Workers' Compensation Specialist - Office of Fiscal Services

Cherry Creek•Greenwood Village, CO

20d

About The Position

Responsible for the workers’ compensation claims for the District. Collaborate with the respective third-party administrator and/or insurance pools to investigate, adjust, and resolve the claims in an efficient and timely manner.

Requirements

Criminal background check and fingerprinting required
Bachelor's degree or an equivalent amount of similar formal education or related experience
Five (5) years of professional work experience
Intermediate critical thinking skills
Advanced organizational skills and attention to detail
Ability to maintain confidentiality
Ability to work independently with minimal direction
Ability to obtain The Institutes Knowledge Group™ Associate in Claims (AIC™) certification within one (1) year of hire

Nice To Haves

Experience working in the public sector, specifically public education
Experience working directly with people from diverse racial, ethnic, and socioeconomic backgrounds
Racially conscious and culturally competent with the skill, will, capacity, and knowledge to commit to a culture of continuous improvement
Insurance adjuster, safety management, risk management, or legal experience
Advanced knowledge of the concepts, standards, practices, and procedures under the Colorado Workers’ Compensation Act, occupational safety and health, Family Medical Leave Act (FMLA), and leave practices
The Institutes Knowledge Group™ Associate in Claims (AIC™) certification

Responsibilities

Reviews, validates, and enters injury data to ensure accuracy and regulatory compliance.
Evaluates claim information and apply professional judgment to determine appropriate claim handling strategies in compliance with state and federal regulations.
Collaborate with medical provider, claims adjuster, and/or attorneys to move the claim to full resolution.
Discuss return-to-work options for employees with restrictions with the supervisor.
Participate in various districtwide committee and safety group meetings, including but not limited to: RACOM, CPI Holds, and others. Complete annual trend analysis with the Loss Control Manager to determine what issues are causing most of the claims to occur and the severity of the claims.
Attend and strategize at quarterly claims reviews with the Third-Party Administrator to resolve claims.
Attend and strategize at quarterly claims reviews with the District’s Designated Providers to get injured employees back to work and/or moving the medical care to closure.
Attend settlement conferences when needed, in person.
Perform other duties as assigned or requested.