What are the responsibilities and job description for the Workers' Compensation Specialist position at Epic Personnel Partners, LLC.?
The Workers' Compensation Administrator oversees the entire process of managing workers' compensation claims within the organization, including investigating workplace injuries, processing claims, coordinating medical treatment, communicating with injured employees and their representatives, ensuring compliance with relevant laws, and monitoring claim costs to minimize financial impact on the company; essentially acting as the primary point of contact for all aspects of a worker's compensation claim.
Key responsibilities of a Workers' Compensation Administrator :
- Claim Intake and Investigation :
- Receive and review initial reports of workplace injuries and illnesses.
- Conduct thorough investigations to determine the validity and compensability of claims.
- Gather necessary documentation including medical records, witness statements, and incident reports.
- Claim Processing :
- Initiate contact with injured employees, supervisors, and medical providers regarding claims.
- Process claims paperwork, including filing required reports with carrier and state agencies.
- Authorize medical treatment and monitor its appropriateness.
- Manage claim reserves and track claim costs.
- Maintain Accurate records of incidents, investigations, and closures.
- Communication and Coordination :
- Advise employees about workers’ compensation procedures, policies, and laws.
- Communicate claim status updates to employees, supervisors, and legal counsel.
- Liaise with third-party administrators (TPAs), insurance carriers, and healthcare providers.
- Coordinate return-to-work plans with injured employees and their managers.
- Compliance and Risk Management :
- Stay informed about current workers' compensation laws and regulations.
- Identify potential fraud or abuse within claims.
- Implement strategies to prevent workplace injuries through safety training and initiatives.
- Reporting and Analysis :
- Generate reports on claim trends and costs for management review.
- Analyze data to identify areas for improvement in the workers' compensation program.
Required Skills and Qualifications :
