Worker's Compensation Claim Adminsitrator

Ashley Furniture Industries

4d•Onsite

About The Position

Join Ashley Furniture as a Workers' Compensation Claims Administrator and play a vital role in protecting our company and supporting our injured employees. In this position, you'll minimize financial loss from workers' compensation claims while ensuring injured workers receive appropriate care and timely benefits. You'll manage the full claims lifecycle with a focus on efficiency, accuracy, and compassion.

Requirements

Associate degree in Human Resources, Medical field, or equivalent experience
4+ years in Human Resources, Medical, or Insurance-related roles
Knowledge of Workers' compensation laws, insurance claims processing, and HIPAA regulations
High attention to detail and accuracy
Excellent written and verbal communication
Strong organizational and time management abilities
Analytical thinking and problem-solving skills
Ability to handle multiple projects simultaneously in a fast-paced environment
Proficiency in Microsoft Office Suite (especially Word and Excel)
Experience with document management systems and databases
Ability to maintain strict confidentiality

Nice To Haves

Professional demeanor when handling difficult employee, vendor, or customer situations
Empathetic, patient, and understanding
Strong ethics and integrity
Independent worker who also thrives in team environments
Flexible and willing to work extended hours when necessary
Commitment to continuous improvement

Responsibilities

Report and track all workers' compensation claims through insurance company systems
Investigate claims to determine time loss vs. wage loss classification
Manage claim files and communicate updates to employees, supervisors, HR, and medical providers
Monitor cases to ensure proper reserving, documentation, and aggressive resolution timelines
Research billing and payment issues between employees, medical facilities, and insurance carriers
Coordinate transitional duty assignments for recovering employees
Maintain attendance records for medical appointments and excused absences
Answer employee questions about benefits, claim status, and workers' compensation processes
Process status changes for employees on leave or reduced wages
Display empathy and professionalism when supporting injured workers
Partner with Health, Security & Safety to investigate potential safety violations
Collaborate on subrogation recovery opportunities
Ensure compliance with workers' compensation laws, HIPAA regulations, and medical release procedures
Process incoming mail, verify claim information, and maintain organized documentation
Generate weekly and quarterly reports
Maintain document management systems (scanning, databases, filing)
Provide administrative support including copying, scanning, and shredding
Participate in departmental meetings and assist with training team members