Workers’ Compensation Analyst (Work from Home)

Geisinger; Pennsylvania; Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Health benefits from day one

Tuition reimbursement

Generous PTO

Wellness program

Job summary

Geisinger is seeking a Workers' Compensation Claims Specialist to support system-wide administration, reporting, and data analysis across Pennsylvania. The role focuses on investigating claims, coordinating with Medical Records and Payroll, and ensuring proper documentation for carriers and audits.

Responsibilities include gathering wage data, educating staff on supplemental payments, monitoring PTO, and maintaining OSHA logs and Return to Work processes.

Qualifications

• High School Diploma or GED required.
• Minimum of 5 years of relevant workers' compensation experience.
• Experience coordinating with Medical Records and Payroll departments.

Responsibilities

• Complete detailed workers' compensation claim investigations.
• Gather criteria, analyze data, and advise on accepting or contesting claims.
• Coordinate information with Medical Records and Payroll to ensure proper documentation.
• Monitor employee PTO and ensure correct payments.
• Maintain OSHA 300 log and Return to Work documents.

Skills

Data analysis

Reporting

Claims coordination

Communication skills

Education

High School Diploma or GED

Job description

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes 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) Certification(s) and License(s): Skills: 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, we encourage an atmosphere of collaboration, cooperation and collegiality.

Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. Geisinger is committed to making better health easier for the more than 1 million people it serves. Founded more than 100 years ago by Abigail Geisinger, the system now includes nine hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,600 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and benefits for domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter. * Does not qualify for J-1 waiver. We are an affirmative action, equal opportunity employer. Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.