WORKERS COMPENSATION SPECIALIST

To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

Responsible for the administration and coordination of Workers' Compensation activities for Freeman Health System. Manages workers' compensation claims from injury reporting through resolution while ensuring compliance with applicable regulations, supporting injured employees, facilitating return-to-work efforts, and providing exceptional customer service. Works under the direction of the Supervisor, Workers' Compensation, Commercial Insurance & AR Employee Health to support workers' compensation, OSHA compliance, injury prevention, and related risk management initiatives.

• →Administer workers' compensation claims and coordinate claim activities from initial injury reporting through claim closure.

• →Ensure timely reporting, documentation, and investigation of work-related injuries and illnesses.

• →Serve as a primary point of contact for injured employees, leaders, medical providers, and third-party administrators regarding claim status and workers' compensation processes, attends appointment as applicable.

• →Maintain accurate claim files, documentation, and records in accordance with applicable regulations and organizational requirements.

• →Monitor claim activity and communicate regularly with third-party administrators regarding claim progress, treatment plans, reserve changes, and return-to-work opportunities.

• →Coordinate transitional duty and return-to-work programs in collaboration with leaders, Human Resources, and occupational health providers.

• →Provide guidance to employees and leaders regarding injury reporting procedures, workers' compensation requirements, and available resources.

• →Assist with the investigation of workplace injuries and identify contributing factors and opportunities for prevention.

• →Monitor and track workers' compensation claim metrics, injury trends, and loss data.

• →Prepare reports and maintain records related to claim activity, costs, OSHA reporting, and regulatory compliance.

• →Assist with OSHA recordkeeping, annual reporting, and maintenance of injury and illness logs for Freeman Health System.

• →Ensure compliance with applicable workers' compensation, OSHA, DOT, and drug-testing regulations.

• →Coordinate communication and documentation associated with legal proceedings, mediations, and settlement activities as assigned.

• →Conduct claim file reviews and audits to ensure accuracy, completeness, and compliance with established procedures.

• →Collaborate with department leaders regarding workplace injury management, employee accommodations, and return-to-work planning.

• →Support the Safe Patient Handling/Minimal Lift Program (ARJO) and related injury prevention initiatives.

• →Assist in developing and delivering educational programs related to workers' compensation, injury reporting, workplace safety, and return-to-work practices.

• →Coordinate insurance-related reporting, documentation, and renewal activities as assigned.

• →Support the Supervisor, Workers' Compensation, Commercial Insurance, & Employee Health with administration, tracking, and maintenance of insurance-related programs including:

• →
  • →Fleet and vehicle insurance policies for Freeman Health System.
  • →Commercial property insurance policies and related claims management processes. 
• → Perform related duties and special projects as assigned.

• Knowledge of workers' compensation laws, claims management practices, OSHA regulations, and injury management processes.

• Knowledge of medical terminology and workers' compensation claim administration principles.

• Proficiency in Microsoft Office applications and reporting tools.

• Strong organizational skills with the ability to manage multiple claims, priorities, and deadlines.

• Excellent analytical, problem-solving, and critical-thinking skills.

• Effective verbal, written, and interpersonal communication skills.

• Ability to build collaborative relationships with employees, leaders, medical providers, vendors, and regulatory agencies.

• Ability to maintain confidentiality and exercise sound judgment when handling sensitive information.

• Strong customer-service orientation with the ability to effectively assist employees during the claims process.

• Ability to work independently while also collaborating effectively with team members and leadership.

• Requires prolonged sitting with frequent standing, walking, bending, and stooping.
• Requires hearing and manual dexterity sufficient to operate computers, telephones, scanners, photocopiers, and other office equipment.
• Ability to travel between facilities as necessary to conduct investigations, meetings, training, and safety evaluations.

• Two (2) or more years of progressively responsible experience in workers' compensation administration, claims management, risk management, or occupational health.

• Experience working with self-insured workers' compensation programs.
• Healthcare industry experience.

• Primarily office-based environment
• Travel between facilities/markets

• Position may be eligible for a hybrid work arrangement following successful completion of training and orientation, subject to organizational policy and manager approval.