Workers Compensation Specialist

at  Wellpath

You Matter:

• Make a difference every day in the lives of the underserved
• Join a mission driven organization with a people first culture
• Excellent career growth opportunities

NOW IS YOUR MOMENT TO MAKE A DIFFERENCE IN THE LIVES OF THE UNDERSERVED.

If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society’s most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.
Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.
We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.
How you make a difference:
The Workers’ Compensation Specialist oversees the management of workers’ compensation claims and collaborates with adjusters, nurse case managers, vocational rehab, and defense counsel to ensure efficient and effective claims handling. They work closely with the Director of Workers’ Compensation to recommend strategies for claims settlement that balance cost-effectiveness and optimal outcomes for injured employees. Overall, this role plays a critical role in ensuring the fair and efficient resolution of workers’ compensation claims within the organization.

Key Responsibilities:

• Manages workers’ compensation claims process, including intake, documentation, return to work tactics, and claim adjudication, while working with various parties such as adjusters, nurse case managers, defense counsel, HR, and testimony.
• Evaluates claims based on state laws, determines compensability and financial impact, and makes strategic cost-effective decisions, including the utilization of third-party vendors.
• Handles complex and time-sensitive claims, evaluates subrogation opportunities, identifies potential hazards, and assists with additional safety preventive measures.
• Ensures appropriate documentation and reporting, communicates with providers and maintains ongoing communication with various parties involved.
• Collects, evaluates, and maintains data concerning workers’ compensation, and works independently with minimal supervisor involvement.

Qualifications & Requirements:

Education

• High school diploma or equivalent required; Bachelor’s degree desired.

Experience

• 2 years of experience handling Workers Compensation Claims.

We are an Equal Employment Opportunity / Affirmative Action Employer:
We celebrate diversity and are committed to creating an inclusive environment for all employees.
We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.
Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description

• Manages workers’ compensation claims process, including intake, documentation, return to work tactics, and claim adjudication, while working with various parties such as adjusters, nurse case managers, defense counsel, HR, and testimony.
• Evaluates claims based on state laws, determines compensability and financial impact, and makes strategic cost-effective decisions, including the utilization of third-party vendors.
• Handles complex and time-sensitive claims, evaluates subrogation opportunities, identifies potential hazards, and assists with additional safety preventive measures.
• Ensures appropriate documentation and reporting, communicates with providers and maintains ongoing communication with various parties involved.
• Collects, evaluates, and maintains data concerning workers’ compensation, and works independently with minimal supervisor involvement