Workers' Compensation Manager

EMSA- Emergency Medical Services Authority•Tulsa, OK

9d•Onsite

About The Position

This position is responsible for managing the end-to-end workers' compensation claims process, including intake, case management, medical coordination, and communication with various stakeholders. The role involves analyzing claim trends, managing budgets, conducting root cause analyses, and ensuring regulatory compliance. Additionally, the position plays a role in promoting safety standards, developing training programs, and assisting with litigation and regulatory recordkeeping. The role requires strong organizational, communication, and analytical skills, with a focus on ensuring timely and appropriate care for injured employees and facilitating return-to-work initiatives.

Requirements

High school diploma or GED, associate or bachelor’s degree in health and safety or business administration preferred or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job.
Minimum of three (3) years of progressively responsible workers' compensation claims administration, claims management, occupational health, risk management, or related experience.
Advanced skills in MS Excel and Microsoft Office Suite.
Must possess a valid Oklahoma driver’s license.
Must be able to successfully pass a background check and drug screen to the satisfaction of the organization.

Nice To Haves

EMS or healthcare experience is strongly preferred.
UKG experience preferred.
CSCS/CWCA preferred.
Deep understanding of state and federal workers’ compensation laws and OSHA reporting requirements is preferred.
Strong analytical thinking, negotiation abilities is preferred.

Responsibilities

Manage the end-to-end workers’ compensation claims process, including creating, reviewing, and submitting First Reports of Injury and associated documentation for completeness and timeliness.
Collect and maintain all documentation related to on-the-job injuries, including reports, witness statements, medical records, and accident investigation results.
Proactive monitoring of all open claims daily for status changes, documenting all communications and updates within the case files.
Partner with team members, adjusters, and medical providers to ensure injured employees receive appropriate, timely evaluation and treatment using an approved list of medical providers.
Serve as the primary point of contact for third-party administrators (TPAs), legal counsel, and insurance brokers to ensure efficient claim resolution.
Contact management, HR, scheduling and the injured team member within 24-48 hours of an incident; provide regular updates to the Director of Risk & Occupational Health regarding claim and return-to-work status.
Facilitate, schedule, participate in, and keep minutes for periodic claims reviews with operations, adjusters’ brokers, and attorneys.
Facilitate light duty assignments for team members which keep them performing work assignments within their identified restrictions and navigate return-to-work initiatives.
Present claim trends, loss analyses, financial forecasts, and risk management recommendations to leadership and other stakeholders as needed.
Conduct comprehensive analysis of workers' compensation, liability, and insurance loss run data to identify claim trends, emerging risks, and opportunities for risk reduction.
Prepare and manage annual budgets and financial forecasts related to workers' compensation, insurance, claims administration, and risk management programs.
Perform root cause analyses of workplace incidents, injuries, and claims to identify contributing factors and recommend corrective and preventive measures.
Administer and track temporary total disability (TTD), maximum medical improvement (MMI), and permanent partial disability (PPD).
Coordinate with scheduling and payroll staff to ensure accurate timecard coding for continuation of pay and light-duty hours.
Coordinate with Human Resources on injuries arising from occupational injuries or illnesses with respect to matters involving FMLA, EMSA Provisional Leave, ADA accommodations, and/or fitness-for-duty evaluations.
Collaborate with Risk and Safety Department Team Members on workplace safety, accident prevention, incident investigation, regulatory compliance, injury trend analysis, corrective action initiatives, employee safety awareness, and other programs designed to reduce risk, prevent injuries, and promote a safe and healthy work environment.
Prepare materials, evidence, and documentation to assist defense attorneys with hearing, lawsuits, and insurance investigations.
Review incident reports and prepare additional documents to meet organization, safety, and regulatory reporting requirements Oklahoma Department of Labor PEOSH Program forms OK Form 300 Log of Work-Related Injuries and Illnesses, OK Form 300A Summary of Work-Related Injuries and Illnesses, and OK Form 301 Injury and Illness Incident Reports.
Promote safety standards and foster an organizational culture that aligns with EMSA’s mission, vision, and values.
Develop and conduct workers’ compensation and safety training for supervisors and team members.
Adhere to, enforce, and model all organizational policies and safety standards in an ethical and professional manner.
Perform special projects and other duties as assigned by leadership.