Workers Compensation Analyst

Flynn Group - Independence, OH

Full-time - Entry Level

Independence, OH

Real Estate

About the position

The Worker's Compensation Analyst is responsible for ensuring the quality and cost-effectiveness of the workers' compensation claims management process. This role involves strategy development, risk analysis, and facilitating the closure of claims. The analyst will investigate claims, communicate with various stakeholders, and assist in day-to-day claims handling, forecasting, and performance analysis.

Responsibilities

• Conduct day-to-day claims administration to investigate and manage claims.
• Assist with the preparation of executive-ready management reports including claims administration performance and cost savings.
• Establish interface guidelines and communication channels between all parties, including the claims office, managed care nurses, operations, and supervisors.
• Partner with safety and risk control to help identify adverse trends, mitigate exposures, and educate management.
• Ensure proper Medicare reporting on behalf of the organization.
• Ensure policies and procedures are in compliance with changing regulations as they pertain to the business.
• Control costs through implementation and oversight of the medical cost containment program as it pertains to initial treatment facilities, physical therapy, durable medical equipment, diagnostics, and pharmacy benefits.
• Monitor workers' compensation claims for modified duty potential, pursue modified work release from physicians, and work with restaurant managers and human resources to establish job assignments.
• Access and interpret data from multiple internal and external databases.

Requirements

• College degree and related state certifications strongly preferred.
• Minimum of 1 to 3 years of experience in the claims industry, including workers' compensation experience with understanding of laws, acts, regulations, and systems governing workers' compensation.
• Strong computer and analytical skills, with the ability to exercise self-direction and initiative, and make decisions in a fast-paced changing work environment.
• Excellent written and verbal communications skills.
• Demonstrated ability to realize company cost-containment opportunities.
• Proven ability for team participation including ability to implement efficient work processes, problem prevention identification, and resolution skills.
• Flexibility for meeting multiple demands and ability to utilize an effective time management planning process.

Benefits

• Medical / Dental / Vision
• Retirement and Savings Plan
• Short and Long Term Disability
• Basic Life Insurance
• Voluntary Life Insurance
• Tuition Reimbursement
• Paid Time Off
• Flexible/Hybrid Work Schedules
• Company Outings
• Dining Discounts
• PC/Laptop Assistance
• On-Site Fitness Center
• On-Site Daycare
• On-site Cafe