The W orkers C ompensation plays a vital role in ensuring the health, safety, and well-being of all team members across the organization. This position is the primary contact for all team member related workplace injuries. C ollaborates effectively with injured team members , managers, and external stakeholders to ensure the appropriate administration of the workers’ compensation pro gram. This includes, but is not limited to, accurate and timely claims recording keeping , monitoring, preparing accurate claims trends analysis reporting , ensuring full compliance with applicable laws and regulations, and effective ly communicati ng with team members , their supervisors, company stakeholders, healthcare providers, and insurance partners.
ESSENTIAL FUNCTIONS:
- Execute established internal workers’ compensation policies, procedures, and best practices.
- Collaborate with internal stakeholders to ensure program alignment with organizational goals and regulatory requirements.
- Investigate and process workers’ compensation claims, including reviewing medical reports and accident documentation with assigned case workers .
- Ensure all reporting and recordkeeping comply with regulatory requirements.
- Serve as the primary point of contact for injured employees, providing guidance and support throughout the claims process.
- Communicate with managers, medical providers, insurance carriers, legal representatives, and third-party administrators to coordinate case management.
- Review and analyze accident reports to identify injury trends and assess contributing factors ; advise stakeholders on preventive measures to reduce accidents and improve safety.
- Monitor and record leave usage related to workers’ compensation claims.
- Monitor and manage workers’ compensation claims to ensure timely submission, appropriate care, and efficient case resolution .
- Maintain accurate and confidential records of claims, treatment authorizations, and related documentation.
- Function as a liaison between the return-to-work program, employees, and third-party administrators.
- Stay current on federal and state regulations, industry best practices, and emerging trends through research, seminars, and professional development.
- Provide training, education, and clear communication to stakeholders on workplace safety, injury prevention, and the workers’ compensation process.
- Coordinate with stakeholders to support efficient claims resolution and safe return-to-work transitions.
- Collaborate with stakeholders to ensure alignment on claims resolution .
Requirements
KNOWLEDGE, SKILLS, AND ABILITIES:
- Demonstrated knowledge of workers’ compensation a nd regulations.
- Familiarity with return-to-work programs and workplace accommodations.
- E xcellent interpersonal, written, and verbal communication skills, focusing on empathy and inclusivity.
- Strong organizational skills and attention to detail, with the ability to manage multiple responsibilities effectively.
- Ability to manage sensitive and confidential information with professionalism and integrity.
- High level of personal accountability, ownership of outco mes and a proactive app roach to problem solving.
- Proficiency with claims management software and Microsoft Office Suite.
- Ability to remain calm , compassionate, and composed while interacting with individuals in stressful or emotionally charged situations.
EDUCATION AND WORK EXPERIENCE:
- A n associate or bachelor's degree in human resources , business administration, risk management, occupational safety, or a related field is preferred. Equivalent combination of education and relevant experience may be considered.
- Minimum 2 years of experience in workers’ compensation administration, occupational health and safety, risk management, or a related field.
- Experience with claims management systems, and coordinating with third-party administrators or insurance carriers is strongly preferred.
PHYSICAL DEMANDS:
- This role is primarily office-based with occasional visits to work sites which may involve exposure to various indoor and outdoor environmental conditions.
- While performing the duties of this job, the employee is regularly required to talk and/or listen .
- The employee frequently is required to stand, walk, use hands and fingers, handle and/or feel; lift/carry up to twenty-five pounds, and reach with hands and arms.
- Must be able to lift and/or carry up to 25 pounds occasionally.
- Visual acuity required for reading documents, computer screens, and conducting workplace observations.