Workers' Compensation Claims Specialist Job at Confidential, Orange, CA

cllpaGlhd2d4VTgrdlNWWlRwckV6TmNEbkE9PQ==
  • Confidential
  • Orange, CA

Job Description

Job Overview We are seeking a detail-oriented Compensation Specialist to join our team. The ideal candidate will have experience with workers' compensation claims and the ability to handle sensitive employee information. Responsibilities Maintain current knowledge of Workers’ Compensation system, issues, and processes Maintain company Workers’ Compensation Management Program policies and practices. Coordinate with the Workers’ Compensation Claims Manager, insured employers, employees, health care providers, and insurance carriers. Review, analyze, and monitor Workers’ Compensation claim data, on behalf of company and clients. Attend, participate, and advocate for client employers in claim review meetings. Prepare and provide in-person client claim review presentations, as needed. Maintain and prepare OSHA-required injury and illness records for client employers in our Workers’ Compensation Management program. Assist client employers with coordination and implementation of Medical Provider Networks. Conduct Workers’ Compensation Best Practices and Injury Report training workshops for clients. In the claims database system, maintain and update daily Workers' Compensation activities, such as the claims activity diary. Provide clients employers support and guidance investigating injuries, settlement negotiations, developing interactive processes, and return to work strategies. Prepare and maintain client employer Workers’ Compensation injury report packets. Help with receiving, reviewing, and processing new injury reports, as needed. Monitor and report the appropriate usage of leave relative to Workers' Compensation benefits (i.e., track and report lost workdays). Forward new injury reports and claims to senior Risk Management personnel as necessary for evaluation of loss control involvement. In the claims database system, maintain and prepare relevant Workers' Compensation documentation (e.g., injury report forms, doctors' notes, claim acknowledgments). Maintain company Workers' Compensation insurance carriers' reporting information in the company's shared environment. Prepare estimated experience mod worksheets, as needed. Assume other job responsibilities as assigned Qualifications Bachelor’s degree or an equivalent combination of education and insurance experience. Minimum eight (8) years of Workers’ Compensation insurance claims experience. Workers' Compensation Claims Administration (WCCA) and/or Workers' Compensation Claims Professional (WCCP) designation Communicate effectively in English, in written, oral or schedule form with others Maintain cordial and effective relationships with clients, co-workers, carriers, vendors and other business contacts Analytical and Mathematical skills Ability to solve practical problems Time management and organizational skills Computer literate Available and eligible to travel by all transportation methods, as needed Job Type: Full-time Benefits: 401(k) Dental insurance Employee discount Flexible schedule Flexible spending account Health insurance Paid time off Professional development assistance Referral program Vision insurance

Job Tags

Full time, Flexible hours

Similar Jobs

99 HIGHWAY 37 WEST

Mental Health Screener Job at 99 HIGHWAY 37 WEST

 ...Job Title: Mental Health Screener Location: Community Medical Center Department Name: Emergency Screening Req #: 0000248847 Status: Hourly Shift: Evening Pay Range: $29.39 - $36.09 per hour Pay Transparency: The above reflects the anticipated hourly... 

Orange Theory

Assistant Studio Manager Job at Orange Theory

 ...whether face-to-face or on paper? Then keep reading. Heres more of what the position entails: Greeting everyone who enters the studio with enthusiasm, energy and knowledge Presenting the OTF concept to any interested consumers, also known as intros Working... 

Capital One

Lead Platform Engineer, Workday - Integrations (HCM & Financials) Job at Capital One

 ...Overview Lead Platform Engineer, Workday - Integrations (HCM & Financials) Do you love building and pioneering in the technology space? Do you enjoy solving complex technical problems in a fast-paced, collaborative, inclusive, and iterative delivery environment?... 

Openkyber

Junior Python Developer Job at Openkyber

 ...Position : Python Developer / Quartz developer Location: Jersey City, NJ - 3 days onsite/week. Duration : Long Term Contract All Visa accepted Note- Banking background is a must Strong Python: must have Strong SQL: Must have Minimum 6+ years of relevant experience Candidates... 

PRACTICE

Living Environment Spanish Tutor Job at PRACTICE

 ...impact? Join our mission-driven team and become a Bilingual Education Champion! About the Job: In-person Bilingual Spanish Living Environment tutor will provide support to students in grades 912, focusing on Living Environment Regents preparation. The role involves...