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WORKERS COMPENSATION CLAIMS SPECIALIST

Parker's Kitchen
Wentworth, GA Full Time
POSTED ON 3/1/2025
AVAILABLE BEFORE 5/25/2025

Under the supervision of the Risk Manager, the Workers' Compensation Claims Specialist will assist in managing the workers' compensation claims process. This includes working closely with various departments to help mitigate workplace accidents, injuries, and occupational illnesses while ensuring proper care and management of injured employees.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Responsibilities :

  • Manage workers' compensation claims from notification through claim closure, including the review, analysis, and approval of authority amounts.
  • Coordinate claim notifications with insurance carriers, serving as the primary point of contact for all workers' compensation claims.
  • Work with injured employees to facilitate case management, including scheduling medical appointments, obtaining current medical information, and assisting with the transition back to work.
  • Provide ongoing communication with injured employees, supervisors, and department leaders to ensure proper care, coordination, and timely claim resolution.
  • Monitor workers' compensation trends and assist in implementing measures to reduce accidents and occupational injuries.
  • Support injured workers by addressing concerns, providing claim status updates, and ensuring they are receiving appropriate care and benefits.
  • Prepare reports and track key claim data to identify trends and facilitate decision-making.
  • Participate in mediations, hearings, and depositions related to workers' compensation claims, working with assigned attorneys as needed.
  • Prepare written responses to workers' compensation claims and unemployment claims, including gathering facts, organizing documents, and presenting summaries.
  • May be designated as Corporate Representative in unemployment claim appeal hearings or other legal proceedings as needed.
  • Maintain accurate records and reports for all claims, ensuring compliance with workers' compensation laws and regulations.
  • Refer critical findings to the Claims team, Operations, or HR when potential EEOC charges, wrongful discharge, or litigation are identified.
  • Will assist with the management process of claims for all lines of insurance to include property, general liability, auto, unemployment, and workers' compensation.
  • Perform other related duties as assigned.

Knowledge, Skills, and Abilities :

  • Strong attention to detail and accuracy
  • Advanced skills in Microsoft Office Suite and G-Suite products
  • Analytical and problem-solving skills with the ability to manage multiple priorities
  • Familiarity with workers' compensation laws and claims processing techniques
  • Knowledge of safety, loss control, and risk management principles
  • Ability to research, analyze, and report on data and trends
  • Strong communication skills, both written and verbal
  • Organizational skills with the ability to manage claims from initiation to resolution
  • Understanding of unemployment laws and claims processes, including legal aspects of hiring and firing
  • EDUCATION AND EXPERIENCE : Required :

  • Associate or bachelor's degree or equivalent experience
  • 1-2 years of experience processing workers' compensation and / or general liability claims
  • CWCP - Certified Workers Compensation Professional designation or willing to obtain designation within first 6 months of hire
  • Medical terminology
  • Experience creating detailed reports
  • Preferred :

  • ARM, CRM, or similar professional designation
  • Subrogation experience
  • Knowledge in filing OSHA recordable events
  • 4 years of experience processing workers' compensation, general liability, and / or unemployment claims
  • TRAVEL

  • As required
  • PHYSICAL REQUIREMENTS :

  • Prolonged periods of sitting and working on a computer
  • Parker's is an equal-opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture. Parker's does not discriminate on the basis of disability, veteran status, or any other basis protected under federal, state, or local laws.

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