Workers Compensation Risk Analyst
Description
Essential Functions:
- Oversees the full life cycle of workers’ compensation claim and develops strategies to handle specific cases in consultation with the appropriate parties.
- Enforces workers' compensation programs in alignment with department and company policies and procedures.
- Partners with other Human Resources teams on overlapping matters related individual cases involving LOA’s, employee relations, grievances, and performance management concerns with a goal of employee satisfaction and reducing our liability for litigation.
- Oversees workers compensation processes for medical treatments, benefits, and advocates for employees in resolving concerns and issues regarding their workers compensation claims.
- Interacts with employees while maintaining high level of customer service through follow up on work statuses and satisfaction of medical treatment, and their progress in modified duties; maintains dialogue with employees for up-to-date medical documentation and advocacy when needed to limit or avoid litigation, resulting in cost containment.
- Conducts employer level investigations to obtain critical information from witnesses, incident facts and evidence including company camera surveillance that help with the decision-making process of case facts and compensability
- Conducts return to work and interactive processes with injured employees, oversees outside disability management vendor on litigated cases.
- Completes and submits reportable injuries/illness and findings to third party administrator (TPA); relaying proposed actions to TPA for further handling.
- Partners with and supports TPA, legal counsel and injured workers on all open claims as necessary to ensure proper claim resolution.
- Diaries all open claims through resolution and maintains ongoing dialogue and provides direction on proceedings with legal, claims team and physicians to ensure best case outcomes at resolution.
- Attends Workers’ Compensation Appeal Board hearings, trials and depositions to represent the Company as necessary; provides pertinent case information to Defense Counsel as necessary.
- Responds to subpoenas, prepares case summaries for litigated claims, and partners with Defense Counsel and TPA to ensure clear understanding of case details and company disposition.
- Participates in quarterly claims review with TPA and legal counsel to discuss case updates and legal strategy towards cost effective and timely case resolution
- Identifies potential risk exposures and analyzes injury claims for potential risk trends to develop short and long-term resolution in partnership with appropriate parties to support mitigation of injuries and claims.
- Partners with Environmental Health & Safety (EHS) and Health and Wellness (H&W) to evaluate employee worksites and identify potential work injury job hazards including indication of safety, ergonomics, or additional risk trends. Discusses causes and concerns with EHS, H&W, and management to begin the correction and elimination of risk concerns.
- Participates in monthly risk management meetings with EHS and H&W to discuss identified risk and injury patterns and feasible action plan.
- Conducts up-to-date Workers’ Compensation training to new hires, current employees, and newly promoted members of leadership.
- Provides recommendations and implements improvements in injured worker and supervisor training.
- Partners with EHS on safety concerns identified and suspected from the employer level investigation, for assessment and correction. Supports EHS dept. with accident investigation and safety related assignments
- Helps with first aid treatment and First Responder assistance in emergency situations and for workers compensation related incidents.
- Supports all offsite locations with workplace injuries, training, protocols and provides annual regulatory insurance posting notices.
- Creates and maintains monthly injury and incident reports for management and HR Teams.
- Oversees compliance with internal policies, procedures, and workers compensation regulations; documents and maintains individual claim files and OSHA logs as required by Cal-OSHA.
- Attend and participate in professional group meetings; stay abreast of trends and innovations in the field of workers’ compensation administration and keep current on legislative and regulatory issues at the State and Federal level.
- Performs other related duties and projects as business needs require at direction of management.
Education and Experience:
- Bachelor’s degree in relevant field, a plus.
- Minimum Seven (7) years’ experience with worker’s compensation claims, system litigation process and exposure to large deductible programs; experience with disability management, Interactive Process and LOA’s.
Special Requirements/Certification:
- Workers’ Compensation Claims Administration (WCCA) certification, a plus.
Pay Range: $79,610-$100,000/yr
Glidewell Laboratories is the industry leader in dental technology due to our agility, speed, and cutting edge technology. We work in a fast-paced and highly sought-after employee-friendly work environment. Behind all of this success is an amazing group of people who are passionate about bringing innovation to the marketplace, while providing quality and affordability to better the lives of people all over the world. If you share in our passion for teamwork and a vision for excellence, let's talk about a rewarding career at Glidewell!
In addition are the following generous employee benefits: Medical, Dental, Vision, 401K with company match, company-paid life insurance, additional onsite dental services, vacation, holiday, and sick time, employee gym (with fitness classes and meditation room), employee medical/wellness center (with massage therapy and acupuncture), two company subsidized cafes, Internet cafes, employee lounges with big screen TVs, game tables, fun company sponsored events, a diverse work environment with over forty nationalities represented, and much more!
Glidewell Laboratories is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. We are committed to the principle of equal employment opportunity for all employees and to provide employees with a work environment free of discrimination and harassment on the basis of race, color, religion, national origin, sex, age, physical or mental disability, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at [email protected]. Please indicate the specifics of the assistance needed.
Note to Current employees: Please apply through Employee Transfer Application to complete the transfer request form.