Workers' Compensation Specialist Job at Robert Half (Pasadena)

Claims Specialist

We are looking for an experienced Claims Specialist to join our team in Duncan, ...

Location

United States , Duncan

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 3 years of experience in claims management, including worker's compensation claims
Strong knowledge of compensation and benefits, including FMLA and worker's compensation laws
Proficiency in claim administration and adjudication processes
Demonstrated experience in insurance claims handling and risk management
Excellent analytical skills to evaluate claims and identify risk mitigation opportunities
Effective communication and interpersonal skills to liaise with claimants, clients, and insurance providers
Ability to work independently and manage multiple claims simultaneously
Strong organizational skills with a focus on attention to detail

Job Responsibility

Handle a high volume of worker's compensation claims from initiation to final resolution, ensuring compliance with applicable regulations
Conduct thorough investigations and audits to assess claims and mitigate risks
Collaborate with employees, insurers, and claimants to resolve claims efficiently and effectively
Provide expert guidance on risk management strategies to help clients minimize future liabilities
Analyze claims data to identify trends and recommend improvements to reduce overall risk exposure
Facilitate the claims adjudication process, ensuring timely and accurate processing
Assist in preparing reports and documentation for audits and compliance purposes
Serve as a key point of contact for claimants, addressing inquiries and providing support throughout the claims process
Work closely with internal teams to ensure seamless communication and resolution of claims

What we offer

medical
vision
dental
life and disability insurance
company 401(k) plan

Senior Workers’ Compensation Claims Specialist

We are looking for a fully remote Senior Workers’ Compensation Claims Specialist...

Location

United States , Chicago

Salary:

25.00 - 40.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

Hold a valid New York adjuster's license
Manage a complex caseload of workers’ compensation claims from inception through resolution
Ensure compliance with applicable laws and regulations
Deliver excellent customer service
Work closely with internal stakeholders, injured employees, medical providers, and legal counsel

Job Responsibility

Manage a portfolio of high-exposure and complex workers’ compensation claims, including litigated cases
Investigate claims by reviewing reports, medical records, and conducting interviews to determine compensability
Ensure timely and accurate claim adjudication in accordance with state laws and company guidelines
Develop and execute claim strategies, including reserve setting and ongoing reserve adjustments
Coordinate with medical providers, rehabilitation specialists, and case managers to support return-to-work initiatives
Monitor and manage litigation, working closely with defense attorneys and attending hearings, mediations, and depositions as needed
Communicate regularly with injured employees, employers, brokers, and other stakeholders regarding claim status

What we offer

Medical
Vision
Dental
Life and disability insurance
Eligibility to enroll in company 401(k) plan

New

Claims Specialist

We are looking for a Claims Specialist to join a growing legal and risk team in ...

Location

United States , Chesterfield

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of experience managing workers’ compensation, auto liability, and/or general liability claims
Working knowledge of employer-side workers’ compensation administration and related claim practices
Experience coordinating with third-party administrators, insurers, and external legal counsel
Ability to manage a large and active claim inventory with strong attention to detail, documentation quality, and follow-through
Strong communication skills and the ability to work effectively with stakeholders across multiple departments and organizational levels
Proficiency with claims management systems and Microsoft Office applications.

Job Responsibility

Oversee claims from initial notice through final resolution, ensuring each case is documented thoroughly and advanced in a timely manner
Manage a varied caseload with significant emphasis on workers’ compensation matters, along with auto liability and general liability exposures
Work closely with third-party administrators, insurance carriers, and outside counsel to support effective claim handling and informed decision-making
Gather, review, and organize records such as wage information, incident details, and related supporting materials needed for evaluation and processing
Submit and track claims in alignment with company standards and applicable regulatory obligations, maintaining accuracy throughout the process
Partner with teams across operations, human resources, legal, and safety to collect facts, resolve open issues, and move claims toward closure
Monitor milestones, deadlines, reserves, settlement discussions, and litigation-related developments in collaboration with the Claims Manager
Maintain secure, well-ordered claim files while protecting confidential information and supporting process improvements in a high-volume, evolving organization.

