Workers Compensation Risk Consultant

EPIC Brokers • Ontario, CA

2d • $100,000 - $120,000 • Remote

About The Position

Fairly Group, a division of EPIC Insurance Brokers, specializing in risk management and insuring clients in the sports and entertainment industries, is seeking a detail-focused individual to join their team as a Risk Consultant. The Risk Consultant works in partnership with clients to identify and reduce the cost of workers’ compensation (WC) risk by influencing change within the client’s organization. This position provides clients with day-to-day strategic claim oversight, guidance through complex risk management issues, and best practice process implementation to control costs and improve long-term WC program performance. This role demands extraordinary client support, careful attention to detail, precision, and intuitive interpersonal and communication skills. The Risk Consultant will prioritize superior medical treatment for the client and athlete/injured worker.

Requirements

• Obtain and maintain required State Risk Management license, such as Property & Casualty Agent, Risk Manager, or Adjuster.
• Strong administrative skills and exceptional attention to detail/accuracy.
• Professional, intuitive communication skills, both written and verbal. Ideal candidates can successfully pivot between written and verbal communication, providing detailed and accurate information in all.
• Candidates who adapt well to priority changes, deadlines, and consistently are quick to respond to/or acknowledge communications (both from internal and external sources).
• Positive and outgoing disposition, eager to work as a team while also functioning well working independently.
• Minimum of 2 to 5 years of professional experience working Risk Management/claims adjusting.
• Excellent organizational, interpersonal and communication skills.
• Good problem-solving and critical thinking skills.
• Ability to work in a fast-paced environment and deliver results to meet timelines.
• Ability to be discreet and maintain the security of customer information.
• Proficient in Microsoft Office Suite, in particular Outlook, Excel, Word and PowerPoint.

Nice To Haves

• Experience working with California Workers’ Compensation claims is highly preferred but not required.

Responsibilities

• Deeply understand the client’s business and challenges and recommend intuitive, relevant interventions and actions aimed at cost reduction.
• Identify and provide evaluation of a client’s risks and recommend action to minimize or eliminate those risks.
• Provide consultative support to the client regarding WC jurisdictional compliance.
• Work closely with WC claim adjusters or at times directly provide similar service as some clients may handle claims internally rather than through a third-party administrator.
• Conduct video/telephonic claim reviews to identify and proactively initiate actions for favorable outcomes and claim to resolution.
• Analyze reserve increase requests and ensure accuracy of exposure assessments.
• Review litigation correspondence and interface with Legal Counsel on litigation strategy and up to date jurisdictional law.
• Review medical provider billing and repricing from bill review vendors for accuracy and opportunities for price negotiation.
• Enter first reports of injury, medical bills, and notes into the electronic claim management system.
• Review incident reports with third party involvement for subrogation potential.
• Oversee third party vendor programs including Managed Care, Bill Review, Nurse Case Management, Field Case Management, Surveillance, Subrogation and Medicare Set Aside services.
• Attend in-person meetings with clients and vendors.
• Review and/or create reports, scorecards and loss-runs and complete analysis of loss data, claim reviews and communicate trends.

Benefits

• Generous Paid Time off
• Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days
• Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave
• Generous employee referral bonus program of $1,500 per hired referral
• Employee recognition programs for demonstrating EPIC’s values plus additional employee recognition awards and programs (and trips!)
• Employee Resource Groups: Women’s Coalition, EPIC Veterans Group
• Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development
• Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support
• 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level