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Worker's Compensation Specialist in Knoxville, TN at TeamHealth

Date Posted: 4/12/2019

Job Snapshot

Job Description

JOB DESCRIPTION OVERVIEW:

Under supervision, coordinates and administers the workers compensation program. Processes and files all workers compensation claims, ensuring compliance with relevant policies, procedures, and legislation. Maintains record of work-related illnesses and injuries as required to meet OSHA standards. Provides exemplary customer service and assistance to associates, executives and HR business partners.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Files workers compensation claims in a timely and accurate manner with insurance carrier; provides additional documentation as requested by the carrier; analyzes data to ensure compliance with policies and regulatory requirements.
  • Initiates first contact with the injured worker and provides claim information and assistance with next steps.
  • Acts as a liaison to facilitate effective communication between the carrier, management, and the claimant.
  • Serves as a resource for HR and managers on the interpretation and application of worker's compensation policies, processes and legislation; designs and implements training and orientation programs to disseminate this information to management.
  • Coordinates and participates in large claim reviews.
  • Processes monthly loss, expense, and premium invoices.
  • Assembles claim documentation for cases pending litigation and collaborates with attorneys assigned by the work comp carrier for mediation and formal hearings; assists with any subrogation or special investigation efforts.
  • Maintains OSHA log of work-related injuries and complies with annual posting requirements.
  • With assistance from WC carrier, coordinates and/or conducts telephonic and on-site assessments with employees to address safety and ergonomic issues.
  • Remains up to date and in compliance with all workers’ compensation, OSHA, ADA, and other applicable laws.
  • Identifies improvement opportunities in existing safety, ergonomic, and workers’ compensation concepts to ensure functions are effective and efficient.
  • Completes other duties related to Benefits and/or special projects, tasks as assigned and assistance with open enrollment activities.

TEAMWORK:

  • Assists in the facilitation of the team process at TeamHealth by serving as an active member of the team. This includes attending all team related meetings; participating in developing and implementing center-wide and team goals; participating in problem-solving and decision making; supporting corporate and center management decisions; being flexible and adaptable to change; establishing trust and respect for other team members; placing team needs first; and by completing all necessary training.
  • Follows the norms and guidelines established by the team for communication, production, efficiency, conflict resolution, decision-making, problem-solving, and interpersonal relations.

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • Bachelor’s degree preferred but not necessary with demonstrated equivalent education/experience;
  • Previous benefits and workers compensation experience desirable;
  • Excellent computer skills (word-processing, spreadsheet); Lawson system experience preferred;
  • Excellent interpersonal skills as well as judgment and decision-making skills;
  • Excellent organizational skills with strong attention to detail
  • Excellent communication skills (verbal/written);
  • Excellent analytical skills;
  • Ability to function as part of a team yet work with minimal direction/supervision;
  • Ability to work in a fast-paced, dynamic work environment.

SUPERVISORY RESPONSIBILITIES:

  • None

PHYSICAL / ENVIRONMENTAL DEMANDS: 

  • Job performed in a well-lighted, modern office setting;
  • Occasional lifting/carrying (20 pounds or less);
  • Occasional standing/bending/stooping/reaching;
  • Prolonged sitting; and
  • Prolonged work in a computer/PC.  
  • Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

DISCLAIMER:

  • This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.