Job Type: Full Time
Work Hours: Monday to Friday, 8 AM to 5 PM Pacific Time, with a one-hour lunch break and two 15-minute breaks
Work Experience:
Minimum of 5 years of experience in managing workers' compensation claims and self-insured claims administration.
Job Overview:
We are seeking an experienced Worker’s Compensation Administrator to manage and oversee all aspects of our worker’s compensation program, including claims administration, compliance with state and federal regulations, and injury prevention initiatives. This role involves collaborating with various stakeholders, analyzing claims data, and ensuring efficient resolution of cases while maintaining legal compliance. The ideal candidate has a minimum of 5 years of experience in workers’ compensation claims management, strong analytical and communication skills, and a proactive approach to promoting workplace safety.
Key Responsibilities:
- Program Administration:
- Develop, implement, and manage the worker’s compensation program including loss control, medical management, and vocational rehabilitation.
- Administer the self-insurance program and ensure compliance with state and federal regulations.
- Claim Management:
- Oversee the reporting, investigation, analysis, and resolution of workers' compensation claims. This includes managing litigated and complex claims.
- Conduct claim investigations and direct third-party claims adjusting administrators.
- Budgeting and Financial Management:
- Assist in preparing the workers' compensation program budget and review claim settlements proposed by third-party administrators.
- Project and analyze claim loss and cost reserve data.
- Communication and Liaison:
- Communicate claims cost and reserve information to financial auditors and department managers. Provide updates on the status of claims and loss experience trends.
- Serve as a liaison between medical providers, injured employees, and department supervisors.
- Return to Work Programs:
- Manage early Return to Work programs, including facilitating light duty assignments for injured employees.
- Legal and Regulatory Compliance:
- Ensure compliance with OSHA regulations and maintain required injury and illness records.
- Consult with legal counsel on litigated cases and evaluate their performance.
- Data Analysis and Reporting:
- Collect, analyze, and report data on injuries, accidents, and near misses.
- Recommend injury prevention programs and assist in implementing them.
- Misc. Duties:
- Document Management - support Safety Manager through organizing, documenting, and auditing safety compliance documents (example: JHAs & Safety Tailgate Meetings).
- Administrative Support - ordering misc. supplies/items, building Red Safety Binders, and sending out Safety Flashes/Updates.
- Travel Arrangements - assist with planning travel arrangements for Safety Manager to ensure efficient business trips.
Qualifications:
- Education:
- Typically requires a bachelor's degree from an accredited college or university in business administration, insurance, or a related field.
- Experience:
- Minimum of 5 years of experience in managing workers' compensation claims and self-insured claims administration.
- Skills & Knowledge:
- Extensive knowledge of workers' compensation laws, regulations, and practices.
- Strong analytical, communication, and problem-solving skills.
- Ability to ensure compliance with relevant laws and regulations.
- Proficient in Excel, Microsoft Word, PowerPoint, and related software.
