The Workers Compensation Specialist is responsible for overseeing the medical clinic staff and for managing all Workers’ Compensation claims utilizing the Smithfield Workers’ Compensation Claims Management Program. The WC Specialist (WCS) is required to act as an advocate and claims specialist providing initial and on-going advocacy of claims including detailed analysis, ensuring thorough investigation. In addition, the WCS coordinates all return to work efforts, helps coordinate transitional duty job offers, maintains the location’s Transitional Duty Job Task Bank, coordinates and leads roundtable discussions of open claims, attends claims review meetings, and maintains general oversight of the claim to ensure the TPA is effectively moving the claim toward resolution.
The candidate must possess a desire to develop technical knowledge of standard concepts, practices, procedures, laws and regulations within Workers Compensation and related services. They review, recommend and assist adjusters in investigation strategies.
Act as communication liaison between the various departments:
The above statements are intended to describe the general nature of work being performed. They are not intended to be an exhaustive list of all required responsibilities, duties, and skills. May perform other duties as assigned.
The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals to perform the essential functions.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
We are an Equal Opportunity/Affirmative Action (EEO/AA) Employer. All qualified applicants will receive consideration without regard to race, color, national origin, sex, sexual orientation, gender identity, religion, age, status as a protected veteran, status as an individual with disability, or any other protected group status or non-job related characteristic as directed by law.