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Workers Compensation Program Manager Jobs in Kentucky

ORTHOCINCY

Workers Compensation Representative

Edgewood, KY · On-site

$22 - $30.25/hr

... case managers, and Occupational Medical Facilities about our worker's compensation program and policies to ensure them that COC should be their orthopaedic choice. Review workers compensation ...

G-TECH Services

Be Seen First

Workers' Compensation Claims Handler

Fincastle, KY · On-site

$29/hr

Workers' Compensation Claims Handler Workers' Compensation Claims Handler at the Plant with a focus on excellent customer service, quality claims handling, and loss cost management. Plant-based ...

Pro Mach Inc

Compensation Manager

Covington, KY

In this role, you'll play a key part in shaping our global compensation programs--ensuring they are ... You'll enjoy the benefits of working with a growing company that competes globally, with the ...

Pro Mach

Compensation Manager

Louisville, KY · On-site

In this role, you'll play a key part in shaping our global compensation programs--ensuring they are ... You'll enjoy the benefits of working with a growing company that competes globally, with the ...

Pro Mach

Compensation Manager

Covington, KY

In this role, you'll play a key part in shaping our global compensation programs--ensuring they are ... You'll enjoy the benefits of working with a growing company that competes globally, with the ...

Pro Mach

Compensation Manager

Lexington, KY · On-site

In this role, you'll play a key part in shaping our global compensation programs--ensuring they are ... You'll enjoy the benefits of working with a growing company that competes globally, with the ...

ProMach

Compensation Manager

Covington, KY · On-site

In this role, you'll play a key part in shaping our global compensation programs-ensuring they are ... You'll enjoy the benefits of working with a growing company that competes globally, with the ...

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All JobsWorkers Compensation Program JobsWorkers Compensation Program Manager JobsWorkers Compensation Program Manager Jobs in Kentucky

Workers Compensation Program Manager information

What are the key skills and qualifications needed to thrive as a Workers Compensation Program Manager, and why are they important?

To thrive as a Workers Compensation Program Manager, you need expertise in insurance claims management, regulatory compliance, and risk assessment, typically supported by a bachelor’s degree in business, human resources, or a related field. Familiarity with claims management software, OSHA reporting systems, and certifications like ARM (Associate in Risk Management) or WCCA (Workers’ Compensation Claims Administration) are commonly required. Strong analytical skills, attention to detail, and effective communication are essential soft skills for coordinating stakeholders and resolving claims efficiently. These competencies are crucial to minimize organizational risk, control costs, and ensure legal compliance in workplace injury cases.

What are some common challenges faced by Workers Compensation Program Managers, and how can they be effectively addressed?

Workers Compensation Program Managers often face challenges such as balancing cost control with employee advocacy, staying updated on regulatory changes, and managing complex claims efficiently. Effective communication with stakeholders—including employees, insurance carriers, and healthcare providers—is crucial to resolving claims swiftly and fairly. Leveraging data analytics and maintaining up-to-date knowledge of legal requirements can help anticipate issues and streamline processes. Building strong relationships across departments and fostering a culture of safety also contribute to program success.

Can a hernia be covered under workers' comp?

A Workers Compensation Program Manager understands that hernias can be covered under workers' compensation if they result from a work-related injury or strain. Coverage typically depends on medical evidence linking the hernia to the employment activity and timely reporting of the injury. Proper documentation and medical assessments are essential for claim approval.

What profession has the highest workers' compensation rate?

Workers Compensation Program Managers typically work in administrative and managerial roles, but professions with the highest workers' compensation rates often include construction trades, logging, roofing, and roofing contractors due to the high risk of falls, heavy machinery, and physical labor. These high-risk occupations tend to have elevated insurance premiums and workers' compensation rates to cover potential injuries.

What is a compensation program manager?

A workers compensation program manager oversees the administration of workers' compensation insurance programs within an organization. They coordinate claims processing, ensure compliance with regulations, and work to minimize costs while supporting injured employees. Strong knowledge of insurance policies, claims management, and relevant laws is essential for this role.

What is a Workers Compensation Program Manager?

