Advocate Aurora Health
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Workers' Compensation Manager
Location
California + 13 moreAll locations: California, Colorado, Connecticut, District of Columbia, Hawaii, New Jersey, New York, Oregon, Maryland, Massachusetts, Minnesota, Rhode Island, Vermont, Washington
Posted
20 hours ago
Salary
$47 - $71 / hour
Bachelor Degree5 yrs expExperience acceptedEnglish
Job Description
• Must possess analytical skills and be able to work with a sense of urgency and accuracy
• Must be able to adhere to multiple state workers’ compensation rules, regulations, and laws
• Establish standards and procedures for all matters relating to the claims functions
• Develop, maintain, and modify, when needed, effective procedures to ensure timely claims resolution maintaining a specialized base of knowledge regarding claims negotiation and settlement techniques
• Must function as a resource to the injured teammates, leaders, and others with an interest in the claim
• Acts as a resource to the Workers Compensation team on audit work, processes and other complex issues
• Recommend reserves, settlements, or other actions Ensuring that these actions meet company standards and the liability, damages, coverages, etc. have been rigorously evaluated
• Provide proper and timely analysis of coverage including MMSEA (Medicare, Medicaid and SCHIP Extension Act) Reporting
• Monitor reserves and settlements associated with claims and provide appropriate reports as needed to leadership
• Maintain claims data in such a manner that monthly reports for loss forecasting and trend analysis may be conducted
• Assist leadership in evaluating excess policies to ensure the most favorable terms and conditions for the organization
• Assist in the development, recommendation and/or implementation of loss prevention activities
• Participate as needed in educational programs such as orientations to ensure awareness of the procedures associated with claims documentation and settlement
• Must be able to provide additional support for all other duties as assigned.
Job Requirements
- Bachelor's degree in related field
- Typically requires 5 years of experience with Workers Compensation claims administration
- 10+ years of experience with Worker's Compensation claims administration will be considered in lieu of possessing a bachelor's degree
- Excellent Oral and written communication skills
- Excellent organizational skills
- Excellent attention to detail
- Computer skills, and ability to manage multiple tasks required
- Demonstrated proficiency in working with Microsoft Excel, Access, and PowerPoint required.
- Experience with RMIS Systems preferred
- Adjusters license required for area of responsibility as required by specific jurisdiction as applicable.
Benefits
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Paid Time Off programs
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program