Workers' Compensation Specialist

Academy School District 20•Colorado Springs, CO

5d•$70,890 - $80,890•Onsite

About The Position

The Workers' Compensation Specialist is responsible for the day-to-day operation of the workers’ compensation program. The role uses existing computer software to modify databases, reconcile information, and produce reports; maintains systematic records of accounts and transactions; and prepares statements reflecting those activities. The Specialist communicates with appropriate parties about claim requirements, processes, and questions. The position manages workers’ compensation claims from inception to closure, maintains related records and confidential documents, ensures claims are handled in accordance with applicable laws and regulations, and supports investigations, return-to-work accommodations, staff training, reporting, and coordination among employees, supervisors, medical providers, carriers, Human Resources, and District departments. It also contributes to risk-management activities and helps resolve payroll, leave, and benefits issues related to workers’ compensation.

Requirements

High school diploma or equivalent.
Ability to adapt to changing technologies and learn new equipment and systems.
Effective verbal and written communication skills.
Ability to create training materials and related documentation and train others.
Ability to create, access, input, retrieve, and manipulate information in software systems, including databases and spreadsheets.
Ability to maintain accurate records, document management, and filing systems.
Ability to maintain confidentiality and provide high-quality customer service.
Ability to manage simultaneous demands, set clear priorities, and work independently without direct supervision.
Ability to establish and maintain effective working relationships with people from diverse backgrounds and professions.
Ability to follow oral and written instructions and interact with the public courteously and professionally.
Ability to operate standard office equipment and perform a range of supportive tasks.
Ability to research complex benefits issues.
Ability to work effectively with other departments, staff, carriers, administrators, and the public, and to contribute in a team environment.
Computer proficiency, including office productivity applications, and demonstrated experience with office and enterprise software applications.
Considerable knowledge of District policies, procedures, and functions.
Thorough knowledge of federal, state, and local legislation related to staff benefits.
Strong organizational, interpersonal, written, listening, and verbal communication skills.
Excellent cooperative, collaborative, and problem-solving skills.
Detail-oriented, energetic, creative, innovative, and flexible.
Commitment to the education of students as a primary responsibility.
Willingness to participate in ongoing training as required.
Demonstrates citizenship, compassion, courage, discernment, excellence, honesty, hope, integrity, patience, perseverance, reliability, respect, responsibility, and trustworthiness.

Nice To Haves

Bachelor’s (Baccalaureate) degree, such as a B.A., A.B., or B.S.
Experience in a PK-12 setting.
Experience with workers’ compensation, medical billing and coding, or a related field.
Experience advising leadership on complex topics.
Experience with PowerBI, Tableau, or other data management software.

Responsibilities

Manage workers’ compensation claims from inception to closure and maintain associated files.
Analyze claims for appropriate handling, irregularities, prior claim history, and possible fraud.
File claims with the District’s carrier in a timely manner and ensure claims are handled according to applicable laws and regulations.
Review claims, oversee the investigation process, train supervisors, and assist directly with investigations.
Advise supervisors on possible avenues of investigation and assist them in identifying appropriate work for employees with restrictions.
Interpret return-to-work restrictions and coordinate accommodations with Human Resources staff and supervising administrators.
Answer routine and complex staff questions about workers’ compensation insurance and individual claims.
Develop and maintain communications that help staff members and supervisors understand the workers’ compensation process.
Train staff at District locations on claim reporting, procedures, and return-to-work processes.
Develop, implement, and deliver training to mitigate risk exposure and on-the-job injuries.
Coordinate safety training with District departments as requested.
Support the Risk Management Advisory Committee by developing and presenting accident reports, analyzing injury and trend data, and recommending ways to reduce accident severity and frequency.
Create and maintain workers’ compensation files, records, databases, reports, and other documents.
Ensure employee management system data align with missed time and workers’ compensation appointments, and communicate with employees about appropriate data entry.
Communicate critical claim changes and updates regularly to the Director for Risk Management.
Serve as liaison among medical providers, staff members, carriers, and appropriate Human Resources staff.
Report subrogation information and recoveries related to workers’ compensation claims.
Help resolve payroll deduction, automatic deposit, leave of absence, and benefits claim issues related to workers’ compensation benefits.
Maintain confidentiality of staff information and sensitive documents.
Assist with daily department activities, office staff needs, mail sorting and opening, visitor assistance, and office procedures.
Remain current on applicable state laws and case law updates and communicate changes.
Maintain professional growth through seminars, workshops, and professional affiliations.
Report consistently as scheduled, perform other assigned duties, and attain proficient or higher evaluations on established performance standards.