Workers Compensation Analyst
Workers Compensation Analyst
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Job Description
Hourly Pay Range:
$32.60 - $48.90 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Workers Compensation Analyst
Position Highlights:
Position: Workers Compensation Analyst
Location: Skokie IL
Full Time/Part Time: Full Time
Hours: Monday-Friday 8:00am-4:30pm
Required Travel: travel to other Endeavor Health locations may be required
What you will do:
Workers Compensation Program Coordination
Monitors and tracks employee incident reports reviews workers compensation claims and codes timecards for team members on workers compensation.
Aids in an investigation to determine the accuracy of the claim verifies conditions and relevant contributing factors and other details with potential for litigation.
Coordinates the transitional duty program in collaboration with department managers.
Monitors lost time claims and update leave information with the Leave and Absence Team Codes timecards for the individuals on workers compensation.
Participates in claim meetings and periodic claim review sessions with Third Party Administrator(s).
Aids in an investigation to determine the accuracy of the claim verifies conditions and relevant contributing factors and other details with potential for litigation.
Workers Compensation Data Reports and Analytics
Reviews all Employee Incident Reports (EIRs) and workers compensation-related information for completeness or anomalies.
Reaches out to team members for clarification on missing/inaccurate information when needed.
Reviews monitors and audits internal medical charges (EPIC) work queues for appropriate billing; takes action on incorrect charges in relation to Workers Compensation Program. Reviews all reports of occupational and/or non-occupational injuries and illnesses and clarifies diagnoses and work restrictions as necessary from Employee Health and/or TPA as appropriate to designated program.
Analyzes and evaluates claim reports medical data invoices and other data to assess reliability and accuracy of information provided. Responsible for completing OSHA reporting requirements within specified timeframe this includes notification to OSHA for severe injuries all recordkeeping requirements (OSHA Form 300 300A and 301) electronic submission of records and annual posting requirements.
Documentation and Compliance
Maintains accurate detailed reports and records. Documents all case activity accurately and timely within the case management system (Team Member Health System) in accordance with internal policies and state regulations. Develops and maintains a tracking system to enable compliance with OSHA record-keeping reporting and annual filing requirements.
Tracks and categorizes incidences of employee injuries and illnesses.
Meets regularly with the Employee Health team to review and analyze employee injury cases.
Reviews controls to ensure established procedures and policies are maintained and in compliance with regulations and laws.
Teamwork and Collaboration
Builds relationships with team members and leaders across Endeavor Health in support of organizational and team objectives.
Responds thoroughly and promptly to customer needs and actively manages customer/peer relationships.
Participates in regulatory processes surveys and inspections as needed.
Creates and builds positive relationships both internally and externally and effectively communicates with Executive Leadership Operational Management team members vendors and contractors.
Participates in quality improvement projects as requested
Acts as a liaison to HR Business Partners/Employee Relations providing all needed employee injury record documentation and/or claim information.
What you will need:
Education: Bachelor degree in related field and/or comparable experience
Certification: n/a
Experience: 3 years experience with workers compensation claims management safety management and/or comparable experience.
Unique or Preferred Skills:
Excellent critical thinking and judgment
Flexible/adaptable ability to work well with ambiguity
Customer Service orientation
Proficient MS Word Excel and Powerpoint
Knowledge of workers compensation laws/regulations and claim management practices
Knowledge of OSHA standards and other relevant regulatory codes
Strong verbal and written communication skills
Strong interpersonal skills
The focus to provide a high degree of attention to detail in preparing lists preparing reports and gathering data
The ability to work cooperatively and support team efforts
Benefits (For full time or part time positions):
Career Pathways to Promote Professional Growth and Development
Various Medical Dental Pet and Vision options
Tuition Reimbursement
Free Parking
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality vibrant community-connected care serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25000 team members and more than 6000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals Edward (Naperville) Elmhurst Evanston Glenbrook (Glenview) Highland Park Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) all recognized as Magnet hospitals for nursing excellence. For more information visit .
When you work for Endeavor Health you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website () to better understand how Endeavor Health delivers on its mission to help everyone in our communities be their best.
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity equity and inclusion is at the core of who we are; being there for our patients and each other with compassion respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets VEVRRA Federal Contractor.
Required Experience:
IC
Employment Type
Full-Time
