Workers' Compensation Specialist

Academy School District 20•Colorado Springs, CO

4d•Onsite

About The Position

The Workers' Compensation Specialist is responsible for the day-to-day operation of the workers’ compensation program. The role manages workers’ compensation claims from inception to closure, maintains associated files and records, interacts with software to modify databases, reconcile information, and produce reports, and communicates with relevant parties about claim requirements, processes, and questions. The Specialist ensures claims are handled according to applicable laws and regulations and coordinates return-to-work accommodations with Human Resources staff and supervising administrators. The position supports investigations, analyzes claims and injury trends, prepares reports and recommendations, and helps develop and deliver safety, claims-reporting, and return-to-work training. It serves as a liaison among medical providers, staff members, carriers, and Human Resources, and helps resolve payroll, leave, and benefits issues related to workers’ compensation. The role also provides customer service, maintains confidentiality, and contributes to effective office procedures and department operations. The position is based at the Education and Administration Center. It is a regular full-time role with a schedule of 40 hours per week, 8 hours per day, Monday through Friday, for 230 days per year. The work is primarily independent and takes place indoors in a professional school environment, with occasional outdoor work and frequent interaction with others.

Requirements

High school diploma or equivalent.
Ability to communicate effectively verbally and in writing.
Ability to create training materials and related documentation and train others.
Ability to use software systems, including databases, spreadsheets, office productivity applications, and enterprise applications; ability to adapt to new technologies and equipment.
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 priorities, and work independently without direct supervision.
Ability to follow oral and written instructions and work effectively with other departments, staff, carriers, administrators, and the public.
Ability to research complex benefits issues.
Strong organizational, interpersonal, written, listening, and verbal communication skills.
Excellent cooperative, collaborative, and problem-solving skills.
Considerable knowledge of District policies, procedures, and functions, and thorough knowledge of federal, state, and local legislation related to staff benefits.
Demonstrated experience with office and enterprise software applications.
Commitment to the education of students as a primary responsibility.
Willingness to participate in ongoing training as required.
Ability to work days, hours, locations, and assignments as directed by the supervisor within the position’s responsibilities.

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 area.
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 claims history, possible fraud, and investigation needs.
Conduct timely filing of claims with the District’s carrier and ensure claims are handled according to workers’ compensation laws and regulations.
Review claims and oversee investigations, advising supervisors on investigation options, assisting with investigations, and training supervisors.
Answer routine and complex staff questions about workers’ compensation insurance and individual claims.
Coordinate with Human Resources staff and supervising administrators to interpret return-to-work restrictions and arrange appropriate accommodations.
Ensure employee management system data align with missed time and workers’ compensation appointments, and communicate with employees about appropriate data entry.
Communicate regularly with the Director for Risk Management regarding critical claim changes and updates.
Create and maintain workers’ compensation files, records, databases, reports, and other documents, including sensitive and confidential information.
Assist with 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.
Coordinate requested safety training with District departments and help develop, implement, and deliver training to mitigate risk and on-the-job injuries.
Train staff at District locations on workers’ compensation reporting, procedures, and return-to-work processes.
Develop and maintain communications that help staff members and supervisors understand the workers’ compensation process.
Remain current on applicable state laws and case law updates and communicate relevant changes.
Report subrogation information and recoveries related to workers’ compensation claims.
Work to resolve issues involving payroll deductions, automatic deposit changes, leaves of absence, and benefits claims related to workers’ compensation benefits.
Interact with software to modify databases, reconcile information, and produce reports; maintain systematic transaction records and prepare statements.
Assist with daily department activities, office procedures, mail sorting and opening, and other office staff needs.
Provide excellent customer service and direct visitors to appropriate staff.
Maintain confidentiality, attend professional development activities, report for work as scheduled, and perform other duties as assigned.