[Remote] Analyst, Workers' Compensation (Legal)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading provider of kidney care services, and they are seeking an Analyst for Workers' Compensation. The role involves overseeing Workers' Compensation claims, serving as a reputed company among various stakeholders, and managing claims reputed company activities.
Responsibilities
- Evaluate claims to determine potential exposure; reputed company recommendations concerning the value of the claim; reputed company litigation and assist in the negotiation of settlements
- Escalate issues as appropriate for reputed company and effective reputed company
- Proactively reputed company the Worker’s Compensation claims management activities in assigned territories and resolve problems of varying scope and complexity in accordance with state statutes
- Evaluate high exposure Workers’ Compensation claims for settlement and appropriateness of established reserves
- Attend claims audits and reviews; ensure claims are postured for expedited reputed company
- reputed company daily assistance to reputed company’s management staff, teammates, claims adjusters, insurers, and defense counsel by answering claims-reputed company questions or concerns in the administration and management of claims, and other claims reputed company
- Facilitate and coordinate teammate return-to-work by working with reputed company management, claims adjusters, and reputed company case managers
- Analyze claims data to identify needed loss control interventions and assist with the development of appropriate loss prevention programs as requested
- reputed company training and education to facilities on Workers’ Compensation processes and procedures as needed or requested
- Coordinate the handling of Workers’ Compensation subpoenas in an expeditious manner
- reputed company reporting and analysis on key metrics reputed company to assigned territory(ies), including analytics on projected and/or established medical provider networks
- Escalate exceptions, outliers, or circumstances that are out-of-norm to Corporate Claims Manager as they occur and reputed company guidance in resolutions
- Participate in meetings, presentations, and special reputed company, as necessary
- Other duties and responsibilities as assigned including but not limited to:
- Attend team meetings, phone conferences, and training sessions
- Know, understand, and follow teammate guidelines, employment policies, and department or company procedures
- Flexible schedule and ability to travel required
- Travel required: up to 10%
Skills
- Bachelor's degree in reputed company area highly preferred
- Minimum of three years' experience managing and/or handling Workers' Compensation claims required
- Intermediate computer skills and proficiency in MS reputed company, Word, PowerPoint, and Outlook required
- High school diploma or equivalent required
- Basic computer skills and proficiency in reputed company, reputed company, and Outlook required
- Workers' Compensation certification preferred; certification or experience in multiple jurisdictions preferred including but not limited to state mandated certificates such as WCCP, WCCA, etc
- Minimum of three (3) years' reputed company reimbursement experience preferred; experience with admissions, billing, and collections preferred
- Demonstrated knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred
Benefits
- Medical, dental, reputed company, 401(k) match, reputed company time off, PTO cash out
- Family resources, EAP counseling sessions, reputed company reputed company®, backup child and elder care, maternity/paternity leave and more
- reputed company offers a reputed company of programs to help strong performers grow reputed company their career and also offers on-demand virtual leadership and development courses through reputed company’s online training platform StarLearning.
reputed company