Workers' Compensation Specialist

The Planet Group; Cambridge (MA); Hybrid; USD 55,000 - 69,000; Full time

Job summary

The Planet Group is seeking an experienced Workers' Compensation Specialist for a contract role in Cambridge, MA. This position offers a hybrid work arrangement (2 days onsite) and a 3- to 6-month term with potential extension.

Ideal candidates bring 5+ years of workers' comp experience, a strong understanding of Massachusetts law, and excellent interpersonal skills to navigate reports, interviews, and payments effectively.

Qualifications

• Bachelor's degree required.
• 5+ years of related workers comp experience.
• Strong knowledge of Massachusetts Workers' Compensation laws.
• Strong interpersonal skills.

Responsibilities

• Receives and responds to all reports of injury on the job implementing all processes required under policy and Massachusetts Law.
• Interviews employees and advise them of their rights under policy and Massachusetts Workers Compensation laws; reviews supervisors’ reports and medical documentation.
• Responsible for making workers’ compensation payment and/claim denial decisions; may include collaboration with Office of Insurance /Risk Management, Payroll Department and the Office of General Counsel and external counsel as necessary.
• Works with employees and DLC’s throughout the worker’s compensation process; advising on processes, practices and expectations. This includes: working with employees on understanding eligibility, lost time, medical documentation and billing, providing information about the process, requesting information about leave time, notifying payroll of making Worker’s Compensation payroll codes are open for lost time and notifications to DLCI’s on payroll processing.
• Coordinates with DLC supervisors, HR Staff and interacts with injured employees on a variety of claims issues including leave policies, pay policies, medical documentation, and other relevant issues
• Working with supervisors, employee and DLC HR staff, negotiates options for and gets agreement on temporary modified duty for claims
• Manage the processing of cases by the Third-Party Administrator
• Works on projects, process improvements as needed.
• Deals with confidential information using discretion and good judgment.

Skills

Interpersonal skills

Education

Bachelor's Degree

Job description

Contract: 3-6 months, could extend beyond

Hybrid: Cambridge, MA 2 days onsite

Pay Range: $40-50/hr.

Must Haves

• Bachelor's Degree
• 5+ years of related workers comp experience
• Strong knowledge of the laws in this space
• Strong interpersonal skills

Preferred

• LTD (long term disability) experience
• High volume of workers comp claims (they have roughly 300 cases/year)

PRINCIPAL DUTIES AND RESPONSIBILITES (ESSENTIAL FUNCTIONS):

Receives and responds to all reports of injury on the job implementing all processes required under policy and Massachusetts Law

Interviews employees and advise them of their rights under policy and Massachusetts Workers Compensation laws; reviews supervisors’ reports and medical

documentation.

Responsible for making workers’ compensation payment and/claim denial decisions; may include collaboration with Office of Insurance /Risk Management, Payroll Department and the Office of General Counsel and external counsel as necessary.

Works with employees and DLC’s throughout the worker’s compensation process; advising on processes, practices and expectations. This includes: working with employees on understanding eligibility, lost time, medical documentation and billing, providing information about the process, requesting information about leave time, notifying payroll of making Worker’s Compensation payroll codes are open for lost time and notifications to DLCI’s on payroll processing.

Coordinates with DLC supervisors, HR Staff and interacts with injured employees on a variety of claims issues including leave policies, pay policies, medical documentation, and other relevant issues

Working with supervisors, employee and DLC HR staff, negotiates options for and gets agreement on temporary modified duty for claims

Manage the processing of cases by the Third-Party Administrator

Works on projects, process improvements as needed.

Deals with confidential information using discretion and good judgment.