- Bachelor's degree or 5+ years' experience in Worker's Compensation claims administration; or an Associate's degree in finance, insurance or other health-related field and 5+ years' experience or 10+ years' experience in self-insured trust administration.
- NYS independent adjuster's license preferred
- Health care or industry experience preferred.
- Manages the reporting, review and analysis of Workers' Compensation claims and litigation.
- Prepares reports identifying trends, patterns, and findings in Worker's Compensation claims.
- Evaluates the extent and elements of exposure recommending appropriate actions for risk mitigation.
- Supports TH Claims managers (CM) and the third-party administrator (TPA) in the management of Worker's Compensation claims for THNY region.
- Champions early return to work programs, safety, and other related programs to contribute to reduced incidents and lost time.
- Develops and administers systems to track lost and restricted time.
- Monitors reserves and assists TH CM in claim settlements and reserve adjustments.
- Identifies and investigates claims for possible fraud, subrogation, contribution, recovery, controversion and case management opportunities to reduce total claim cost
- Supports finance department in the management and oversight of WC self-insurance trust matters.
- Serves as a resource to colleagues, managers, and directors related to Worker's Compensation processes.
- Supports special projects and business analysis as requested
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Workers Compensation Coordinator - Syracuse, United States - Trinity Health
Description
Employment Type:Full timeShift:
Day Shift
Description:
Potentially a remote opportunity
Monday - Friday with some hours on a rotating weekend and holiday scheduleMISSION STATEMENT:
We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
POSITION SUMMARY
The Worker's Compensation Specialist is the subject matter expert for THNY workers' compensation program. Is responsible for the maintenance and administration of the THNY self-insured group trusts.
Is also responsible for the in-house management of work-related injuries and an active participant in the claims administration process.
EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:
WORK ENVIRONMENT AND HAZARDS: Office and/or Clinical Setting.
PHYSICAL DEMANDS: Sedentary work: requires sitting, standing, and walking.
WORK CONTACT GROUP: All services, employees, medical staff, patients, visitors, vendors, various regulatory and professional agencies.
SUPERVISED BY: Regional Director of Risk Management
SUPERVISES: None
CAREER PATH: Management
Responsibilities:
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health 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 status protected by law.