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Workers Compensation Specialist

2 months ago

Canoga Park, United States Quest Diagnostics Full time

Overview:

Under the direction and supervision of the Regional Workers' Compensation Manager, West Region workers compensation and return to work claims as assigned.

Responsibilities:
  • Report workers compensation claims to carrier timely.
  • Complete initial contact with injured employees timely and advise them of the workers compensation process and benefits as needed.
  • Lead return to work accommodation meetings with manager, supervisor and injured employee to effectively manage potential lost time cases to reduce lost time cases and days.
  • Proactively manage medical only and indemnity return to work claims from inception to closure or escalation to higher level claim management when necessary.
  • Effectively collaborate with EHS specialists, supervisors, injured employees, physicians, legal, and claim adjusters.
  • Respond to and resolve claim inquiries
  • Manage in-house claim management system including OSHA recordability, cause of injury, lost workdays, and accommodation days for accurate metrics.
  • Manage data files, including updating work status reports, and state specific documentation as needed.
  • Complete required reports as needed.
  • Assist the Regional Workers compensation manager with reports and projects as needed.
  • Assist with COVID case management as necessary.


Qualifications:
QUALIFICATIONS

Required Work Experience:

  • 3+ years of experience in a workers compensation claims role
  • Ability to work independently with limited direction from manager.
  • Working knowledge of the Workers Compensation Act and other applicable federal and state statutes and regulations.
  • Strong communication and interpersonal skills and ability to work and collaborate with claimants, customers, insureds, brokers, attorneys.
  • Technical knowledge of applicable state and local laws related claims management and return to work.

Preferred Work Experience:

  • Familiarity with ADA/FEHA law.
  • California Workers Compensation Claims Administration certification.

EDUCATION
Associates Degree
Bachelors Degree
High School Diploma or Equivalent(Required)

LICENSECERTIFICATIONS
Workers' Compensation Claims Professional (WCCP)

EEO:

Quest Diagnostics is an equal employment opportunity employer. Our policy is to recruit, hire and promote qualified individuals without regard to race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other status protected by state or local law. Quest Diagnostics observes minimum age requirements established by federal, state and/or local laws, and will ask an applicant for verification when deemed necessary.

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