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)
AboutUs
Simply put, our mission is to simplify the employment challenges of business and has been since 1998 when we started eEmployers Solutions, Inc. (eESI) as a licensed Professional Employer Organization (PEO). We are a privately held company with headquarters in San Antonio, Texas. We are seeking a Workers' Compensation Claims Administrator to join our team!
Our Culture. The cornerstone of our culture is our people. Our culture is reinforced by our core values of integrity, service excellence, agile innovation, tenacity, and mastery of craft. At ESI we provide opportunities to build strong connections, career development, engagement, and fun.
Work/Life Balance. We believe in the overall well-being of our team members and encourage time away to recharge, volunteer, and give back to our communities.
Mentorship & Career Growth. Leadership is dedicated to supporting our team. We have an environment that celebrates collaboration and the expression of ideas and opinions.
Position Summary
As a Workers' Compensation Claims Administrator, you will be responsible for managing and processing workers' compensation claims for employees who have been injured or become ill while on the job. Your duties will include:
- Reviewing and investigating workers' compensation claims to determine eligibility and coverage
- Working closely with employees, employers, and healthcare providers to gather necessary information and documentation
- Communicating with insurance carriers and legal counsel to ensure timely and accurate processing of claims
- Managing the claims process from initial report to resolution, including coordinating medical treatment and rehabilitation services
- Maintaining detailed records and documentation of all claims activities
- Monitoring and tracking claims expenses to ensure cost-effective outcomes
- Collaborating with HR and safety departments to identify and address workplace hazards and prevent future injuries
- Staying current on laws and regulations related to workers' compensation to ensure compliance and best practices.
The ideal candidate will have a strong understanding of workers' compensation laws, excellent communication and negotiation skills, and the ability to work effectively with a wide range of stakeholders. A background in insurance, risk management, or healthcare administration is preferred. A bachelor's degree in business administration, human resources, or a related field is typically required.
Benefits and Perks
We run our business on the Entrepreneurial Operating System (EOS). We are committed to having a healthy, focused leadership team and organization that makes continual progress toward achieving everything in our vision.