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Claims Specialist

We are looking for an experienced Claims Specialist to join our team in Los Ange...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience managing workers' compensation claims
Strong knowledge of medical management processes and workers' compensation regulations
Excellent organizational skills with the ability to track and process claim information efficiently
Effective communication skills for liaising with supervisors, employees, and insurance adjusters
Ability to work collaboratively with hospital managers and injured employees
Proficiency in computer systems for inputting and auditing claim data
Detail-oriented approach to managing deadlines and ensuring compliance
Commitment to maintaining accurate records and providing timely updates

Job Responsibility

Manage a portfolio of modified duty and lost time claims, ensuring accurate and timely updates
Coordinate the forwarding of work-related injury medical records to insurance adjusters
Input medical record data into the system and communicate initial diagnoses and work statuses to supervisors
Assist injured employees and hospital managers in implementing early return-to-work programs
Schedule follow-up medical appointments and ensure documented medical statuses are secured within 24 hours of each appointment
Relay outcomes of medical appointments to supervisors and insurance adjusters within 24 hours of receipt
Monitor lost time and modified work statuses in the system, maintaining accurate tracking
Maintain regular communication with insurance adjusters every 60 days until claims are resolved
Conduct audits of claim data and related information to ensure accuracy and compliance
Perform monthly audits on organization-related data to support operational efficiency

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

New

Eligibility Case Manager

Why join DXC Technology DXC's Insurance Software and BPS (ISB) helps insurers a...

Location

Australia , Any City

Salary:

Not provided

DXC Technology

Expiration Date

Until further notice

Requirements

A qualification or certification in a health or business-related field (highly desirable)
Minimum of 3-5 years of experience in workers' compensation case management, preferably in a self-insured environment
Previous experience in assessing claim eligibility and determining liability in line with applicable legislation and internal policies
Proven ability to review and approve Pre-Injury Average Weekly Earnings (PIAWE) and Weekly Compensation calculations
Background in investigating claims, including gathering and analysing evidence to make informed liability decisions
Experience working collaboratively in a multidisciplinary team, including with case managers, payroll, and legal advisors
Strong analytical and problem-solving skills, with the ability to interpret complex information and provide clear, evidence-based decisions
High attention to detail and accuracy in both documentation and decision-making process
Excellent written and verbal communication skills, with the ability to deliver complex information clearly, empathetically, and professionally
Strong interpersonal and influencing skills with the ability to engage and collaborate effectively across all levels

Job Responsibility

Assess new workers' compensation claims to determine eligibility in accordance with relevant State legislation, regulations and self-insurer guidelines
Conduct investigations into claims where liability is unclear, including gathering factual evidence, reviewing medical reports, consulting with stakeholders, and where necessary, commissioning independent assessments
Review and approve the initial calculation by the PIAWE specialist of Pre-Injury Average Weekly Earnings (PIAWE) and Weekly Compensation entitlements
Coordinate the timely and smooth transition of accepted claims to ongoing Case Managers with all relevant information and context
Liaise with payroll to verify earnings data and ensure accuracy in compensation payments
Provide timely responses to inquiries regarding eligibility and claim status to injured team members through the early stages of the claim process, ensuring they understand their rights and obligations
Communicate claim decisions to injured team members, employers, and other stakeholders in a professional, clear, and empathetic manner
Deliver a high standard of service that promotes trust and transparency
Ensure strict compliance with all applicable workers’ compensation legislation, self-insurance requirements, and organisational policies
Maintain accurate claims data, documentation and up-to-date file notes by consistently recording all relevant information in Assure to support claims decisions and regulatory compliance

What we offer

Extensive resources to support your onboarding and continual development including DXC University
Rewards for referring friends and family to work at DXC
Flexible leave options, including purchased leave
Charitable and emergency services volunteer days
Employee Assistance Program
Novated leasing
Discounted health insurance
Paid parental leave
Many other discounts

Fulltime

HR Specialist

We are looking for an HR Specialist to provide part-time support for a non-profi...

