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Workers Comp Specialist

4 months ago

Brentwood, United States Brookdale Senior Living Full time

Workers Comp Specialist

Overview

Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity

* In-office position and the person hired must live local to Nashville, TN

Make Lives Better Including Your Own.

If you want to work in an environment where you can become your best possible self, join us You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness.

Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Additional benefits offered include, but are not limited to:

* Tuition Reimbursement
* Pet Insurance
* Adoption Reimbursement Benefits
* Variety of Associate Discounts

Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply.

To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.

Responsibilities

Administers the company's workers compensation program. Works in a team environment, interacting with associates, adjusters, providers, community management, regional HR representatives and brokers, as necessary. Documents, audits, and investigates claims. Provides guidance to the organization to ensure compliance with national, state, and local regulations.

* Administers workers compensation programs and assists in developing and implementing new policies and programs.
* Reviews all reported claims via on-line system provided by third party administrator and/or carrier on a daily basis.
* Works directly with associates and communities to review facts, and identify red flags and issues of concern.
* Tracks employee information related to workers compensation claims in the HRIS system.
* Assists community management with accident investigation and claim reporting.
* Alerts management team to existence of claim, per guidelines.
* Identifies potential high value or fraud claims and suspends for follow-up and future strategy development.
* Provides direction and training to community management on claims management issues.
* Meets with manager to review new and problematic claims, as needed or scheduled.
* Follows up with adjuster, and assists community management in following up to ensure claims are aggressively managed by third party administrator.
* Performs wage verification calculations.
* Performs file audits and periodic individual reviews of high value claims to ensure claim handling guidelines and best practices are adhered to.
* Works with manager on cross functional level regarding workload allocation based on claim case load and complexity.
* May develop safety awareness and accident prevention training programs.

This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor.

Qualifications

Education and Experience

Bachelor's degree (B.A.) from a four-year college preferred; and minimum of two to four years related experience and/or training; or equivalent combination of education and experience

Certifications, Licenses, and Other Special Requirements

None

Physical Demands and Working Conditions

* Standing
* Requires interaction with co-workers, residents or vendors
* Walking
* Sitting
* Use hands and fingers to handle or feel
* Reach with hands and arms
* Talk or hear
* Ability to lift: Up to 25 pounds
* Requires Travel: Occasionally
* Vision

Management/Decision Making

Uses limited independent judgment to make decisions based on precedents and established guidelines. Solves problems using standard procedures and precedents. Knows when to refer issues to supervisor and when to handle them personally.

Knowledge and Skills

Has a working knowledge of a skill or discipline that requires basic analytic ability. Has an overall understanding of the work environment and process. Has working knowledge of the organization. Excellent knowledge of HR practices and principles and workers compensation laws/regulations. Must have strong skills in Microsoft Office (Word, Excel, PowerPoint, and Access).

Brookdale is an equal opportunity employer and a drug-free workplace.