Workers Comp Injury Counselor

The University of Kansas Health System

4d•Remote

About The Position

The primary responsibility of this role is the coordination of the workers' compensation program. This includes claims monitoring and administration, report generation, light duty work assignments, and communication with third-party administrators, employees, managers, insurance carriers, medical personnel, and lawyers. The position also involves maintaining WCCMS and Risk Master databases and employee injury records.

Requirements

High School Graduate
Excellent computer skills, proficient with Microsoft Office.
Experience with WCCMS and Risk Master or other standard claim administration applications, proficient with maintaining various types of data base management systems.
Excellent written and verbal skills.
Strong analytical and interpretive skills.
Good interpersonal skills with an ability to work within a team environment and receive high customer satisfaction ratings.
Ability to handle work-related stress and thrive in a fast-paced environment.
Ability to handle multiple priorities simultaneously.
Well versed in Kansas and Missouri compensation Laws.

Nice To Haves

Bachelors Degree in related field of study from an accredited college or university.
5 or more years of experience in the management of a Workers Compensation program or role as an Injury Counselor.
Experience as a clinical professional.

Responsibilities

Communicate with Work Comp attorney and Claims Office regarding claims and legal opinions.
Communicate closely with the employee, supervisor, and physician to achieve positive outcomes.
Work with supervisors to accommodate work restrictions or locate alternative light duty assignments.
Assist in the injured employee’s return to work by communicating with the treating physician to ensure progress with recovery.
Proactively monitor employee progress, maintaining periodic contact with the employee and other parties related to the care of the injured employee.
Set follow-up action plans.
Obtain full duty releases upon return to work or counsel supervisors on work restrictions and light duty assignments.
Document claims in WCCMS (Worker’s Compensation Claims Management System).
Until interface between WCCMS and Risk Master is functional, enter injury data in Risk Master.
Document claims in the OSHA log in WCCMS.
Identify areas that need performance improvement and ergonomics assistance.
Conduct ergonomic assessments within realm of expertise and in general create a safer workplace for employees.
Prepare reports as requested by the Safety Committee, various work groups, and for other ongoing and special projects.
Process weekly claims register payments, monthly third party administration invoices, and all other workers compensation related invoices.
Provide education to managers and employees on the Workers Compensation program.
Receive and maintain all employee injury reports.
Gather information from employee, supervisor, and the employee’s physician as necessary.
Refer cases to medical case management.
Stay current and maintain up-to-date industry knowledge via outside reading as well as attendance at educational seminars and classes.
Supervise the work of the Benefits Specialist assigned to assist with the Workers Compensation program.
Work directly with the third party Claims Supervisor.
Perform the professional, clinical, and/or technical competencies of the assigned unit or department.