salary: $80,000 - $100,000 per year
shift: First
work hours: 8 AM - 5 PM
education: Bachelors
Responsibilities
- Oversee and manage complex workers compensation claim process, including reporting, medical coordination, lost time and return-to-work program.
- Provide strategic guidance on claims progression, settlement strategy, settlement negotiation and authorization, subrogation, and litigation management.
- Document and update the Risk and Insurance Information System (RMIS) system as individual claims required.
- Perform regular audits of individual claim files and review workers’ compensation claims.
- Efficiently manage caseload ratios by balancing open claims and litigated claims with closed claims.
- Track legislative changes and recommend updates to internal standard operating procedures (SOPs).
- Ensure state regulations are adhered to by the Third-Party Administrators (TPAs) and internal business partners.
- Oversee all activities of the Company’s TPAs for Workers’ Compensation and internal business partners.
- Analyze complex workers' compensation claims data and utilize dashboards and key performance indicators (KPIs) to monitor and evaluate claims handling performance and efficiency.
- Deliver comprehensive reports and actionable insights to stakeholders, including executive leadership.
- Partner with HR, safety, and legal teams to implement effective injury prevention and claims management initiatives.Potentially expand into vendor insurance reviews, insurance program analysis and contract reviews.
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
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.