Effectively manage claims execution and cost containment. Responsible for assisting the administration of the workers' compensation program including injury intake, processing claims, determining appropriateness of claims, coordinating return to work and maintaining and updating case records.
Production Responsibilities
1. Email time- process incoming email in accordance with company policy and procedures, using HTDs as guides and determinants.
2. Receive and triage injury reporting calls from the injury intake line throughout the day and after hours on a rotating basis.
3. Provide immediate assistance to all field and TPA staff in response to injury notification.
4. Provide treatment authorization for initial treatment.
5. Property damage liability assessment.
6. Document Escalation- working with leaders to obtain information for completion of the file.
7. Complete company reports as required.
8. Follow company policies and procedures.
9. Maintain records to ensure completeness.
10. Answer telephone to provide desired information for branch associates, customers and temporaries.
11. Assist WC Manager with reporting.
12. Administration and enforcement of the drug testing programs.
Legal
1. Attorney Assignment
2. Settlement Review, Evaluation & Recommendation (authorization is the purview of department Senior Vice President ONLY)
3. Litigation Management (R1, sending files, attorney interaction, docket)
Claim Execution and Cost Containment
1. Relay information to TPA and Carrier
2. Collaborate with claims examiners and TPAs for effective claims management.
3. Oversee return to work program and handle disability cases to determine the availability of modified work.
4. Review light duty payroll and approve or reject the time.
5. All other duties that may arise to ensure successful operation of the company.
6. Assist field offices with resolving questions and issues pertaining to incidents and claims of injury.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the notice from the Department of Labor.
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