Workers Compensation Coordinator - Burnett Specialists

 

 
Department: Risk ManagementReports To: Director, Risk Management
Division: Administration
Job Status: Exempt
Length: Temporary role lasting about 2-3 months
Location: SW Houston located near 59S/Gessner
Hours: Monday through Friday from 8a-5p, with 1-hour lunch
Pay Rate: *** OPEN depending on experience and recent pay history
Start Date: ASAP START
Pre-Employment Requirements: *** If selected, you will be required to complete a background check, 10-panel drug screen, and TB x-ray prior to starting

Summary Description: The Workers’ Compensation Coordinator reports directly to the Director of Risk Management Services. Responsible for the routine insurance claims work of the department. 
Duties and Requirements: 
 

• Filing workers' comp and insurance claims and matters of urgency related to each.
• Communicating with workers and their managers about injuries/exposures to communicable diseases, reviewing event reporting system for unreported injuries requiring medical support.
• Use Microsoft Excel/Word/PowerPoint, Adobe Acrobat 2020.
• Use of DocuSign also helpful.

Essential Job Functions:
 

• Performs routine, technical, and administrative insurance work in support of the Commercial Insurance Program.
• Performs routine work regarding notary bonds, providing support for auto, cyber-security, general, professional, crime, property, and other insurance claims periodically as needed.
• Primarily performs work in support of workers’ compensation claims, coordinating with claimants and managers to ensure accurate and efficient processing of cases.
• Maintains up-to-date documentation from carriers, medical providers, supervisors/managers, and others for the benefit of the agency.
• Calendars and notifies staff with a need-to-know of administrative hearings of the Texas Department of Insurance requiring their attendance.
• At the Director’s discretion, attends and/or represents the Agency at administrative hearings of the Texas Department of Insurance, Division of Workers’ Compensation.
• Reports to the Director the progress of employee recovery and open/close status, functioning as a catalyst for injured workers’ resumption of full or modified duty. Delivers superior customer service and satisfaction through effective interactions with claimants, managers, vendors, and others.
• Takes new claim reports, manages claims, and assists claimants through the claims process; requesting medical records, insurance information, and other relevant information for case preparation.
• Locates and develops case-relevant information, ensuring all tasks and documentation are appropriately stored and updated in legal file system.
• Promptly notifies the Director concerning injury and/or accident reports that contain any possible fraudulent activity.
• Works with the Director in support of injured workers, to help restore employees’ health and well-being after a work-related injury.
• Responds to calls and queries from internal and external providers, claimants, and insurance companies.
• Sends and receives proper data to and from carriers, vendors, and other sources for prompt resolution of claims.
• Researches and reviews claims to meet guidelines concerning appropriate documentation for claims processing.
• Authorizes routine medical treatment and drug/alcohol screens and periodically runs Motor Vehicle Record reports.
• Works with Director on Safety and Risk Management projects and other duties as assigned.

Performance Indicators:
 

• Effectively manages multiple tasks and projects with attention to detail. Contributes to collaborative environment by consistently demonstrating teamwork, high motivation, behavior, and effort to achieve goals and objectives.
• MS Office proficiency, including Outlook, Word, Excel, and PowerPoint Excellent administrative and organizational skills; superb communication skills.
• Maintains high customer satisfaction levels and completes projects as required within time specified by carrier and established protocol.
• Must be able to prioritize responsibilities and work well under tight deadlines.
• Paralegal certification a plus.
• Provides quality, well-documented, professional claims submissions and reports that follow industry standards.
• Supports departmental goals in a positive and professional manner.

Education/Certification:? High School Diploma or General Education Diploma 

Experience Required:

• Position requires at least three years of experience in worker’s compensation and/or loss prevention.
  

Required Knowledge, Skills/Abilities:
 

• Understands and applies knowledge of support principles, practices, policies, and procedures.
• Excellent verbal and written communication skills.
• Excellent organizational skills.
• Ability to work effectively with a wide variety of people.
• Able to use Microsoft products to maintain data and generate reports.