Workers' Compensation Specialist

Overview

Concentra is recognized as the nations leading occupational health care company.

With more than 40 years of experience Concentra is dedicated to our mission to improve the health of

Americas workforce one patient at a time. With a wide range of services and proactive approaches to

care Concentra colleagues provide exceptional service to employers and exceptional care to their

employees.

Responsible for the organizational-wide workers compensation claim management and oversight.

Collaborates with Operational Clinical Human Resources Legal and department managers in effecting

fulfillment of organizational goals for risk management program.

Responsibilities

Serves as the primary internal point of contact for all colleague injury claims and Workers

Compensation matters.

Responsible for managing workers compensation claims in compliance with all state and federal

laws.

Reviews intake of work comp claims and ensures data is accurate and complete.

Communicates with external claims adjusters to enable the successful settlement and disposition

of claims.

Communicates with employees medical providers and TPAs throughout the claims process.

Coordinates with HR to support return-to-work and transitional duty work when appropriate.

Monitors and evaluates TPA performance ensuring compliance with service standards.

Coordinates with the Safety and Security department on claim trends and root cause analysis.

Ensures accurate and timely submission of First Reports of Injury and all necessary

documentation.

Oversees TX Non-Sub TPA and completes DWC forms.

Documents and communicates claim activities timely and effectively.

Participates in claim reviews with carriers adjusters and TPAs.

This job description is not designed to cover or contain a comprehensive listing of activities duties or

responsibilities that are required of the employee for this job. Duties responsibilities and activities may

change at any time with or without notice.

Qualifications

• Education Level : Bachelors Degree ; Major : Risk Management Occupational Safety and Health or a related field of study
• In lieu of higher education the ratio is 1 : 1 meaning one year of college equals one year of work experience and vice-versa.
• Customarily has at least three (3) years of experience in risk management working with internal and external parties through work comp claims management processes.
• Experience in occupational safety and health risk management and / or insurance claim management is preferred.

Job Related Skills / Competencies

Additional Data

Employee Benefits

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. Please contact us to request accommodation if required.

Concentra is an Equal Opportunity Employerincluding disability / veterans

Required Experience :

IC

Key Skills

Sales Experience,Crane,Customer Service,Communication skills,Heavy Equipment Operation,Microsoft Word,Case Management,OSHA,Team Management,Catheterization,Microsoft Outlook Calendar,EHS

Employment Type : Unclear

Experience : years

Vacancy : 1