Workers Compensation Claims Specialist

Job Description

Job Description

This role will provide Claims and Compliance support to the Risk and Safety department with workers compensation claims.

Role and Responsibilities will identify, prevent, and mitigate potential penalties as well as assistant the claims department:

· high volume data entry in Excel and Microsoft office systems.

Input date entry on all new claims

· Provide indemnity payment and cycles.

· Identify, prevent, and mitigate potential case penalties.

· Deliver 3-point contact ( Medical Only &/ or Indemnity files) to verify the mechanics of the injury, compensability, and discharge. – Calculate and pay mileage benefits.

· Verify lost time and waiting periods.

· Perform maintenance of current legal claims

· Identify issues requiring conversion to Indemnity to include supporting documentation.

· Input basic notes relating to claim, status and treatment.

· Process medical/legal bills daily to avoid penalty and interest.

· Return phone calls on a timely manner.

· Input status letters, delay letters, or any other required initial letters.

· Comply to subpoenas

· Interaction with nurse on case management regarding return to work status.

· New hires protocol

· Background checks

· Coordinating PPE supplies request.

· Assist safety team on identifying injury trends.

· Performs other related duties as assigned

Qualifications

· Minimum of one (1) year of Claims Specialist experience required. - Ability to multitask, communicate effectively in writing and verbally, within all aspects of job requirements. - Experience in insurance and/or Workers Compensation claims is preferred. SOFTWARE: Proficient in Microsoft Outlook, Excel, PowerPoint, and Word.

· Bilingual English/Spanish is preferred but not required for the position

Supervisor Responsibility?

No

Education

High School Diploma or GED

Skills

Excellent verbal and written skills required.