Compensation Claims Specialist
1 week ago
The University of Wisconsin system is a distinguished network of public higher education institutions, serving approximately 162,000 students annually and employing around 35,000 faculty and staff across the state.
The Office of Risk Management is dedicated to fostering a safe and healthy educational environment for all individuals involved in UW System programs and facilities.
Our mission encompasses:
- Proactive loss prevention and health management
- Quality management of property, liability, and workers' compensation claims
- Protection of university assets
- Conducting risk assessments and mitigation strategies
The Office is also responsible for developing and maintaining emergency management systems, monitoring high-risk areas, and providing expert guidance on workers' compensation claims and workplace injuries.
KEY RESPONSIBILITIES
This role involves managing a designated segment of university employee workers' compensation claims under the supervision of the Senior Examiner and Risk Manager.
- Receive and investigate claims to determine approval, suspension, or denial in accordance with statutory guidelines.
- Issue timely workers' compensation benefits and maintain appropriate case reserves following compensability determinations.
- Interpret and assess medical reports to ascertain benefits.
- Handle sensitive employee data and medical records with confidentiality.
- Recommend the use of third-party services, including private investigations and independent medical evaluations.
- Evaluate potential third-party lawsuits and inform relevant parties of the state's subrogation interests.
- Assist in developing early return-to-work programs aimed at restoring injured workers to their pre-injury health and employment status.
- Authorize payment of medical bills as appropriate.
MINIMUM QUALIFICATIONS
While prior experience in workers' compensation is advantageous, entry-level candidates are welcome as comprehensive training will be provided.
To qualify for this position, candidates must possess:
- Exceptional written and verbal communication skills
- Proficiency in Microsoft Office Suite
- Strong customer service capabilities
- Analytical skills to resolve complex issues independently
PREFERRED QUALIFICATIONS
Ideal candidates will have significant experience in:
- Claims management
- Basic medical terminology
- Understanding and administering relevant workers' compensation laws and return-to-work initiatives
COMMITMENT TO INCLUSIVITY
The University of Wisconsin values the diverse contributions of each individual and is committed to creating an inclusive community that enriches the educational experience.
CONDITIONS OF EMPLOYMENT
All candidates must undergo a criminal background check prior to employment.
Successful applicants must ensure their eligibility to work in the United States on or before their appointment date.
WORK LOCATION
Limited telecommuting or hybrid work options may be available following a satisfactory probationary period.
COMPENSATION AND BENEFITS
This is a full-time, salaried position with a competitive annual salary range based on qualifications and experience, along with an excellent benefits package.
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