Workers' Compensation Specialist: Return-to-Duty & Claims

Washington Metropolitan Area Transit Authority; Reston (VA); On-site; USD 68,000 - 90,000; Full time

Job summary

Washington Metropolitan Area Transit Authority (WMATA) is seeking a Workers’ Compensation Specialist to support administration, tracking, and oversight of work-related injury and illness claims. The role acts as a liaison among WMATA, the TPA, and legal counsel while coordinating with OHAW, HR, and payroll to facilitate timely information exchange.

The specialist will help manage the Return to Duty process, assist with audits, and contribute to safety improvements in the WMATA work environment.

Qualifications

• Bachelor’s degree in Business, Business Administration, Law, Finance, Health Services or related field.
• In lieu of a Bachelor’s degree, an Associate’s Degree and two years of experience performing workers’ compensation claims adjusting, liability claims adjusting or litigation paralegal work will be considered.

Responsibilities

• Manages Worker’s Compensation (WC) “Return to Duty” process, coordinating with operations, payroll, TPA, and other departments.
• Assists Manager, Workers’ Compensation in oversight of the WC TPA to ensure compliance with WC manual and policy instructions.
• Develops and conducts regular training on WC claims procedures and rules to improve effectiveness and efficiency.
• Liaison for litigated WC claim activity between WMATA litigators and WMATA TPA to coordinate claim activities.
• Provides access to internal information to TPA claim adjusters for adjusting WC claims.
• Assists with processing invoices, wage information, and PARP requests in WC programs.
• Analyzes WC claims for unsafe conditions and safety improvements in WMATA work environment.
• Manages data in WMATA RMIS and TPA systems to ensure data accuracy and coordination.

Skills

WC Claims

TPA Liaison

Data Analysis

Communication

Education

Bachelor’s degree in Business, Business Administration, Law, Finance, Health Services or related field

Associate degree + 2 years WC experience

Tools

RMIS

Origami

Job description

Washington Metropolitan Area Transit Authority (WMATA) is seeking a Workers’ Compensation Specialist to support administration, tracking, and oversight of work-related injury and illness claims. The role acts as a liaison among WMATA, the TPA, and legal counsel while coordinating with OHAW, HR, and payroll to facilitate timely information exchange.

The specialist will help manage the Return to Duty process, assist with audits, and contribute to safety improvements in the WMATA work environment.