Location

United States , Venice

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Hands-on experience administering Leave of Absence programs, including processes governed by California law
Working knowledge of workers’ compensation procedures, from initial intake through ongoing follow-up
Background in HR administration with the ability to manage sensitive employee matters professionally and confidentially
Experience maintaining accurate information within HRIS or other human resources systems
Strong communication skills for interacting with employees, managers, and internal stakeholders
Ability to track multiple cases, deadlines, and documents with a high level of organization and attention to detail

Job Responsibility

Guide employees through leave-related questions, next steps, and ongoing communication throughout their time away from work
Maintain organized records for leave cases, including status updates, key dates, required paperwork, and return-to-work details
Monitor billing-related items connected to employee leave and follow up as needed to keep information current
Partner with internal teams to ensure leave matters are handled consistently and important updates are shared promptly
Assist with the intake of new workers’ compensation incidents and claims by gathering initial details and documenting key information
Prepare and maintain supporting documentation for workers’ compensation matters while tracking required follow-up actions
Help ensure leave and claim processes align with California regulations and internal HR practices
Use HR systems and administrative tools to keep employee information accurate and case activity well documented

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Parttime

Payroll & Benefits Specialist

The Payroll & Benefits Specialist will be responsible for providing managers and...

Location

United States , Windsor

Salary:

Not provided

Morris Group, Inc

Expiration Date

Until further notice

Requirements

Associate degree or equivalent experience
Supervisory experience
5 to 7 years Payroll Experience
Experience processing multi-state payroll preferred
Experience working with a multi-faceted HRIS platform- Kronos preferred
Outstanding customer service skills and the ability to anticipate employee and management needs
Highly adaptable with outstanding attention to detail and follow through
Ability to maintain confidentiality and exercise utmost discretion
Excellent problem solving/judgement skills
Strong interpersonal skills and ability to work independently and under pressure

Job Responsibility

Process multi-state, semi-monthly payroll-start to finish
Prepare and maintain payroll records
audits employee time files
identify errors, inconsistencies, and omissions in areas of work responsibility
Ensures the accuracy of payroll data transferred from the Kronos HRIS system to the payroll system
Ensures that employee benefit deduction amounts are accurately reflected in the payroll system both for open enrollment and on an ongoing basis
Ensures that employee 401K deferrals and loan deductions are reviewed for accuracy and accurately recorded in payroll
Assists with state registrations for withholding and SUI tax accounts, as required
Compute wage and overtime payments, special pays, benefit contributions
prepare data for entry in payroll system by resolving discrepancies

What we offer

Competitive starting salary
Market competitive comprehensive health benefits including a zero premium medical plan offering, vision, dental, and company paid life insurance
Paid Time Off, starting with 23 paid days off in your first year
10 Company Paid Holidays
401(k) retirement plan with company contribution
Tuition reimbursement
Employee appreciation events and perks
Employee Assistance Program

Fulltime

Benefits Specialist

The Benefits Specialist is responsible for the administration of corporate benef...

Location

United States , Huntsville

Salary:

Not provided

Yulista Holdings

Expiration Date

Until further notice

Requirements

BA/BS degree in related field with 2 to 5 years of benefit administration experience
1 year of FMLA administration experience preferred
Must have a current HR benefit related knowledge base, including FMLA, ADA & COBRA
Highly effective interpersonal, verbal and written communication skills
Demonstrate a proven track record of accomplishments and driving work to completion
Previous experience with union employees / benefits program preferred
Certification in HR-related accreditation (SHRM/PHR) is preferred
Strong database experience as related to benefit plan administration is required
Must have the ability to obtain and maintain a Government Security Clearance

Job Responsibility

Administration of corporate benefit programs such as medical, dental and vision insurances, group life insurances, short term disability, long term disability insurances, FSA / HSA programs, 401(K), workers compensation and employee leave programs
Serves as the subject matter expert for processes, administers, and tracks all employee FMLA, workers’ compensation, ADA, and/or other similar leaves of absence
Consult with Workers Compensation carrier to submit new claims, manage leave and payment activities
Work with Compliance to ensure that all ERISA, FMLA, ADA, HIPPA etc. requirements are being met
Work with Safety Team to ensure that all required OSHA recordkeeping, postings, and reporting activities are complete
Administers benefit plan for multiple subsidiaries and contracts including SCA and CBA contracts
Serves as primary contact for all benefits and leave with employee and managers
Ensures the accuracy of all benefit enrollments in the HRIS
Communicate with vendors regarding various issues including enrollment, claim disputes, and invoice reconciliation
Assist with the annual open enrollment process and conducts all benefit related onboarding activities

Fulltime

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Workers' Compensation Specialist

Job Description

Job Responsibility

Requirements

What we offer

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