Bachelors degree or 5+ years experience in Workers Compensation claims administration; or an Associates degree in finance, insurance or other health-related field and 5+ years experience or 10+ years experience in self-insured trust administration.
NYS independent adjusters 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 Workers 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 Workers 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 Workers Compensation processes.
Supports special projects and business analysis as requested
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Workers Compensation Coordinator - Syracuse, United States - St. Joseph's Hospital
Description
Employment Type:
Full timeShift:
Day ShiftDescription:
Potentially a remote opportunityMonday - Friday with some hours on a rotating weekend and holiday schedule
MISSION 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 Workers 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:
SPECIAL EQUIPMENT, SKILLS, OR OTHER REQUIREMENTS: Strong written and oral communication skills, strong interpersonal, motivational and conflict resolution skills. Broad-based knowledge of OSHA, NYS Workers Compensation law and other hospital related regulatory compliance requirements. Strong accounting or bookkeeping skills, able to produce metric analysis and reports, presentation skills, team player, negotiation/ crucial conversations skills and ability to influence change without direct authority. 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 Range: $ $45.00
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.
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