Workers Compensation Specialist

Jobtailor; Dearborn (MO); On-site; USD 65,000 - 95,000; Full time

Job summary

Jobtailor is seeking a Workers' Compensation professional to manage policy execution and claims from report to resolution. The role requires collaboration with HR, plant operations, and outside adjusters to ensure compliant, timely outcomes.

Key duties include project participation to reduce costs, data analysis for trend identification, and training development to educate employees on Workers' Compensation processes and responsibilities.

Qualifications

• Bachelor’s degree or 5 years experience with High School degree in Workers' Compensation or related field.
• Involves lifting 10–25 pounds and walking/standing with moderate noise from equipment.
• Bachelor’s degree in HR, Risk Management, or related discipline preferred or equivalent experience.
• CHRP/SHRM/CPA certifications preferred.

Responsibilities

• Implements and executes Workers' Compensation policies and procedures in a timely manner with fairness and consistency.
• Supports handling workers’ compensation claims from initial report to resolution and investigates accidents.
• Coordinates returns-to-work and communicates with claim adjusters, HR, and operations.
• Participates in workers' compensation projects, data integration, and cost-reduction strategies.
• Monitors laws and maintains records to support defense of claims and program compliance.
• Prepares reports on program performance, trends, and metrics for management.
• Contributes to annual audits of workers' compensation programs and develops trainings.

Skills

Workers' compensation

Claims management

Risk management

Data analysis

Communication

Training & coaching

Regulatory compliance

Education

Bachelor's degree in Human Resources or Risk Management

Certifications: CHRP/SHRM/CPA preferred

Job description

Key Responsibilities

• Implements and execution of the organization's Workers Compensation policies and procedures, with fairness and consistency in a timely manner. Ensures compliance with employment laws, regulations, and company policies.
• Supports handling the workers’ compensation claims from initial report to resolution and investigates accidents involving company staff, vehicles, and equipment. Performs regular workers’ compensation operations review with each plant location to ensure each case has an action plan in place. Ensures necessary documentation is obtained and provided to the claim adjusters.
• Determines the need to report claims and maintains regular communication/review with claim adjusters to ensure excellent management of claims. Represents the company at workers' compensation claim review meetings as required. Coordinates modified duty return-to-work efforts with the claim adjusters, HR, and plant operations.
• Participates in the delivery of Workers Compensation special projects by representing the team as the prime contact, coordinating with senior internal and industry personnel, integrating data and information from multiple sources to identify trends, and innovating solutions to minimize the overall cost of workers’ compensation claims through effective claims management and loss prevention strategies.
• Stays updated on Workers Compensation laws and regulations to ensure program compliance. Monitors claims status, maintains files, and provides necessary support in defense of claims. May maintain occupational safety and health agency records if necessary.
• Supports the preparation of regular reports on Workers Compensation program performance, trends, and metrics for management. Compiles and analyzes data related to workplace injuries, claims, and costs. Maintains important records related to claim processing such as medical bills, treatment plans, etc. Provides input on risk assessments, development of strategies, action plans, and associated recommendations to move claims to settlement or closure.
• Participates in the annual audit process for the company's workers' compensation programs including claims administration, cost analysis, injured employee communications, and return-to-work programs, and updates existing policies related to the Workers Compensation function, whilst maintaining compliance and consistency with relevant laws and companywide policies. Supports the development of trainings to educate employees about the Workers Compensation processes, their rights, and responsibilities.
• Demonstrates full knowledge of industry best practices in Workers Compensation subjects such as loss prevention and rehabilitation management programs along with a strong understanding and application of related concepts and principles. Attends conferences, and other trainings to stay current on risk, claims, and safety developments. Coaches and guides managers and employees on matters related to Workers Compensation.

Requirements

• High School Degree
• Minimum 3 years of work experience with a Bachelors degree or 5 years of work experience with a High School degree, preferably in Workers Compensation or a related field.
• Involves frequent (defined as one to two-thirds of the time) lifting of more than 10 to 25 pounds. Work performed requires a good deal of walking or standing and may include some sedentary work and working conditions that include moderate noise levels related to the use of office equipment or machinery. May involve exposure to varying outside temperatures.
• Bachelor’s degree in Human Resources, Risk Management, or any other related discipline or commensurate work experience (Preferred)
• Certified Human Resource Professional (CHRP) (Preferred)
• SHRM Certified Professional (Preferred)
• Certified Public Accountant (Preferred).