Claims Analyst

Job Description

Job Description

Summary of position:

Osmose Utilities is seeking a Claims Analyst for an in office M-F position in downtown Atlanta. This team contributor role will play a key part in supporting the multi-jurisdictional workers’ compensation program by managing, tracking, and analyzing employee injury claims. This position will ensure timely reporting, investigation, and resolution of claims in compliance with state laws and Company policies. The ideal candidate will have some prior experience handling or supporting workers’ compensation claims and is eager to grow their expertise in a fast-paced, field-oriented environment.

Responsibilities:

• Must be authorized to work in the US without sponsorship
• Coordinate the intake, reporting, and follow-up of work-related injury and illness claims.
• Assess the classification of each claim (first aid, medical only, lost time, or controverted) and manage accordingly, including support of internal investigations to determine root cause and acceptance or denial of claims as applicable.
• Serve as a primary liaison between injured employees, supervisors, third-party administrators (TPAs), and insurance carriers.
• Monitor claim status and ensure timely and accurate claim documentation and communication, including timely claim updates to relevant field and safety personnel.
• Assist with and/or coordinate return-to-work programs and modified duty assignments.
• Work directly with outside counsel to document and defend controverted claims.
• Collaborate with HR to ensure compliance with applicable employment laws.
• Handle administrative claims functions, including completion of state board forms, light-duty offer letters, check requests, invoices, and mail processing.
• Support safety and risk management initiatives and contribute to projects that further the Company’s safety objectives.
• Perform other related duties as assigned.

Requirements:

• A bachelor’s degree or Associate in Claims (AIC) certification is preferred but not required.
• Two or more years’ experience in workers’ compensation claims management.
• Must be familiar with claims practices and OSHA rules and regulations.
• A proven ability to acquire new knowledge and expertise as necessary to function as a resource for others.
• Working knowledge of MS Office products and RMIS software beneficial but not required.
• Highly motivated self-starter with excellent verbal and written communication skills.
• Embrace core values of the Company.
• Commitment to supporting all Company policies.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to stand, walk, climb stairs, sit and use hands to finger, handle or feel. Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus. Must be able to lift up to 10 pounds.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. The noise level may increase in certain areas of the Company locations.

About Osmose:

Osmose is the market-leading provider of critical resiliency, assessment, and restoration services for electric transmission, distribution, and telecommunications companies.

Benefits:

Come grow with us! Full-time employees enjoy a comprehensive benefits package that includes:

• Medical Insurance and Health Savings Account with company contribution
• Dental, Vision, Life Insurance, STD, LTD, Critical Illness Plan and more!
• 401(k) with excellent company match
• Paid time off (vacation, sick, floating holidays)

Osmose is an Equal Opportunity employer. EOE M/F/Disabled/Vet