Senior Workers Compensation Specialist
Full Time
Brentwood, TN 37027
Posted
Job description
Overview:
This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor. Qualifications:
Certifications, Licenses, and Other Special Requirements
None
Management/Decision Making
Uses limited independent judgment to make decisions based on precedents and established guidelines. Solves problems using standard procedures and precedents. Knows when to refer issues to supervisor and when to handle them personally.
Knowledge and Skills
Has a working knowledge of a skill or discipline that requires basic analytic ability. Has an overall understanding of the work environment and process. Has a working knowledge of the organization.
Physical Demands and Working Conditions
Brookdale is an equal opportunity employer and a drug-free workplace. Salary Range Information: $55,260 - $70,400 / year
Make Lives Better Including Your Own.
If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness.
Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Additional benefits offered include, but are not limited to:
- Tuition Reimbursement
- Pet Insurance
- Adoption Reimbursement Benefits
- Variety of Associate Discounts
Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply.
Please note, Brookdale is committed to complying with all applicable laws and regulations regarding mandatory COVID-19 vaccination.
Responsibilities:
Provides support in the administration of Brookdale Senior Living's workers compensation program. Works in a team environment, interacts with adjusters, providers, operations, regional HR representatives and insurance brokers and carriers as necessary.
- Reviews all reported claims via on-line claims system provided by third party administrator and/or carrier on a daily basis.
- Works directly with communities to review facts, identifies red flags, and/or issues of concern.
- Assists community management with accident investigation and claim reporting.
- Alerts management team to existence of claim, per guidelines.
- Identifies potential high value claims or potential fraud claims and marks pending for follow-up and future strategy development.
- Provides direction and training to community management on claims management issues.
- Follows up with adjuster, and assists community management in following up to ensure claims are aggressively managed by third party administrator.
- Performs wage verification calculations.
- Approves claim reserves up to $40,000
- Manages and assures the accuracy of claim reserves on a high deductible insurance program. ($1M in exposure per claim)
- Monitors accuracy of the workers compensation allocation program (financial charge back system)
- Performs file audits and periodic individual reviews of high value claims to ensure claim handling guidelines and best practices are adhered to.
- Collaborates with Manager, third party administrator, and HR team to ensure return to work program is utilized.
- Works with Manager and Workers Compensation team, cross-functionally, on workload allocation based on claim case load and complexity.
- Partners with Communities to develop and promote a culture of safety.
- Communicates with and train communities and regional leadership on safety policies and procedures
- Provide monthly safety and OSHA trainings to communities
- Analyzes, evaluates and provides regional management with scorecards and metrics to measure program success.
- Completes on-site safety and OSHA inspections
- Studies injury trends for the team to determine what areas should be identified as high risk for work on the workers comp focus project
- Assists the Director of Workers Compensation with project management on team related projects and assignments
- Responsible for managing outside vendor and internal partnerships
- Maintains knowledge of new and existing relevant laws and regulations, taking appropriate action to ensure timely compliance and communication to appropriate departments.
This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor.
Education and Experience
Bachelor's degree or equivalent experience required. 5+ years of previous Workers Compensation or 3rd Party Adjuster experience required.
Bachelor's degree or equivalent experience required. 5+ years of previous Workers Compensation or 3rd Party Adjuster experience required.
Certifications, Licenses, and Other Special Requirements
None
Management/Decision Making
Uses limited independent judgment to make decisions based on precedents and established guidelines. Solves problems using standard procedures and precedents. Knows when to refer issues to supervisor and when to handle them personally.
Knowledge and Skills
Has a working knowledge of a skill or discipline that requires basic analytic ability. Has an overall understanding of the work environment and process. Has a working knowledge of the organization.
Physical Demands and Working Conditions
- Standing
- Walking
- Sitting
- Use hands and fingers to handle or feel
- Reach with hands and arms
- Stoop, kneel, crouch crawl
- Talk or hear
- Ability to lift: up to 25 pounds
- Vision
- Requires interaction with co-workers, residents or vendors
- Requires Travel: Occasionally
Brookdale is an equal opportunity employer and a drug-free workplace.
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