20 days old

Sr. Workers Compensation Specialist

Medline Industries, Inc.
Northfield, IL 60093
  • Job Code
    QUA0101II
JOB SUMMARY:

Responsible for managing activities associated with workers' compensation claims made against Medline Industries and its subsidiaries, including but not limited to employee inquiries, vendor management, vendor selection, broker coordination and management inquires. Responsible in assisting proactive program areas such as EHS to actively reduce risk and deliver safety program objectives.

MAJOR RESPONSIBILITIES:

  • Manage the overall relationship among various workers' compensation service vendors, brokers and Medline to ensure proper handling of all work-related injuries that are compensable under various workers' compensation jurisdictions. Responsible for cost-effective handling of all claims for a region of corporate locations.
  • Make recommendations on workers' compensation program improvements, settlements, denials, and vendor/policy changes.
  • Provide advice and counsel regarding claims management, claim compensability and/or settlement strategies with Medline, TPAs, nurse case managers and defense attorneys.
  • Ensure accurate and timely reporting of all workers' compensation claims by all employees and management to the appropriate vendor or state agency. Ensures return-to-work capabilities are considered and occur within Medline's policies and practices. Responsible for managing return-to-work program across a region to site-specific resources.
  • Manage outside service providers (TPAs, investigators, lawyers, medical providers) to ensure resolution with outstanding bills, documentation gathering and information sharing.
  • Develop and coordinate training curriculum to management on injury reporting, investigations, drug testing and alcohol screening. Ensure compliance with all related company policies and practices.
  • Investigate additional information that is needed for new claims appearing on the weekly claim report. Follow-up items include communicating with the involved parties to gather missing or additional documentation either through phone calls, emails or both. Identify trends and need for additional training across regional locations.
  • Ensure appropriate medical care is provided for those that require it, as well as monitoring vendors to make sure they are actively managing Medline's claims. Manage catastrophic claims and proactively directing nurse case management services.
  • Escalate problem claims, violation of company policies to EHS team members &/or senior management for follow-thru and correction.
  • Track claim costs and overall company costs of claims against annual team goals. Research regional/national offerings (contracts/pricing) for vendors which include program implementation and post-evaluation.
  • Mentor and coach to Workers' Compensation Specialist team members as needed.
  • Manage the ergonomic job assessment process across all locations including training, usage of assessment tools (Humantech, force gauge, etc.) and prioritizing project focus. Work with division resources to implement identified job performance changes or work-site improvements.

Education

  • Bachelor's Degree in a business-related field.
Work Experience
  • At least 4 years of Workers Compensation claim experience.
Knowledge / Skills / Abilities
  • General knowledge about workers' compensation laws and specific state laws is essential.
  • Ability to utilize basic math skills to analyze claims cost, reserves and settlements.
  • Experience with Microsoft Office suite for Word, Excel, Outlook (e-mail), third-party claims management systems.
  • Excellent verbal and written communication skills.
  • Position requires travel up to 30% of the time for business purposes (within state and out of state).
PREFERRED JOB REQUIREMENTS
  • Bilingual (Spanish).






Posted: 2022-09-09 Expires: 2022-10-08
Sponsored by:
ADP Logo
Sponsored by:
Bank of America Logo

Featured Jobs[ View All ]

Featured Employers

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Sr. Workers Compensation Specialist

Medline Industries, Inc.
Northfield, IL 60093

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast