Workers’ Compensation Specialist

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🔥 23 minutes ago

🏄 California, Oregon, +1 more states – Remote

🏄 California – Remote 🌲 Oregon – Remote 🤠 Texas – Remote

💵 $40k - $70k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👩‍👩‍👧‍👦 Human Resources (HR)

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Dayforce

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

☁️ SaaS

👥 HR Tech

🏢 Enterprise

💰 $1G Post-IPO Debt - Dayforce on 2024-03

SaaS • HR Tech • Enterprise

Dayforce is a cloud-based human capital management (HCM) platform from Ceridian. It provides integrated payroll, workforce management (time and attendance, scheduling), HR, benefits administration, talent management, and compliance features in a single SaaS system designed for employers. Dayforce is built for enterprise and mid-market customers to manage the employee lifecycle and payroll in a unified, cloud-native application.

📋 Description

• Manage the full lifecycle of workers’ compensation claims from initial injury reporting through claim closure. • Ensure timely and accurate reporting of workplace injuries to insurance carriers, third-party administrators (TPAs), and regulatory agencies. • Maintain detailed and confidential claim records and documentation. • Monitor claim status and follow up regularly with insurance adjusters and medical providers. • Serve as the primary point of contact for injured employees regarding workers’ compensation claims. • Educate employees and managers on workers’ compensation processes, benefits, and responsibilities. • Coordinate communication among employees, supervisors, healthcare providers, insurance carriers, and legal representatives. • Manage and administer workers’ compensation leave of absence, return-to-work and modified-duty programs. • Review work restrictions and collaborate with management to identify appropriate accommodations. • Track employee recovery progress and facilitate successful transitions back to work. • Ensure compliance with all applicable federal, state, and local workers’ compensation laws and regulations. • Monitor OSHA recordkeeping requirements and assist with injury reporting and documentation. • Maintain workers’ compensation policies and procedures. • Support workplace safety initiatives aimed at reducing injuries and claims. • Prepare and distribute workers’ compensation reports, claim summaries, and trend analyses. • Track key performance indicators, including claim frequency, severity, lost-time cases, and claim costs. • Identify trends and recommend strategies to reduce workplace injuries and associated costs. • Assist with annual workers’ compensation audits and insurance renewals. • Partner with insurance carriers, TPAs, medical providers, and legal counsel to ensure effective claim management. • Participate in claim review meetings and provide recommendations for claim resolution. • Review invoices and claim-related expenses for accuracy and compliance.

🎯 Requirements

• Preferred Bachelor’s degree in Human Resources, Business Administration, Occupational Health, Risk Management, or a related field preferred. • 0–3 years of experience managing workers’ compensation claims, leave administration, or risk management programs. • Experience working with insurance carriers, TPAs, and return-to-work programs. • Multi-state workers’ compensation experience preferred. • Strong knowledge of workers’ compensation laws, regulations, and claim management practices. • Understanding of OSHA reporting and workplace safety principles. • Strong organizational and time-management abilities. • Proficiency with HRIS systems, claims management software, and Microsoft Office Suite (Excel, Word, PowerPoint).