Workers' Compensation Claims Adjuster

Ocean State Job Lot • North Kingstown, RI

1d • $58,000 - $65,000 • Hybrid

About The Position

The Workers’ Compensation Claims Adjuster role at Ocean State Job Lot (“OSJL”
and “Company”) is responsible for effectively controlling all workers’
compensation claims within the Company from the start of claim through the
resolution. This role actively protects Company assets, participates in safety
and health programs, and works closely with associates and leaders around the
Company regarding all workers’ compensation claim activity.

Requirements

• An Associate's or Bachelor’s degree in a related field is preferred.
• 2 or more years experience handling multi-state workers’ compensation claims is required.
• Knowledge of workers’ compensation insurance, medical terminology, and HIPPA laws and compliance processes is required.
• Proven investigations and customer relations skills are required.
• Proficient in Microsoft Office and Google platform (i.e. Sites, Slides, Drive, Docs, Sheets).

Nice To Haves

• 2 or more years of experience in a retail environment is preferred.
• Proficiency in writing, reading and speaking Spanish is preferred.

Responsibilities

• Accurately calculate wage loss on indemnity cases.
• Initiate contact with all involved parties (associates, leaders, medical providers, defense counsel, etc.)  following receipt of  initial claim notification to gather first notice of injury details, establish clear lines of communication, and exchange necessary information, thereby driving the claim toward a compliant, cost-effective resolution.
• Coordinate with OSJL’s  legal defense on litigated claims to execute litigation strategy and negotiate  claim resolution, including full and final settlements and specific settlements for permanent impairment.
• Monitor compliance with Company safety programs and present findings and concerns to leadership.
• Work closely with owners and leaders across the Company (including within retail stores and the distribution center, corporate office, and field) to monitor associate out-of-work and return-to-work statuses.
• Monitor and manage out-of-work status and light duty work assignments through case resolution.
• Facilitate the timely review of medical provider payments and legal expenses, ensuring consistent cash flow and maintenance of positive vendor and claimant relationships.
• Identify and address third party and subrogation opportunities.
• Oversee all insurance carrier activity to ensure payments are proper and timely, reserves are adequate, and claims are handled on an effective and timely basis.
• Maintain rigorous OSHA-compliant documentation for all work-related injuries. Utilize claims data to identify safety trends and prepare reports for  OSJ’s  Asset Protection team.
• Utilize best practices around workers compensation claim processes, management, and resolution.
• Effectively utilize virtual means to communicate efficiently and work independently under remote conditions.

Benefits

• Competitive Paid Time Off (PTO)
• Comprehensive Health Coverage: Including but not limited to Medical, Dental, Vision, and much more.
• 401K Program
• Flexible Spending Account (FSA)
• Tuition Reimbursement
• Associate Store 30% Discounts
• Enjoy complimentary access to OSJL-owned vacation properties, along with discounted gym memberships and 20% off at OSJL affiliated restaurants.
• Free lunch Fridays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree