Workers' Compensation Claims Analyst

• Adjusters license for assigned jurisdiction as required by specific jurisdiction as applicable
• Bachelor’s degree required or a combination of education and related experience
• 2-5+ years’ experience managing progressively difficult Workers Compensation lost time claims
• Must possess analytical skills
• Must be able to work with a sense of urgency and accuracy
• Must be able to adhere to multiple state workers’ compensation rules, regulations, and laws
• Must be able to complete appropriate contacts within 24 hours of assignment
• Must be able to establish and maintain appropriate diary for follow-up
• Must be able to evaluate and determine compensability of workers’ compensation claims within the statutory period for multiple jurisdictions
• Must be able to be responsible for monitoring and controlling costs
• Must be able to provide timely documentation of the electronic claim file
• Must be able to provide timely reserving of files
• Must be able to manage subrogation and litigation
• Must be able to file appropriate forms and payment of all benefits due within statutory periods
• Must be able to coordinate light duty as needed
• Must function as a resource to the injured teammates, leaders, and others with an interest in the claim
• Must be able to communicate claim status with the injured teammate and other parties
• Must be able to develop action plans and strategies for prompt payment/denial of claims
• Must be able to monitor and report appropriate claims to excess carriers
• Must be able to determine what treatment is appropriate and causally related to the compensable injury
• Must be able to redirect treatment to network physicians as appropriate
• Must be able to promptly authorize and approve related expenses of the claim
• Must be able to maintain strict confidentiality of information at all times
• Must be able to develop and maintain professional customer relationships
• Must be able to provide education as needed
• Must be able to serve as a mentor to other adjusters and stakeholders
• Must be able to provide additional support for additional projects and duties as assigned
• Must be competent in workers’ compensation rules, regulations, and laws for multiple jurisdictions
• Must be able to work independently as well as part of a team
• Access to protected Health Information (PHI) to the extent of information necessary to do the job

Associates in Claims designation

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program
• Premium pay such as shift, on call, and more
• Incentive pay for select positions
• Opportunity for annual increases based on performance