Company Details
BerkleyNet is an innovative workers compensation insurance provider that does all our business online. Our Goal To make doing business Ridiculously Fast. Amazingly Easy.
Responsibilities
The Return to Work (RTW) Specialist advances BerkleyNets mission of delivering exceptional workers compensation outcomes by facilitating safe timely and sustainable returntowork plans for injured employees. The role serves as a strategic partner to employers injured workers medical providers and internal claims teams ensuring that modified duty opportunities are identified communicated and implemented effectively. This position directly contributes to loss cost management improved recovery outcomes and an elevated customer experience by reducing disability duration and supporting early collaborative returntowork solutions.
- Coordinate individualized returntowork plans that align with medical restrictions employer capabilities and jurisdictional requirements.
- Monitor medical progress and work status to ensure plans remain appropriate and updated as conditions evolve.
- Identify modified duty opportunities by partnering with employers to understand job tasks essential functions and potential accommodations.
- Evaluate work capacity and readiness using medical documentation provider input and claim facts.
- Recommend claim strategies that support early returntowork including transitional duty ergonomic adjustments or alternative placements.
- Exercise authority to approve or escalate RTW decisions in accordance with company guidelines and best practices.
- Collaborate with injured workers to set expectations address barriers and support a positive recovery experience.
- Partner with employers to educate them on RTW best practices modified duty options and program benefits.
- Communicate with medical providers to clarify restrictions obtain updated work status and align treatment plans with RTW goals.
- Maintain accurate RTW documentation within claim files ensuring clarity timeliness and regulatory compliance.
- Track and report RTW metrics such as days away from work transitional duty utilization and program effectiveness.
- Ensure adherence to jurisdictional requirements related to work status forms communication timelines and accommodation obligations.
- Identify trends and opportunities to enhance BerkleyNets RTW program tools and employer resources.
- Support training and education initiatives for internal teams and external partners on RTW processes and best practices.
- Visibly supports the overall claims adjusting and managed care functions in multiple jurisdictions
- Assist claims management in monitoring and researching jurisdictional case law and statutory legal trends
- Demonstrate the use of tact and discretion in all communications and provides a positive contribution to the morale of the claims department
- Lead special projects as assigned by senior claims management
- Continuously strives to improve our product and business results through innovation
- Obtain and maintain adjuster license in multiple jurisdictions as required
This role requires working onsite Monday through Thursday with the option to work remotely on Fridays in one of the following office locations: Manassas VA Richmond VA Irving TX or Scottsdale AZ.
Qualifications
- Minimum of 2 years of technical claims handling experience with a heavy emphasis on workers compensation claims in multiple jurisdictions
- Supervisory experience a plus but not required
- Consistently display a high-level of ownership drive and accountability
- Acts as an informal leader
- Excellent written verbal interpersonal and relationship building skills
- Exceptional time management and organization skills
- Strong insurance business acumen and leadership skills
- Ability to work independently and strategically problem solve
- Strong analytical and critical thinking skills
- Ability to diplomatically manage conflict
- Ability to develop relationships within the organization and work effectively across departments
- Strong discretion and integrity in dealing with highly confidential and sensitive information
- Display a high degree of attention to detail
Education
- Bachelors degree or equivalent work experience
- AIC ARM CCP or CPCU insurance designation preferred
Additional Company Details
The Company is an equal employment opportunity employer.
We do not accept any unsolicited resumes from external recruiting firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
Base salary & Benefits include Health dental vision life disability wellness paid time off 401(k) and profit-sharing plans.
The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment.
Additional Requirements
Low to moderate level of travel (up to 10% - 15% of time)
Ability to travel nationally to attend legal hearings conferences trainings file reviews audits and business partner meetings
Required Experience:
IC
Company DetailsBerkleyNet is an innovative workers compensation insurance provider that does all our business online. Our Goal To make doing business Ridiculously Fast. Amazingly Easy. ResponsibilitiesThe Return to Work (RTW) Specialist advances BerkleyNets mission of delivering exceptional workers ...
Company Details
BerkleyNet is an innovative workers compensation insurance provider that does all our business online. Our Goal To make doing business Ridiculously Fast. Amazingly Easy.
Responsibilities
The Return to Work (RTW) Specialist advances BerkleyNets mission of delivering exceptional workers compensation outcomes by facilitating safe timely and sustainable returntowork plans for injured employees. The role serves as a strategic partner to employers injured workers medical providers and internal claims teams ensuring that modified duty opportunities are identified communicated and implemented effectively. This position directly contributes to loss cost management improved recovery outcomes and an elevated customer experience by reducing disability duration and supporting early collaborative returntowork solutions.
- Coordinate individualized returntowork plans that align with medical restrictions employer capabilities and jurisdictional requirements.
- Monitor medical progress and work status to ensure plans remain appropriate and updated as conditions evolve.
- Identify modified duty opportunities by partnering with employers to understand job tasks essential functions and potential accommodations.
- Evaluate work capacity and readiness using medical documentation provider input and claim facts.
- Recommend claim strategies that support early returntowork including transitional duty ergonomic adjustments or alternative placements.
- Exercise authority to approve or escalate RTW decisions in accordance with company guidelines and best practices.
- Collaborate with injured workers to set expectations address barriers and support a positive recovery experience.
- Partner with employers to educate them on RTW best practices modified duty options and program benefits.
- Communicate with medical providers to clarify restrictions obtain updated work status and align treatment plans with RTW goals.
- Maintain accurate RTW documentation within claim files ensuring clarity timeliness and regulatory compliance.
- Track and report RTW metrics such as days away from work transitional duty utilization and program effectiveness.
- Ensure adherence to jurisdictional requirements related to work status forms communication timelines and accommodation obligations.
- Identify trends and opportunities to enhance BerkleyNets RTW program tools and employer resources.
- Support training and education initiatives for internal teams and external partners on RTW processes and best practices.
- Visibly supports the overall claims adjusting and managed care functions in multiple jurisdictions
- Assist claims management in monitoring and researching jurisdictional case law and statutory legal trends
- Demonstrate the use of tact and discretion in all communications and provides a positive contribution to the morale of the claims department
- Lead special projects as assigned by senior claims management
- Continuously strives to improve our product and business results through innovation
- Obtain and maintain adjuster license in multiple jurisdictions as required
This role requires working onsite Monday through Thursday with the option to work remotely on Fridays in one of the following office locations: Manassas VA Richmond VA Irving TX or Scottsdale AZ.
Qualifications
- Minimum of 2 years of technical claims handling experience with a heavy emphasis on workers compensation claims in multiple jurisdictions
- Supervisory experience a plus but not required
- Consistently display a high-level of ownership drive and accountability
- Acts as an informal leader
- Excellent written verbal interpersonal and relationship building skills
- Exceptional time management and organization skills
- Strong insurance business acumen and leadership skills
- Ability to work independently and strategically problem solve
- Strong analytical and critical thinking skills
- Ability to diplomatically manage conflict
- Ability to develop relationships within the organization and work effectively across departments
- Strong discretion and integrity in dealing with highly confidential and sensitive information
- Display a high degree of attention to detail
Education
- Bachelors degree or equivalent work experience
- AIC ARM CCP or CPCU insurance designation preferred
Additional Company Details
The Company is an equal employment opportunity employer.
We do not accept any unsolicited resumes from external recruiting firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
Base salary & Benefits include Health dental vision life disability wellness paid time off 401(k) and profit-sharing plans.
The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment.
Additional Requirements
Low to moderate level of travel (up to 10% - 15% of time)
Ability to travel nationally to attend legal hearings conferences trainings file reviews audits and business partner meetings
Required Experience:
IC
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