Workers' Compensation Claims Adjuster

Summa Health Systems
Full Time, Benefit Eligible
1077 Gorge Blvd Akron OH 44310
*hybrid opportunity*

Summary:
Administers and maintains Summa’s self-insured workers’ compensation program, and leaves of absences including Family Medical Leave Act (FMLA), according to established policies, guidelines, and governmental regulations. Independently reviews and approves/denies claims for compensation and medical expenses. Represents Summa at all levels of hearings.

Minimum Qualifications:
1. Formal Education Required:
a. Bachelor’s degree in business or related field of study or equivalent in training and experience.

2. Experience & Training Required:
a. Four (4) years workers’ compensation experience.
b. Two (2) years of experience with direct responsibility for claims management process of self-insured business including experience with State hearing process and experience with FMLA within a sophisticated disability management setting.
c. State of Ohio Worker’s Compensation experience.

3. Other Skills, Competencies and Qualifications:
a. Excellent analytical, written and verbal communication skills.
b. Ability to develop and maintain working relationships with managers, co-workers, employees, union, physicians, hospital departments, state agencies and external agencies participating in management or review of claims and claimant’s attorneys.
c. Ability to maintain confidentiality of employee records.
d. Ability to perform in work-team environment.
e. Maintains working knowledge of claims hearing process.
f. Maintains working knowledge of current case law affecting workers’ compensation.
g. Maintains working knowledge of current case law/regulations affecting FMLA.
h. Possesses technical/PC skills sufficient to have working knowledge of multiple software packages, i.e. Compensate, Outlook, Word, Access, UKG, etc.
i. Ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity.

4. Level of Physical Demands:
a. Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently.

Equal Opportunity Employer/Veterans/Disabled

Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.

The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.