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Operations Workers Compensation Specialist
4 months ago
As an Operations Work Comp Specialist, you will provide vital support for Workers Compensation Operations acting as a subject matter expert in all state jurisdictions for state reporting process'. You will be a part of a diverse team accountable for providing back-office support to NA Claims and contributing to the achievement of delivering an exceptional client experience. The main function of an Operations Workers Compensation Specialist is to serve as a dedicated resource for all state reporting by analyzing daily acceptance data, assisting in work management, and maintaining internal process'. You will monitor and aid in preparations for all state legislation and system changes, and support where needed to navigate state filings. You will perform complex claim support activities related to Workers Compensation line of business within a fast-paced, deadline-oriented, and regulatory environment.
Job Responsibilities include:
* Daily monitoring of rejection reports and errors.
* Conduct quality audits and identify trends on rejections and solutions.
* Assist with work management and prioritization of FROI/SROI tasks.
* State Portal Maintenance: Manage increasing demand to maintain governance, awareness, and "recertification" protocol for the state portals for Operations as well as other types of access.
* Trade Partner Agreement Maintenance for all EDI states; responsible for creating and maintaining accurate information in the state board databases.
* Work with vendors and Chubb IT to solve system issues and feed problems.
* Work with business partners to advance new technology in form filing.
* Ability to balance both quality and productivity expectations within a high-volume, transactional work environment to help meet business and customer service demands.
* Ensure that all activities performed are documented completely and accurately.
* Recognize, prioritize, and escalate priority requests according to established guidelines.
* Capture and maintain accurate data for the purpose of tracking department results.
* Communicate clearly and effectively with our business partners to meet customer requirements.
* Knowledge and understanding of various state reporting requirements.
* Serve as a subject matter expert for Operations activities; Assist with SOP management and process improvement.
* Assist with training of new hires and cross training of peers.
* Collaborate with team members from various work areas within the Operations Department to provide support and assistance when required.
