Workers Compensation Assistant

1 week ago

Florence, Colorado, United States Cream O Land Full time
Job Description Job Description

Cream-O-Land Dairies is a third-generation family owned and operated business. For more than 76 years we have been delivering farm fresh products to the finest grocery stores, supermarkets, schools and colleges throughout New Jersey, New York, Pennsylvania, Delaware, Connecticut, Florida, and the Bahamas. Perhaps most exciting is that we continue to grow

At Cream-O-Land we know that it is our loyal employees that enable us to uphold our high standards of service to our customers. Therefore, our goal is to be an employer of choice by providing a culture of mutual respect, courtesy, teamwork, updated equipment and workspaces, and opportunity for development and growth. We proudly offer our full-time staff highly competitive hourly rates along with a comprehensive benefit package that includes a variety of choices for medical, dental, and vision plans designed to meet individual needs. In addition, we offer life insurance, 401(k), and generous paid time off.

Position:  Workers' Compensation (WC) Administrator is responsible for managing and overseeing the entire process of workers' compensation claims, including investigating injuries, evaluating claim validity, coordinating medical treatment, communicating with injured employees, employers, and insurance companies, and ensuring compliance with relevant laws and regulations; essentially acting as a liaison between all parties involved in a worker's compensation claim. 

Key responsibilities:

· Claim intake and evaluation:

Interviewing the injured worker, reviewing initial injury reports, determining compensability of claims at intake, and providing all information to the insurance carrier for claim entry. 

· Medical case management:

Coordinating and monitoring the actions of the healthcare providers, claims adjusters and representatives to ensure appropriate treatment plans are in place, reviewing medical bills for accuracy, and monitoring employee progress. 

· Communication between the worker, and the employer, maintenance of internal files and effecting lines of communication:

Regularly updating injured employees on claim status, communicating with employers regarding claim details, and interacting with insurance companies regarding claim approvals. Build and maintain detailed claim files and OSHA log entries. Maintain a communication line between workers and employer on a weekly basis.

· Investigation and documentation:

Work with the Safety Director in conducting thorough investigations into workplace accidents, gathering necessary documentation, and maintaining detailed incident files. 

· Return-to-work coordination:

Collaborating with management and medical providers to develop a safe and gradual return-to-work plan for injured employees. 

· Claims settlement:

Receive emails, phone calls and other information for the purpose of negotiating settlements with injured employees and their legal representatives, ensuring compliance with legal requirements. Communicate with senior management and the Safety Director on all potential settlement arraignments.

· Fraud detection and prevention:

Identifying potential fraudulent claims and taking appropriate actions to address them. Report all potential fraud cases and subrogation opportunities to Senior Management and the Safety Director for review.

· Compliance management:

Staying updated on workers' compensation laws and regulations, ensuring the company adheres to all relevant compliance standards. 

· Reporting and analysis:

Generating reports on claim trends, cost analysis, and key performance indicators for management review. 

Qualifications and requirements:


•       Safety certifications preferred, but not required


•       Possess knowledge and certification of basic first aid.


•       Applicants will need to have a valid driver's license and a clear driving record.


•       Pass a pre-employment physical and drug screen.


• – 3 years relevant work experience.


•       Must have a strong work ethic and commitment to responsibly handling highly sensitive and confidential information.


•       Must have mathematical/problem solving skills with the ability to apply learned mathematical skills to business processes to process purchase orders, review budget information, etc.


•       Must have verbal and written communications skill's ability to build long-term constructive and cooperative working relationships with co-workers, vendors, management and outside agencies.


•       Must have strong administrative and organizational skills with the ability to handle multiple projects and work independently.


•       Must have troubleshooting and follow-up skills with the ability to identify problematic situations and resolve.


•       Must have documentation and recordkeeping skills with the ability to compile, review and enter a variety of data manually and electronically and in compliance with COL corporate policy.


•       Must have a customer-service oriented approach to taking on daily tasks and personal interactions.


•       Proficiency in MS Office Suite (MS Excel, MS Word, MS PowerPoint, MS Outlook)


•       Must be willing to continually self-educate and stay ahead of all regulatory compliance updates

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