claims analyst.

Job Title: Claims Analyst – Workers' Compensation Salary: $30/hour Location: Austin TX Area We are looking for an experienced detail-oriented and proactive Claims Analyst to manage workers' compensation claims. DO NOT APPLY IF YOU DO NOT HAVE 2+ YEARS OF CLAIMS EXPERIENCE.  In this role, you’ll collaborate with adjusters and medical professionals to ensure timely claims resolution, minimize lost work days, and assist in returning employees to duty. You’ll independently handle claims, provide resources for medical reviews and vocational services, and ensure compliance with state regulations. High-level communication and negotiation skills are essential, as you'll build relationships with stakeholders to facilitate smooth return-to-work processes. You will also analyze claims data, identify trends, and prepare reports.  In this role, you will help ensure the successful resolution of claims while minimizing financial impact, supporting state employees, and contributing to the overall success of the Workers' Compensation program.

Competitive salary, health benefits, 401(k) with match, and paid time off offered. Join us to support the success of the Workers' Compensation program!

salary: $29.99 - $30 per hour
shift: First
work hours: 8 AM - 5 PM
education: Bachelors

Responsibilities

Manage Workers' Compensation Claims:

• Support workers' compensation claims from initial filing through resolution, ensuring compliance with state regulations.
• Coordinate with injured workers, supervisors, and medical professionals to gather relevant information for evaluating claims.
• Recommend medical reviews, case management, medical bill auditing, and vocational services as necessary.

Limit Lost Work Days:

• Collaborate with adjusters and dealers to ensure timely acceptance of medical restrictions and to limit unnecessary time off, minimizing lost work days.
• Investigate cases to identify potential compliance issues and fraudulent activity, recommending further investigation if needed.
• Support the return-to-work process by engaging with stakeholders for modified work duties and restrictions for injured workers.

• Work with stakeholders to secure their acceptance of modified work duties or restrictions.
• Build and maintain positive relationships with stakeholders to facilitate smooth return-to-work procedures.
• Monitor and enforce adherence to workers' compensation policies and state regulations during claim resolution.

Claims Analysis and Reporting:

• Conduct regular reviews and analyses of claims to identify trends, risks, and areas for improvement.
• Maintain accurate records of claim progress, including setting appropriate reserves and generating status reports for management review.

Skills

Workers Compensation Reporting Claims (2 years of experience is required)

Claims Processing (2 years of experience is required)

Benefits Administration (2 years of experience is preferred)

Claims (2 years of experience is required)

return to work programs (1 year of experience is required)

Qualifications

Years of experience: 2 years

Experience level: Experienced

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Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

This posting is open for thirty (30) days.