to ensure correct payment of Paid Time Off and Extended and supplemental time.
• Determines OSHA recordability of every work-related injury, reviews medical notes, Return to Work Instructions, and investigates the claim.
• Maintains the Federally mandated 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 if indicated, determines other appropriate actions to be taken.
• Administered OCIP claim filings, investigations and management.
• Supports director with Litigated Claims/Files/Scheduling/Hearings.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Position Details

• Relevant experience may be a combination of related work experience and degree obtained (Associate’s Degree = 2 years; Bachelor’s Degree = 4 years).

Benefits Overview

• Full benefits (health, dental and vision) starting on day one
• Three medical plan choices, including an expanded network for out-of-area employees and dependents
• Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA) with employer contribution
• Company-paid life insurance, short-term disability, and long-term disability coverage
• 401(k) plan that includes automatic Geisinger contributions
• Generous paid time off (PTO) plan that allows you to accrue time quickly
• Up to $5,000 in tuition reimbursement per calendar year
• MyHealth Rewards wellness program to improve your health while earning a financial incentive
• Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones
• Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care; Access free legal guidance, mental health visits, work-life support, digital self-help tools and more
• Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance

Education

High School Diploma or Equivalent (GED)- (Required)

Experience

Minimum of 5 years-Relevant experience* (Required)

OUR PURPOSE & VALUES

Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.