Senior Workers Compensation Specialist - SOLV Energy, LLC

Job Description Summary:
The Senior Workers Compensation Specialist will be responsible for handling workers compensation claims from multiple states within the U.S.

Job Description:

*This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned

Position Responsibilities and Duties:

• Requires minimal oversight to independently handle all aspects of workers' compensation claims from set-up to case closure ensuring strong carrier relations are maintained throughout the process.
• Reviews claim and policy information to provide background for investigation.
• Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with the injured employee project team, safety and medical provider.
• Evaluates the facts gathered through the investigation to determine compensability of the claim.
• Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties, etc.
• Reviews carrier timely administration of statutory medical and indemnity benefits throughout the life of the claim.
• Works with carrier to set reserves within authority limits for medical, indemnity and expenses and approves recommended reserve changes throughout the life of the claim.
• Reviews the claim status at regular intervals and makes recommendations to the carrier adjuster to discuss problems and remedial actions to resolve them.
• Works with attorneys to manage hearings and litigation
• Works directly with vendors, nurse case managers, telephonic cases managers and rehabilitation managers on medical management and return to work initiatives.
• Reviews Special Claims Handling procedures, file status notes and sets up yearly claim reviews.
• Files workers' compensation forms and electronic data with states to ensure compliance with statutory regulations.
• Prepares monthly safety report and year end OSHA reports.

• Prior experience with Workers Compensation Claims

• California venue experience
• Works with a high degree of autonomy and showcases venue expertise
• Serves as a mentor and informal leader to staff with less seniority
• Utilizes influence management skills to drive results, consistency amongst peers and as motivation
• Provides project management
• Serves as a subject matter expert
• Requires knowledge of workers' compensation statutes, regulations, and compliance among multiple states.
• Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues
• Exceptional customer service and focus
• Ability to openly collaborate with leadership and peers to accomplish goals
• Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines
• Use analytical skills to find mutually beneficial solutions to claim issues
• Ability to prepare and make exceptional presentations to internal and external customers
• Superior verbal and written communication skills

• Minimum 5 - 8 years of prior Workers' Compensation claim handling experience - whether at a carrier, broker or construction client
• Experience working in a customer focused, fast-paced, fluid environment
• Experience utilizing strong communication and telephonic skills
• Prior experience demonstrating a high level of organization, follow-up and accountability
• IEA, AIC, RMA, CPCU or CRIS completed coursework or designation(s) is a plus but not required
• Experience with litigation management
• Experience with fraud investigations
• Experience with medical case management
• Knowledge of medical terminology
• Conduct reserve analyses to ensure adequacy and demonstrate financial acumen
• Proficiency with Microsoft Office Products

At SOLV Energy we celebrate the power of our differences. We are committed to building diverse, equitable, and inclusive workplaces that improve our communities. SOLV Energy prohibits discrimination and harassment of any kind against an employee or applicant based on race, color, age, religion, sex, sexual orientation, gender identity or expression, marital status, national origin, or ethnicity, mental or physical disability, veteran status, parental status, or any other characteristic protected by law.

Benefits:

Employees (and their families) are eligible for medical, dental, vision, basic life and disability insurance. Employees can enroll in our company's 401(k) plan and are provided vacation, sick and holiday pay.

Compensation Range:

$101,056.00 - $130,320.00

Pay Rate Type:

Salary

If you're interested in a meaningful career with a brighter future, join the SOLV Energy Team.