Advocate Aurora Health

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Workers' Compensation Manager

Full TimeRemoteTeam 10,001+H1B No SponsorCompany SiteLinkedIn

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

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