Workers Compensation Analyst (REMOTE)

We're on a mission and need a skilled Workers Compensation Analyst! This is a fully Remote role, offering you the flexibility to work from anywhere. This position requires a strong and diverse skillset in relevant areas to drive success. This straightforward role comes with a dependable salary of a competitive salary.

 

 

Summary of Position (Job Purpose) - Major purpose and functions of the position. Primary responsibility to manage the workers' compensation claims process through the flow of the third-party claims administrator (TPA) and develop strategies for prompt and economical resolution. Develops solid relationships with internal and external clients, vendors, and industry groups to ensure Dollar Tree... maintains a "Best in Class" claims process. Regularly interacts with legal counsel, insurance representatives, and other departments regarding claims issues. Directs activities of TPA in matters pertaining to workers' compensation and supports internal business partners with identifying issues and solving concerns. Principal Duties and Responsibilities - Primary responsibilities listed in order of importance. Supervise caseload of Third-Party Administrator (TPA) managed workers compensation claims to reduce costs and improve outcomes Authorize TPA to make reserve adjustments and provide settlement authority up to $50,000 Provide recommendations to Manager on reserve and settlement requests above $75,000 Coordinate with business partners in Human Resources, Operations, and Legal to resolve. Monitor and evaluate the performance of selected defense attorneys Work with Human Resources and field leaders on ensuring associate status changes (Workers Comp, Modified Duty, Full Duty, terminations) are accurate Confirm status changes for claims examiners, associate pay, dates worked, etc. Respond to inquiries from field regarding the status of TTD payments, HR status, return to work, etc., supporting caseload Regular claims roundtable discussions with Human Resources and Operations for stores and distribution centers to align and determine next steps Provide information to TPA related to associate job functions, contact information, work status, records, etc. Collaborate with Return to Work team and adjusters on policy issues and associate status Collaborate with field management on work accommodations Develop claim resolution strategies for litigated matters with outside counsel Represent the company by participating in hearings and mediations, as needed (mostly remote) Work internally to locate and produce responses to discovery for litigated WC claims Locate and produce job function information, personnel files, lease information, policy documents, etc. Review and approve requests for information from state and/or state specific entities serving as claims administrator Generate state-specific reports for the Claims Manager and Director of Risk Management Gather OSHA logs for monopolistic states Approve and direct assignments to outside counsel Provide feedback to the Manager and Director on outside counsel performance and change recommendations and participate in panel review annually. Minimum Requirements/Qualifications - Summary of knowledge, experience and education required. Bachelor's Degree 7+ years of multi state workers compensation (complex, litigated cases) experience with insurance carrier, third party administrator, corporate or insurance broker role in similar operating environment Strong analytical skills related to investigations, claims strategies and claims reviews Strong time management skills Excellent written and verbal communications skills; ability to handle difficult situations Strong attention to details, including regular follow up on action items Knowledge of medical terminology, medical treatment protocols, and legal proceedings Intermediate technology skills related to Excel, queries, and insurance company risk management information system Ability to work in fast paced team environment, handling multiple tasks and meeting deadlines Ability to travel with short notice Desired Qualifications - Desired but not required. Professional Insurance Designation - SCLA, ARM, CPCU, etc. Retail experience a plus Human resources, OSHA, and/or Safety experience This is not to be considered a complete list of job duties, as they may be amended or added to as needed. - Start Rate = $$70,500 based on experience -The company offers Health, Dental, & Vision, flexible spending account, life and disability insurance benefits, 401k plan, PTO & 7 paid holidays annually, and an employee stock purchase plan Apply Job!

 

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