Workers Compensation Specialist

Ocean State Job Lot•North Kingstown, RI

62d•Hybrid

About The Position

The Workers’ Compensation Claims Specialist role at Ocean State Job Lot (“OSJL” and “Company”) is responsible for effectively controlling all workers’ compensation claims within the Company from the start of claim through the resolution. This role requires a strong understanding of federal leave and accommodation laws as well as state-specific leave laws and disability plans. This role is responsible for processing complex leave requests and accommodations and working closely with OSJL’s Legal and Risk Management teams to guarantee adherence to all relevant policies. This role actively protects Company assets, participates in safety and health programs, and works closely with associates and leaders around the Company regarding all workers’ compensation claim activity.

Requirements

2 or more years experience handling multi-state workers’ compensation claims is required.
Knowledge of workers’ compensation insurance, medical terminology, federal accommodation regulations, and state leave laws are required.
Proven investigations and customer relations skills are required.
Proficient in Microsoft Office and Google platform (i.e., Sites, Slides, Drive, Docs, Sheets).

Nice To Haves

An Associate's or Bachelor’s degree in a related field is preferred.
Experience with both in-house and outsourced leave administration is preferred.
2 or more years of experience in a retail environment is preferred.
Proficiency in writing, reading and speaking Spanish is preferred.

Responsibilities

Accurately calculate wage loss on indemnity cases.
Initiate contact with all involved parties (i.e., associates, leaders, medical providers, defense counsel, etc.) beginning with receipt of initial claim notification to gather first notice of injury details, establish clear lines of communication, and exchange necessary information, thereby driving the claim toward a compliant, cost-effective resolution.
Coordinate with OSJL’s legal defense on litigated claims to execute litigation strategy and negotiate claim resolution, including full and final settlements and specific settlements for permanent impairment.
Monitor compliance with Company safety programs and present findings and concerns to leadership.
Maintain in-depth knowledge of all applicable federal and state leave and accommodation laws to ensure compliance with the same.
Advise associates and leaders on leave laws and their intersection with benefits, including, but not limited to, paid time off, workers' compensation, disability, and return-to-work processes.
Manage interactive discussions with associates and physicians to determine appropriate leave restrictions and accommodations under the ADA.
Work closely with leaders across the Company (including within retail stores and the distribution center, corporate office, and field) to monitor associate out-of-work and return-to-work statuses.
Monitor and manage out-of-work status and light duty work assignments through case resolution.
Facilitate the timely review of medical provider payments and legal expenses, ensuring consistent cash flow and maintenance of positive vendor and claimant relationships.
Identify and address third-party and subrogation opportunities.
Oversee all insurance carrier activity to ensure payments are proper and timely, reserves are adequate, and claims are handled on an effective and timely basis.
Maintain rigorous OSHA-compliant documentation for all work-related injuries in partnership with asset protection. Utilize claims data to identify safety trends and prepare reports for the Asset Protection team.
Utilize best practices around workers compensation claim processes, management, and resolution.
Effectively utilize virtual means to communicate efficiently and work independently under remote conditions.

Benefits

Competitive Paid Time Off (PTO)
Comprehensive Health Coverage: Including but not limited to Medical, Dental, Vision, and much more.
401K Program
Flexible Spending Account (FSA)
Tuition Reimbursement
Associate Store 30% Discounts
Complimentary access to OSJL-owned vacation properties
Discounted gym memberships
20% off at OSJL affiliated restaurants
Free lunch Fridays