Workers Compensation Risk Management Jobs (NOW HIRING)

Essential Functions:

• Oversees the full life cycle of workers' compensation claim and develops strategies to handle specific cases in consultation with the appropriate parties.
• Enforces workers' compensation programs in alignment with department and company policies and procedures.
• Partners with other Human Resources teams on overlapping matters related individual cases involving LOA's, employee relations, grievances, and performance management concerns with a goal of employee satisfaction and reducing our liability for litigation.
• Oversees workers compensation processes for medical treatments, benefits, and advocates for employees in resolving concerns and issues regarding their workers compensation claims.
• Interacts with employees while maintaining high level of customer service through follow up on work statuses and satisfaction of medical treatment, and their progress in modified duties; maintains dialogue with employees for up-to-date medical documentation and advocacy when needed to limit or avoid litigation, resulting in cost containment.
• Conducts employer level investigations to obtain critical information from witnesses, incident facts and evidence including company camera surveillance that help with the decision-making process of case facts and compensability
• Conducts return to work and interactive processes with injured employees, oversees outside disability management vendor on litigated cases.
• Completes and submits reportable injuries/illness and findings to third party administrator (TPA); relaying proposed actions to TPA for further handling.
• Partners with and supports TPA, legal counsel and injured workers on all open claims as necessary to ensure proper claim resolution.
• Diaries all open claims through resolution and maintains ongoing dialogue and provides direction on proceedings with legal, claims team and physicians to ensure best case outcomes at resolution.
• Attends Workers' Compensation Appeal Board hearings, trials and depositions to represent the Company as necessary; provides pertinent case information to Defense Counsel as necessary.
• Responds to subpoenas, prepares case summaries for litigated claims, and partners with Defense Counsel and TPA to ensure clear understanding of case details and company disposition.
• Participates in quarterly claims review with TPA and legal counsel to discuss case updates and legal strategy towards cost effective and timely case resolution
• Identifies potential risk exposures and analyzes injury claims for potential risk trends to develop short and long-term resolution in partnership with appropriate parties to support mitigation of injuries and claims.
• Partners with Environmental Health & Safety (EHS) and Health and Wellness (H&W) to evaluate employee worksites and identify potential work injury job hazards including indication of safety, ergonomics, or additional risk trends. Discusses causes and concerns with EHS, H&W, and management to begin the correction and elimination of risk concerns.
• Participates in monthly risk management meetings with EHS and H&W to discuss identified risk and injury patterns and feasible action plan.
• Conducts up-to-date Workers' Compensation training to new hires, current employees, and newly promoted members of leadership.
• Provides recommendations and implements improvements in injured worker and supervisor training.
• Partners with EHS on safety concerns identified and suspected from the employer level investigation, for assessment and correction. Supports EHS dept. with accident investigation and safety related assignments
• Helps with first aid treatment and First Responder assistance in emergency situations and for workers compensation related incidents.
• Supports all offsite locations with workplace injuries, training, protocols and provides annual regulatory insurance posting notices.
• Creates and maintains monthly injury and incident reports for management and HR Teams.
• Oversees compliance with internal policies, procedures, and workers compensation regulations; documents and maintains individual claim files and OSHA logs as required by Cal-OSHA.
• Attend and participate in professional group meetings; stay abreast of trends and innovations in the field of workers' compensation administration and keep current on legislative and regulatory issues at the State and Federal level.
• Performs other related duties and projects as business needs require at direction of management.

Education and Experience:

• Bachelor's degree in relevant field, a plus.
• Minimum Seven (7) years' experience with worker's compensation claims, system litigation process and exposure to large deductible programs; experience with disability management, Interactive Process and LOA's.

Special Requirements/Certification:

• Workers' Compensation Claims Administration (WCCA) certification, a plus.

Pay Range: $79,610-$100,000/yr