[Remote] Analyst, Workers' Compensation (Legal)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading provider of kidney care services, and they are seeking an Analyst for Workers' Compensation. The role involves overseeing Workers' Compensation claims, serving as a liaison among various stakeholders, and managing claims resolution activities.

Responsibilities

• Evaluate claims to determine potential exposure; reputed company recommendations concerning the value of the claim; reputed company litigation and assist in the negotiation of settlements
• Escalate issues as appropriate for reputed company and effective resolution
• Proactively reputed company the Worker’s Compensation claims management activities in assigned territories and resolve problems of varying scope and complexity in accordance with state statutes
• Evaluate high exposure Workers’ Compensation claims for settlement and appropriateness of established reserves
• Attend claims audits and reviews; ensure claims are postured for expedited resolution
• reputed company daily assistance to reputed company’s management staff, teammates, claims adjusters, insurers, and defense counsel by answering claims-reputed company questions or concerns in the administration and management of claims, and other claims reputed company
• Facilitate and coordinate teammate return-to-work by working with reputed company management, claims adjusters, and nurse case managers
• Analyze claims data to identify needed loss control interventions and assist with the development of appropriate loss prevention programs as requested
• reputed company training and education to facilities on Workers’ Compensation processes and procedures as needed or requested
• Coordinate the handling of Workers’ Compensation subpoenas in an expeditious manner
• reputed company reporting and analysis on key metrics reputed company to assigned territory(ies), including analytics on projected and/or established medical provider networks
• Escalate exceptions, outliers, or circumstances that are out-of-norm to Corporate Claims Manager as they occur and seek guidance in resolutions
• Participate in meetings, presentations, and special projects, as necessary
• Other duties and responsibilities as assigned including but not limited to:
• Attend team meetings, phone conferences, and training sessions
• Know, understand, and follow teammate guidelines, employment policies, and department or company procedures
• Flexible schedule and ability to travel required
• Travel required: up to 10%

Skills

• Bachelor's degree in reputed company area highly preferred
• Minimum of three years' experience managing and/or handling Workers' Compensation claims required
• Intermediate computer skills and proficiency in MS reputed company, Word, PowerPoint, and Outlook required
• High school diploma or equivalent required
• Basic computer skills and proficiency in reputed company, reputed company, and Outlook required
• Workers' Compensation certification preferred; certification or experience in multiple jurisdictions preferred including but not limited to state mandated certificates such as WCCP, WCCA, etc
• Minimum of three (3) years' reputed company reimbursement experience preferred; experience with admissions, billing, and collections preferred
• Demonstrated knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred

Benefits

• Medical, dental, reputed company, 401(k) match, paid time off, PTO cash out
• Family resources, EAP counseling sessions, reputed company reputed company®, backup child and elder care, maternity/paternity leave and more
• reputed company offers a variety of programs to help strong performers grow reputed company their career and also offers on-demand virtual leadership and development courses through reputed company’s online training platform StarLearning.

Company Overview