Aerotek is seeking a Claims Review Specialist (Workers Compensation) to assist in the monitoring and administering of the company's workers compensation program. The successful candidate will be responsible for conducting incident investigations, reviewing and authorizing worker's compensation settlement offers, and working with outside vendors to drive claims management.
Requirements
- Conducts and properly documents all incident /accident investigations into our RIMIS system.
- Reviews and authorizes worker’s compensation settlement offers to be made by the TPA.
- Effectively monitors medical and disability claim authorizations and payments.
- Reviews costs associated with all claims handling and develops strategies to improve performance.
- Works with TPA to move claims toward closure.
- Partners with Safety, Human Resources and Corporate Legal to drive claims management.
- Makes appropriate referrals to outside vendors such as defense attorneys, nurse case managers and investigator.
- Collects OSHA data and updates OSHA field in GRA.
- Coordinates the colleague’s release to transitional duty with the Return to Work Specialist and the Field Office;
- Obtains evidence in contested and/or litigated claims to assist outside attorneys to defend claim and to prepare for trial.
- Initiates subrogation where appropriate with management’s authorization.
- Prepares for and attends Claim Review Conference with TPA to evaluate individual cases;
- Reviews reserves and provides authorization to TPA, where appropriate within authority.
- Reviews performance of external vendors in the areas of claims administration, manages litigation and make recommendation to Workers Compensation Compliance Supervisor for adjustments.
- Monitors and reviews workers compensation claims and the claims processing;
- Participates in developing strategies to reduce claims frequency and severity.
- Establishes and maintains a file and diary on all open claims.
- Participates in communicating claims trends to Regional Safety Manager.
- Working with Compliance Supervisor to develop and conduct training to field offices regarding workers compensation issues and process.
- Attends training sessions, conferences and workshops to keep abreast of current practices, programs and legal issues for the purpose of conveying and/or gathering information required to perform functions.
Benefits
- Medical, dental & vision
- 401(k)/Roth
- Insurance (Basic/Supplemental Life & AD&D)
- Short and long-term disability
- Health & Dependent Care Spending Accounts (HSA & DCFSA)
- Transportation benefits
- Employee Assistance Program
- Tuition Assistance
- Time Off/Leave (PTO, Primary Caregiver/Parental Leave)
