Workers' Compensation Claims Specialist

Were currently seeking a Workers Compensation Claims Specialist to join our Headquarters team!The Workers Compensation Claims Specialist is responsible for managing workers compensation claims from initial report through resolution. This role ensures claims are handled accurately timely and in compliance with applicable laws regulations and organizational policies while balancing cost control with appropriate employee care and return-to-work You Will Do:Claims Management:Receive review and investigate workers compensation claims to determine and manage claim files documenting all actions communications and the TPAs coordination of medical treatment disability benefits and settlements in accordance with statutory claim progress and investigate reserves to ensure appropriateness based on claim & Communication:Serve as the primary point of contact for injured employees supervisors medical providers attorneys and third-party claim status rights and responsibilities clearly and professionally to all with HR Risk Management Safety and Legal teams to support effective claim & Evaluation:Conduct claim investigations including reviewing incident reports medical records wage information and witness potential fraud subrogation or recovery opportunities and escalate as claim exposure and recommend strategies for -to-Work & Cost Containment:Support return-to-work and transitional duty programs in partnership with employers and medical opportunities to reduce claim duration and overall cost while supporting employee in claim reviews audits and loss analysis & Documentation:Ensure claims handling complies with federal state and local workers compensation laws and accurate complete and timely documentation in claims management required regulatory filings reports and correspondence including Bureau of Labor Statistics (BLS) required OSHA reporting and maintain compliance with OSHA recordkeeping the transfer of claim and incident data into appropriate systems for the timely and accurate generation of OSHA Forms 300 and the preparation distribution and annual posting of OSHA Form : The job duties above provide a general sense of the role; though additional duties may be assigned as You Will Shine:Education:Associates degree in healthcare administration risk management business or a related field or equivalent :25 years of workers compensation claims handling Skills & Abilities:Strong working knowledge of workers compensation laws medical terminology and claims best with claims management systems and standard office to manage multiple claims and deadlines in a fast-paced analytical organizational and time-management written and verbal communication skills with the ability to handle sensitive situations -oriented with strong judgment and decision-making ethical approach to claim handling and mindset with the ability to work independently.