Job description

ECCO Select is a talent acquisition and advisory consulting company, specializing in providing people, process and technology solutions for our clients’ needs. We’re the talent behind the technology. To find out more about ECCO Select visit our website: www.eccoselect.com

Position Title: Workers Comp Specialist

Reviews, investigates, and makes decisions regarding compensability and appropriateness of claims. Processes and documents all workers compensation claims, ensuring compliance with relevant policies, procedures, and legislation. Acts as the authority on workers compensation policies and legislative provisions. Provides liaison with and advisement to external agencies and regulatory bodies in the administration of claims and in the care and disposition of claimants. Processes and handles casualty and property liability claims.

Essential Duties:

• Reviews and evaluates all work-related accident reports for completeness and clarity of data; analyzes data, as needed, to ensure compliance with policy and regulatory requirements.
• Determines appropriateness and amount of worker's compensation claims; investigates individual claims for eligibility for workers' compensation benefits; ensures that all legal and procedural requirements are met for the processing of claims, to ensure proper and timely payment to employees and medical facilities.
• Provides authoritative advice and counsel to management on the interpretation and application of worker's compensation policies, legislation, regulations, and processes.
• Coordinates and participates in strategic planning aimed at reducing the incidence of worker's compensation-related injuries at the facility.
• Assembles appropriate medical information and facts regarding claims for cases pending litigation; represents company at Workers' Compensation Administration mediation and formal hearings; represents company at trials and other mediations as requested.
• Communicates and interacts with medical professionals, support agencies and others to monitor and assess the progress of rehabilitation efforts, and to facilitate either return to work or, depending upon medical status of the claimant, placement into appropriate alternative positions within or outside, ensuring compliance with all appropriate regulations and guidelines.
• Prepares all necessary forms, records, and documentation, to include statistical analyses and reports, for all claims assigned, as required by various regulatory agencies.
• Makes strategic recommendations for reducing the frequency and severity of losses through the use of a workers' compensation database and/or other claims data reports; designs and develops data bases, performs integrated data analyses, and prepares reports.
• Handles and processes casualty and property liability claims
• Performs miscellaneous job-related duties as assigned.

Education:

• Basic/Required: High School Diploma or GED
• Preferred: Bachelor’s degree. Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

Essential Qualifications:

• 3+ years of experience directly related to the duties and responsibilities specified
• Knowledge of applicable legislation, standards, policies, and procedures within specialty area.
• Skill in conducting accident investigations.
• Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
• Knowledge of process requirements of administrative hearings and litigation.
• Ability to communicate technical information to non-technical personnel.
• Knowledge of data management systems and processes.
• Knowledge of property and liability claims legislation, regulations, policies, processes, and procedures.
• Ability to use independent judgment and to manage and impart confidential information.
• Ability to document work in progress.
• Records maintenance skills.
• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Ability to use independent judgement and make appropriate insurance claims adjustment decisions and determinations.
• Conflict resolution and/or mediation skills.
• Ability to investigate and analyze claims information and to draw conclusions.
• Ability to provide legal depositions and testimony.
• Skill in developing and implementing return-to-work, modified duty programs.
• Conditions of Employment
• Possession of a valid Nevada driver’s license is a requirement for this job.
• Must have working-level knowledge of the English language, including reading, writing and speaking English.

Preferred Qualifications:

• Proficiency in Microsoft Office Suite, including Access, Outlook, PowerPoint, Excel, and Word and have the ability to use the computer to complete online learning requirements for -specific competencies, access online forms and policies, complete online benefits enrollment.

ECCO Select is committed to hiring and retaining a diverse workforce. ECCO Select’s policy is to provide equal opportunity to all people without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, citizenship status, sex, sexual orientation, gender identity or any other legally protected category.

Equal Employment Opportunity is The Law

This Organization Participates in E-Verify

Job Type: Full-time

Pay: $60,000.00 - $80,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Overland Park, KS: Reliably commute or planning to relocate before starting work (Required)

Experience:

• workers compensation: 3 years (Required)

Work Location: In person

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