A Workers Compensation Program Manager is a professional responsible for overseeing an organization’s workers compensation program, ensuring compliance with relevant laws and regulations, and managing claims processes. They work to minimize workplace injuries, coordinate employee return-to-work programs, and collaborate with insurance providers, healthcare professionals, and internal teams. Their goal is to protect both the company and its employees by administering claims efficiently, reducing costs, and promoting workplace safety.

What is the difference between Workers Compensation Program Manager vs Claims Adjuster?

AspectWorkers Compensation Program ManagerClaims Adjuster
CredentialsRelevant certifications (e.g., CPCU, ARM), industry experienceAdjuster licenses, insurance certifications
Work EnvironmentOffice-based, management of programs and policiesField or office-based, handling individual claims
Employer & Industry UsageInsurance companies, large corporations, government agenciesInsurance carriers, third-party administrators

The Workers Compensation Program Manager oversees the entire workers' compensation program, focusing on policy development, compliance, and strategic management. In contrast, Claims Adjusters handle individual injury claims, assessing damages and settling cases. Both roles require industry-specific knowledge and certifications but differ in scope and responsibilities.

What is the highest paying manager position?

In the workers' compensation field, the highest paying manager position is typically the Director of Workers' Compensation or Senior Program Manager, with salaries often exceeding $120,000 annually depending on the organization and location. These roles require extensive experience, leadership skills, and knowledge of claims management and regulatory compliance.
What are popular job titles related to Workers Compensation Program Manager jobs in Kentucky? For Workers Compensation Program Manager jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Workers Compensation Program Manager jobs in Kentucky look for? The top searched job categories for Workers Compensation Program Manager jobs in Kentucky are:
What cities in Kentucky are hiring for Workers Compensation Program Manager jobs? Cities in Kentucky with the most Workers Compensation Program Manager job openings:
Workers Compensation Program Manager jobs near you
Workers Compensation Representative

Workers Compensation Representative

ORTHOCINCY

Edgewood, KY • On-site

$22 - $30.25/hr

Full-time

Posted 28 days ago

OrthoCincy rating

5.9

Company rating: 5.9 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

Job description

General Job Summary: Responsible for all aspects of worker's compensation. Essential Job Functions: Answer and return incoming worker's compensation calls in a timely, courteous manner. Intake all injured worker's information including patient demographics. Verify, re-verify and pre-authorize worker's compensation claims with the employer, nurse case manager, and/or insurance carrier. Responsible for case management of the injured worker's claim. Address all issues regarding work status report questions and concerns to the provider's specifications and requirements. Responsible for preparing the work status reports for upcoming appointments. Responsible for precertification and tracking of pre-certifications for all ordered tests, surgeries, and referrals of worker's compensation patients. Responsible for tracking, completing, and/or faxing disability forms for Worker's Compensation patients. Assist with informing employers, nurse case managers, and Occupational Medical Facilities about our worker's compensation program and policies to ensure them that COC should be their orthopaedic choice. Review workers compensation accounts receivables and respond to billing companies request for information. Compliance with HIPAA guidelines. Demonstrated passion for excellence with respect to treating and caring for customers in-person and over the phone. Establish and maintain effective working relationships with patients, providers, co-workers, and outside referrals. Performs other duties that may be necessary or in the best interest of the practice.
Requirements
Education/Experience: High School Diploma plus one to three years experience in the procedures of worker's compensation and one to three years of medical billing or coding experience (preferably in Orthopaedics). Other Requirements: Schedules will change as department needs change, including overtime and weekends. Travel as needed. Performance Requirements: Knowledge: Knowledge of HIPAA regulations. Knowledge of worker's compensation policies and regulations. Basic to intermediate knowledge and familiarity with coding procedures and diagnosis. Knowledge of practice management and electronic health records systems. Skills: Accuracy in data entry. Detail oriented. Excellent adaptability skills. Abilities: Ability to work under pressure with time constraints. Ability to work effectively and deal courteously with patients, staff, and others. Ability to enter accurately data and examine insurance documents. Can work independently with minimal or no supervision. Equipment Operated: Standard office equipment. Work Environment: Office environment. Required Physical Demands: Involves sitting approximately 90 percent of the day in front of a computer. Fast paced and high productivity environment. Must be able to lift about 20 pounds.

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