Workers Compensation Specialist - Remote

Aveanna Healthcare; Atlanta (GA); Remote; USD 60,000 - 85,000; Full time

Job summary

Aveanna Healthcare is seeking a Workers Compensation Specialist to manage and investigate employee injury claims in a remote setting. This role involves overseeing claims processes, ensuring compliance with legal standards, and delivering excellent customer service. Ideal candidates possess a strong understanding of workers' compensation laws and significant experience in claims management, helping to support our workforce effectively.

Qualifications

• 5 years experience in Employee Injury or Workers Compensation Claims and Litigation OR Bachelor’s Degree and 4 years' experience.
• Knowledge of Workers Compensation claims handling and legal statutes.
• Preferred experience in California, Texas, Pennsylvania claims.

Responsibilities

• Investigating, reviewing, and administering workers' compensation claims.
• Reviewing medical reports and approving claims.
• Representing Aveanna at hearings and claims actions.

Skills

Attention to detail

Time Management

Effective problem-solving

Communication skills

Education

High School Diploma

Bachelor’s Degree

Job description

This is a remote position.

Join a Company That Puts People First!

At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart:

Award-Winning Culture

- Ranked the #1 company to work for in Georgia in 2024 by U.S. News & World Report.

Employee Connection & Support

- Aveanna Connection Groups: Employee-led groups where shared identities and experiences create spaces for connection, collaboration, and support.

- Aveanna Social Circles: Join groups based on your interests, like books, music, or movies, to build camaraderie and lasting friendships.

- Aveanna Employee Relief Fund: A resource to help our team members through unexpected hardships, because we’re stronger together.

Inclusive Learning Environment

- We believe in growing together. Our inclusive learning sessions are open to all employees, fostering collaboration and shared success.

Commitment to Community

- Every year, we dedicate a day to giving back through our Annual Service Day, making a meaningful impact in the communities we serve.

Position Overview
The Workers Compensation Specialist is responsible for the being the liaison between the Aveanna Field Staff and the third party administrator. This role will require investigation of employee injury claims and oversight that our third party administrator is managing the injury claims in an effective manner.

This position will resolve injury claims according to Best Practices and within authority limits by following established protocols to ensure that they are handled in the most efficient, effective way while delivering excellent customer service.

Essential Job Functions
Investigating, reviewing, evaluating, and administering workers' compensation claims
Reviewing medical reports
Setting reserves
Filing documentation
Reviewing and approving medical bills for payment
Reviewing accident and injury reports
Interviewing and correspond with claimants, witnesses, attorneys, and physicians
Approving workers compensation claims or recommending denial
Representing Aveanna at various workers' compensation and industrial leave claims actions and hearings
Perform other duties as assigned

Requirements
High School Diploma and 5 years or more experience in Employee Injury or Workers Compensation Claims and Litigation OR a Bachelor’s Degree and 4 years’ experience in Workers Compensation Claims and Litigation
Knowledge of Workers Compensation claims handling and the relevant legal statutes and procedures
Customer service experience

Workers Comp experience in California, Texas, and Pennsylvania and non-subscriber claim experience highly preferred

Other Skills/Abilities
Attention to detail
Time Management
Effective problem-solving and conflict resolution
Good organization and communication skills

Physical Requirements
Must be able to speak, write, read and understand English
Occasional lifting, carrying, pushing and pulling of 25 pounds
Prolonged sitting, walking, standing, bending, kneeling, reaching, twisting
Must be able to sit and climb stairs
Must have visual and hearing acuity
Must have strong sense of smell and touch

Environment
Performs duties in an office environment during agency operating hours
Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions

Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Vaccination Requirement
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

#LI-Remote

Headhunters and recruitment agencies may not submit resumes/CVs through this website or directly to managers. Aveanna does not accept unsolicited headhunter and agency resumes, and will not pay fees to any third-party agency or company that does not have a signed agreement with Aveanna.