Workers' Compensation Specialist II
About The Position
BASX, a subsidiary of AAON, is seeking a Workers’ Compensation Specialist II to manage and administer the company’s workers’ compensation program in a fully insured setting. This role is crucial for coordinating claims with insurance carriers, ensuring regulatory compliance, and providing essential support to employees and management on workers’ compensation matters. The Specialist will act as the main internal contact for all workers’ compensation activities, ensuring efficient claims handling, employee support, and adherence to company policies and legal requirements. Bilingual proficiency in English and Spanish is preferred.
Requirements
- Associate’s degree in human resources, business administration, or related field; bachelor’s degree preferred.
- Minimum of 3+ years of experience in workers’ compensation claims coordination or administration, preferably in a fully insured environment
- Bilingual (English/Spanish) preferred.
- Working knowledge of workers’ compensation laws and regulations
- Familiarity with claim processes, insurance carrier interactions, and legal procedures (e.g., joint petitions, interrogatories, and related documentation)
- Strong organizational, analytical, and communication skills
- Ability to exercise sound judgment and discretion when handling sensitive or complex situations
- Ability to manage multiple priorities in a high-volume environment
- Proficiency in Microsoft Office Suite and workers’ compensation or claims management systems
- Ability to handle sensitive and confidential information with discretion
Nice To Haves
- Certification in Workers’ Compensation (e.g., CWCP) preferred
Responsibilities
- Manage the day-to-day operations of the workers’ compensation program, ensuring prompt and efficient reporting and coordination of claims with insurance carriers and third-party administrators
- Coordinate with medical providers, employees, and insurance carriers to facilitate a smooth claims process and timely resolution
- Serve as the primary liaison between the company and external partners (insurance carriers, adjusters, and medical providers) regarding claim activity and status
- Maintain accurate records of all workers’ compensation claims and related documentation
- Ensure compliance with federal, state, and local workers’ compensation laws and regulations, as well as internal policies
- Provide guidance and training to management and employees on workers’ compensation procedures, reporting requirements, and expectations
- Assist in reviewing claim activity and partnering with carriers to address issues, delays, or complex cases
- Investigate and report on incidents and accidents to determine root cause and support implementation of preventive measures
- Work closely with human resources and legal departments to support the handling of complex or litigated workers’ compensation cases
- Coordinate return-to-work programs and assist in developing modified duty plans for injured employees in collaboration with management and medical providers
- Monitor and analyze trends in workers’ compensation claims to identify areas for improvement and cost reduction opportunities
- Prepare and submit required reports to regulatory agencies as needed
- Perform other duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
