Specialist Workers CompensationInsurance

Reports To: Director of Risk Management

Duty Days: 238 Days

Wage/Hour Status: Non-Exempt

Pay Grade: AS03

Qualifications:

College hours high school diploma or GED

Proficient typing and processing/computer skills

Knowledge of file management systems

Efficient use of 10-key copier fax

Excellent organization communication and interpersonal skills

Flexible in work situation

Ability to organize self-motivate meet deadlines and handle interruptions

Willingness to follow directions and work well with others

Maintain confidential information

Primary Purpose:

Provide clerical assistance as assigned.

Major Duties and Responsibilities:

1. Receive and adjudicate Workers Compensation claims.
2. Investigate and coordinate compensability decisions with TPA.
3. Coordinate modified and full duty return to work program.
4. Organize and file with TPA all WC Administrative filings.
5. Daily telephone and mail communications.
6. Recoup over payment of Work Comp Benefits.
7. Oversight of indemnity claims handled by TPA.
8. Assist with the receipt and adjudication of property/casualty claims.
9. Ensure all documents are scanned.
10. Coordinate with Human Resources KISD Leave Program.
11. Investigate Unemployment Claims.
12. Ensure file documents are sent to TWC for hearings.
13. Attend TWC and DWC hearings as required.
14. Direct vendors assigned to WC cases for successful results.
15. Prepare regular and special reports as requested by the Director.
16. Perform other duties as assigned by the Director.

Equipment Used:

Personal computer typewriter printer copier calculator phone and fax machine.

Working Conditions:

Work with frequent interruptions maintain emotional control under stress. Repetitive hand motions bending stooping squatting standing reaching prolonged sitting and lifting up to 30 pounds.

The foregoing statements describe the general purpose and responsibilities assigned to this job and are not an exhaustive list of all responsibilities and duties that may be assigned or skills that may be required.

Required Experience:

IC