Workers Compensation Specialist

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🔥 0 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $70k - $80k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👩‍👩‍👧‍👦 Human Resources (HR)

🚫👨‍🎓 No degree required

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ASPEN DENTAL GROUP, PC

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 1998

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Aspen Dental Group, PC is a dental care organization dedicated to providing comprehensive dental services to patients while supporting dental professionals in their careers. The company emphasizes the importance of bringing better care to more people by investing in employee success through training, support, and a proven practice model. Aspen Dental's approach includes offering industry-leading pay, tuition reimbursement, and opportunities for career advancement, with a commitment to diversity and community impact. With over 25 years of experience, Aspen Dental also contributes to charitable efforts by donating free dental care and focuses on providing a collaborative and inclusive workplace.

📋 Description

• Manage administration of workers’ compensation claims for employee incidents across multiple companies and states • Manage insurance carriers, vendor partners, and other claims-related service providers • Support Loss Control and Safety Training • Formulate, develop, and coordinate claim-related activities to mitigate workers’ compensation risk and claims • Act as a liaison within the company and with customers • Facilitate workers’ compensation claim activities and develop strategies to optimize claim management procedures • Review and manage employee and patient incident reports from initial report through closure • Determine whether claims should be reported to carriers • Handle payroll and claims reporting for monopolistic states • Explain the claims process to employees • Coordinate return-to-work programs with HR, medical providers, management, and third parties • Direct third parties to resolve claims quickly and cost-effectively • Process injured workers’ treatment and billing • Gather claims data and facilitate claims reviews with third parties and carriers • Complete annual BLS reporting to states • Manage workers’ compensation policy retention and updates based on entity changes • Maintain internal claims files and claims data in information systems or databases • Compile, review, and analyze reports to identify trends • Report applicable Urgent Care events and claims to insurance carriers • Build and manage relationships with carriers, third parties, outside legal counsel, and other claims-related parties • Assist with safety training and address safety issues and concerns • Support risk projects and initiatives and promote loss prevention strategies

🎯 Requirements

• College degree preferred, or more than two years of claims experience • Minimum 2 years of experience as a claims analyst, administrator, or in a similar function • Ability to lead a multi-state program involving employees who are not onsite at the same location • Customer service experience • Ability to investigate and direct the claims management process • Proficiency with Microsoft Office • Proficiency with Risk Management Information Systems (RMIS) • Strong organizational skills • Strong written and verbal communication skills • History of implementing programs that positively impact claim costs is a plus • Technical and professional expertise in claims management and loss prevention • Ability to adapt to changing priorities • Ability to collaborate and communicate effectively • Initiative, problem-solving, issue analysis, and results focus • Honesty and integrity • Ability to maintain confidentiality • Ability to read and interpret regulatory rules and regulations • Strong presentation skills • Time management skills

🏖️ Benefits

• Bonus incentives • Generous benefits package • Paid time off • Health insurance • Dental insurance • Vision insurance • 401(k) savings plan with match