Workers' Compensation Analyst will manage all aspects of assigned workers' compensation claims, including investigation of reported injury/illness and causal relationship to work, nature and extent of disability, and resolution plan in accordance with the applicable state and federal statutes according to the department best practices.
Additional responsibilities include:
Educate employees with work related injuries/illnesses on the benefits available under state and federal statutes
Estimate reserves required to satisfy the liability incurred as a result of a workplace injury/illness
Manage approved vendor services to maximize return on investment
Travel between CT and RI Workers' Compensation offices as necessary
Responsibilities
Exceptional organizational and time management skills required
Strong written and verbal communication skills required
Working knowledge of Microsoft software (excel & word)
Strong work ethic is required to manage large caseload along with pleasant demeanor in dealing with injured workers, medical providers, attorneys and other third parties
Critical thinking and situational analysis skills required for strong and supported decision making
Qualifications
Required Qualifications:
High school diploma or GED equivalent
Must have or be able to obtain Rhode Island claim adjusting license as mandated by state regulations within 30 days of hire
Minimum of 1 year experience in Medical insurance, risk management or legal office
Preferred Qualifications:
Bachelors degree in HR or Finance
Previous experience in project management or supervisory capacity
Currently holds Rhode Island claim adjusting license as mandated by state regulations in order to perform certain transactions under the appropriate jurisdiction
PI284040771
Numbers & Facts
Location
North Kingstown, RI
Skills
Analysis Skillsunmatched
Best Practicesunmatched
Case Managementunmatched
Claims Processingunmatched
Communication Skillsunmatched
Compensation Analysisunmatched
Decision Supportunmatched
Federal Laws and Regulationsunmatched
Financeunmatched
Health Insuranceunmatched
Healthcare Providersunmatched
High School Diplomaunmatched
Investigative Reportsunmatched
Legalunmatched
Microsoft Excelunmatched
Microsoft Product Familyunmatched
Microsoft Wordunmatched
People Managementunmatched
Presentation/Verbal Skillsunmatched
Project/Program Managementunmatched
Return on Investment (ROI)unmatched
Risk Managementunmatched
Staff Trainingunmatched
State Laws and Regulationsunmatched
Time Managementunmatched
Vendor/Supplier Managementunmatched
Worker's Compensationunmatched
Writing Skillsunmatched
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