Overview
This position is responsible for managing all aspects of workers’ compensation benefits.
The position requires the following, non-negotiable characteristics:
- Precision and accuracy in the performance of all duties.
- Direct, articulate and succinct communication style, both verbal and written.
- Mastery of organizational skills, including management of multiple tasks and deadlines.
- Analysis of issues with a methodical and efficient, yet thorough, approach.
- Self-motivation to be proactive in identifying problems and developing recommended solutions.
- Self-discipline to always conduct oneself with the utmost professionalism, integrity, reliability and accountability.
- Proactively and aggressively monitor and manage all workers’ comp claims from initial loss to closure.
- Monitor and communicate with all third parties related to claims handling: investigators, attorneys, carrier, brokers, consultants, IME doctors, etc.; document all action.
- Communicate daily with insurance adjusters to obtain updates on each claim and to regularly press for Return to Work, Settlement and/or Lower Reserves; document all efforts.
- Regularly obtain and review WC loss runs to ensure data accuracy and opportunities to close cases, reduce costs and improve efficiencies.
- Have frequent and regular communications directly with injured employees to determine status and possible RTW; create and maintain documentation.
- Create and update Open Case and RTW tracking report; meet weekly regarding same.
- Take lead role at quarterly WC claim review meetings.
- Attend WC hearings and depositions, as appropriate.
- Create and enforce all policies and procedures necessary for proper workplace incident/accident reporting and claims management; document efforts regarding same.
- Coordinate claims through Local 32BJ network providers, as applicable.
- Direct the workers’ compensation carrier or TPA on validity of claims and request investigation activities, as needed.
- Assist locations with fact gathering and investigative documents.
- Maintain required injury and illness records.
- Attend hearings, depositions and other related meetings and communicate with commissioners, attorneys, hearing representatives and employees as needed.
- Partner with Operations and Field Supervisors to coordinate and manage RTW programs ensuring work restrictions are adhered to.
- Maintain consistent, uniform records for all claims.
- Ensure that the company is actively engaged in and following the Case Management Program (CMP) model for workers compensation claims.
- Conduct post-accident investigations, witness interviews, documentation, etc.
- Create and enforce all policies and procedures necessary to enforce CMP; document efforts regarding same.
- Oversee and Administer WC Return to Work (RTW) Program.
- Proactively identify and push for opportunities to return employees to work as soon as possible; track and document efforts.
- Deal with all parties involved re RTW programs – employee, IME doctor, claims adjuster, QBS Operations; document and follow-up regarding same.
- Arrange for and place returning employees into modified duty jobs as soon as possible upon notice of IME that might allow a RTW.
- Draft, send and document written offer letters for all RTW modified duty; create and send all related documents; create and maintain records documenting same.
- Meet with all returning employees before they RTW to review restrictions, modified duties, etc.
- Meet with all supervisors of returning employees, regarding the RTW restrictions and modified duties applicable to the returning employees.
- Ensure timely follow-up to move employees from modified to full duty as soon as possible.
- Create and enforce all policies and procedures necessary to enforce RTW program; document efforts regarding same.
- 5+ years of corporate WC experience
- Knowledgeable with handling WC issues.
- Ability to interpret laws, rules and regulations.
- Legal research and investigation skills.
- Proven experience in a similar role.
- Proven ability to drive results and a lasting commitment to excellence.
- Self-Starter who can work with minimal-to-no supervision.
- Excellent organizational skills.
- Enhanced communication skills.
- Highly enthusiastic, analytical, methodical and disciplined in nature.
- Must be able to adapt and adjust to unexpected circumstances.
- Must have ability to multi-task, manage multiple projects at once and meet deadlines.
- Must exhibit best practices to ensure consistency and avoid unnecessary duplications.
- Must have the ability to take clear direction.
- Must be proficient in Microsoft Word, Outlook, Excel.
- Strong writing ability. A writing sample is required for consideration.
Quality Building Services is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other characteristic protected by federal, state or local law.
Job Type: Full-time
Pay: $90,000.00 - $130,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- Workers' compensation: 10 years (Required)
- Claims Management: 10 years (Required)
Ability to Commute:
- New York, NY 10017 (Required)
Ability to Relocate:
- New York, NY 10017: Relocate before starting work (Required)
Work Location: In person