Job Summary :
The Coordinator of Workers' Compensation is responsible for the day-to-day operational functions of the Workers' Compensation department. This role involves ensuring timely processing of employee workplace injuries and workers' compensation claims, managing the injury prevention program, and acting as a liaison between employees, departments, and the Employee Health nurse. The coordinator also collaborates with Human Resources on transitional return to work and maintains OSHA-required documents.
Location : Whittier, California, United States
Responsibilities :
- Handle day-to-day operational functions of the Workers' Compensation department.
- Ensure timely processing of employee workplace injuries and workers' compensation claims.
- Manage the Workers' Compensation injury prevention program.
- Evaluate employee injury reports for completeness and accuracy.
- Communicate with employees and managers on reported workplace injuries, claims, and work status.
- Advise and educate employees regarding workers' compensation matters and injury prevention.
- Collaborate with Human Resources on transitional return to work and monitor employees in modified duty assignments.
- Maintain all OSHA-required documents and records regarding workers' compensation.
- Review workers' compensation claims and litigated matters to ensure appropriate management.
- Coordinate and monitor eligible claims with the third-party administrator and insurers.
- Assist employees in the ergonomic assessment process.
- Act as a liaison between employees, departments, and the Employee Health nurse relative to work-related injuries and illnesses.
- Initiate proper response to work-related injuries, including initial investigation and gathering relevant facts.
- Provide appropriate forms and information to injured workers.
- Monitor Workers' Compensation claims and ensure compliance in all legal aspects.
- Coordinate medical treatment with the Workers' Compensation TPA and with physicians and other specialties.
- Submit legally required paperwork to comply with regulatory agencies.
- Provide work status to the department manager of the injured worker.
- Identify modified duty assignments within the injured worker's restrictions.
- Coordinate Interactive Process with employees that have work limitations.
- Provide modified earnings to TPA.
- Monitor status of Workers' Compensation leaves and coordinate issues such as SLR / PTO, disability pay, and payment of insurance benefits.
- Assist legal counsel in items such as preparation of personnel and payroll files.
- Review medical invoices for appropriate processing.
- Arrange for ergonomic evaluations at workstations.
- Review Loss Replenishments for accuracy.
- Coordinate settlement authority as needed between TPA and upper management.
- Review files with TPA for proper handling and recommendations.
- Teach quarterly class with LOA Coordinator : Overview of LOA / WC Class to inform Supervisors & Management of LOA & Work Comp Process.
- Provide statistics and reports to the Environment of Care and SWIT Committee.
- Prepare PI Reports for Employee Health, Human Resources, and Environment of Care.
- Identify trends or safety issues which may result in injury to employees or patients.
- Maintain Workers' Compensation database with current information on injured workers.
- First response to employee and / or management questions regarding benefits, safety, and leaves of absence.
- Monitor Workers' Compensation Program and recommend changes as needed.
- Monitor and address changes in Work Comp laws as well as FMLA, ADA, FEHA, Dept. of Self Insurance, etc.
- Perform other duties as assigned.
Required Skills & Certifications :
Knowledge of workers' compensation rules and regulations, OSHA standards, FMLA and disability laws, short term, and long-term disabilityMinimum 5 years in workers' compensation administrationMinimum 1 year in benefits administrationHigh school diploma or GED certificationPreferred Skills & Certifications :
California Self Insured Administrators LicenseBachelor's degreeSpecial Considerations :
Training will be done at the Whittier location.May report to a different location depending on case load, but will not travel during the day.Scheduling :
5x8 hour shiftsStart time is flexible, around 7 : 30 AM