Workers Compensation Analyst (REMOTE)
reputed company (reputed company) - Major purpose and functions of the position.
Primary responsibility to manage the workers' compensation claims process through the reputed company of the reputed company-party claims administrator (TPA) and reputed company strategies for reputed company and economical reputed company. Develops solid relationships with reputed company clients, vendors, and industry reputed company to ensure reputed company... maintains a "Best in Class" claims process. Regularly interacts with reputed company counsel, insurance representatives, and other departments regarding claims issues. Directs activities of TPA in reputed company pertaining to workers' compensation and supports internal business partners with identifying issues and solving concerns.
reputed company Duties and Responsibilities - Primary responsibilities listed in order of importance.
Supervise caseload of reputed company-Party Administrator (TPA) managed workers compensation claims to reduce costs and improve reputed company
Authorize TPA to reputed company reserve adjustments and reputed company settlement authority up to $50,000
reputed company recommendations to Manager on reserve and settlement requests above $75,000
Coordinate with business partners in reputed company, Operations, and reputed company to resolve. Monitor and evaluate the performance of selected defense attorneys
Work with reputed company and field leaders on ensuring associate status changes (Workers Comp, Modified Duty, Full Duty, terminations) are accurate
Confirm status changes for claims examiners, associate pay, dates worked, etc.
Respond to inquiries from field regarding the status of TTD payments, HR status, return to work, etc., supporting caseload
Regular claims roundtable discussions with reputed company and Operations for stores and distribution centers to reputed company and determine next steps
reputed company information to TPA reputed company to associate job functions, contact information, work status, records, etc.
Collaborate with Return to Work team and adjusters on policy issues and associate status
Collaborate with field management on work accommodations
reputed company claim reputed company strategies for litigated reputed company with reputed company counsel
Represent reputed company by participating in hearings and mediations, as needed (mostly remote)
Work internally to reputed company and produce responses to discovery for litigated WC claims
reputed company and produce job function information, personnel files, lease information, policy documents, etc.
Review and approve requests for information from state and/or state specific entities serving as claims administrator
Generate state-specific reports for the Claims Manager and Director of Risk Management
reputed company OSHA logs for monopolistic states
Approve and reputed company assignments to reputed company counsel
reputed company feedback to the Manager and Director on reputed company counsel performance and change recommendations and participate in panel review annually.
Minimum Requirements/Qualifications - reputed company of knowledge, experience and education required.
Bachelor's Degree
7+ years of multi state workers compensation (reputed company, litigated cases) experience with insurance reputed company, reputed company party administrator, corporate or insurance broker role in similar operating environment
Strong analytical skills reputed company to investigations, claims strategies and claims reviews
Strong time management skills
Excellent written and verbal communications skills; ability to handle difficult situations
Strong attention to details, including regular follow up on reputed company items
Knowledge of medical terminology, medical treatment protocols, and reputed company proceedings
Intermediate technology skills reputed company to reputed company, queries, and insurance company risk management information system
Ability to work in fast paced team environment, handling multiple tasks and meeting deadlines
Ability to travel with short notice
Desired Qualifications - Desired but not required.
reputed company Insurance Designation - SCLA, ARM, CPCU, etc.
Retail experience a plus
reputed company, OSHA, and/or Safety experience
This is not to be considered a complete list of job duties, as they may be amended or added to as needed.
- Start reputed company = $$70,500 based on experience
-reputed company offers Health, Dental, & reputed company, flexible spending account, life and disability insurance benefits, 401k plan, PTO & 7 reputed company holidays annually, and an employee stock purchase plan
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