Workers Compensation Administrator II administers the workers' compensation program for an organization. Implements a consistent process for recording, investigating, and reporting workers' compensation claims complying with laws and regulations. Being a Workers Compensation Administrator II prepares and submits required reporting and documentation to OSHA, state and local agencies, and other entities. Monitors all claims and liaises with the employees, managers, insurance representatives, union representatives, medical staff, and attorneys involved with a case. Additionally, Workers Compensation Administrator II communicates case status details and necessary information to involved parties, including notifications of hearings, outcomes, return to work, or restrictions. Performs periodic reviews of overall cases to identify trends. Maintains up-to-date knowledge of all regulations and laws for reporting workers' compensation. May coordinate or assist with safety programs focused on injury prevention or facilitate accommodations for workers. May require a bachelor's degree. Typically reports to a manager. The Workers Compensation Administrator II occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Workers Compensation Administrator II typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
The Workers Compensation Representative is responsible to review assigned follow up queues as assigned by supervisor, reading all notes in FACS and making appropriate decisions regarding the next step on the account according to CBS procedures. Determining if the account needs additional follow up or billing and making the determination if there is any additional documentation needed from the patient or the client.
Essential Duties of the Position
Responsibilities of the Position
Requirements of the Position
Difficulty of Work
The work can include some difficult aspects dealing with accounts, insurance representatives and in some cases the patients or RP on the account. Researching various documents and sites to confirm that the proper payment has been made on charges for services rendered that will vary based on state billed and the statute set by law.
Responsibility
The incumbent works in a team concept, but will need to be able to work accounts on his/her own. Accounts are randomly checked for training purposes. Errors may be caught, but not immediately. Work is somewhat independent in nature. The incumbent makes a substantial impact on the processing of the account based on actions completed.
Personal Work Relationships
Incumbent works with colleagues, attorneys, team leads, supervisors, legal department and management staff.
Job Type: Full-time
Pay: $15.00 - $19.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person