Manager Workers Compensation
Description
Job Information
Manager, Workers’ Compensation – JVN 8789
First date of posting: 09/11/2024
Last date of posting: 10/02/2024
Authority: MTA Bus
Department: Law
Division/Unit: Workers’ Compensation
Reports To: Director of Claims Services
Work Location: College Point, NY
Hours of Work: As Required
Last date of posting: 10/02/2024
Authority: MTA Bus
Department: Law
Division/Unit: Workers’ Compensation
Reports To: Director of Claims Services
Work Location: College Point, NY
Hours of Work: As Required
Compensation
Manager, Workers’ Compensation (MTA BC) Min: $87,951 – Max: $139,020
Summary
The Manager of Workers’ Compensation will manage the workers’ compensation claims process in accordance with New York State Workers’ Compensation Law as well as MTA Bus policy and collective bargaining agreements.
Responsibilities
- Oversee the daily activities of the workers’ compensation department.
- Review all claims activity from data entry to report preparation, monitor lost time claims to expedite treatment and return to work, coordinate IME and medical unit oversight, as well as initiate and monitor fraud investigation efforts.
- Oversee outside counsel on litigation management which includes preparing claims files for hearings, summarizing new developments, treatment issues, and fraud information that may impact future litigation strategy.
- Review claims system to ensure all mandated forms and reports have been submitted in compliance with Workers’ Compensation Board deadlines as well as authorizing settlements and/or possible resolutions.
- Perform post-hearing review and follow-up to take appropriate action as mandated by counsel or the Workers’ Compensation Board.
- Serve as the in-house expert on technical matters, including the claims handling system and EDI requirements.
- Compile and analyze reports.
- Monitor and review claims reserves to ensure they are sufficient to support current claim activity.
Education and Experience
A baccalaureate degree from an accredited college including or supplement by 6 credits in mathematics, statistics, accounting and/or actuarial science and five (5) years of full-time experience implementing the provision of workers' compensation or medical benefit plan involving the use of mathematical, statistical, actuarial, or accounting computations.
or
An associate degree or completion of 60 credits from an accredited college including or supplemented by 6 credits in mathematics, statistics, accounting and/or actuarial science and a minimum of seven (7) years of full-time experience as describe above.
Desired Skills:
- Thorough knowledge of New York State Workers’ Compensation Law as well as the ability to interpret and implement guidelines is required.
- Knowledge of medical terminology, physician codes, and the ability to analyze medical reports is required.
- Strong analytical, negotiation, and presentation skills are required.
- Excellent written and verbal communication skills are essential.
- Strong computer skills including MS Word and Excel as well as prior claims systems experience is required.
- Must have the ability to develop and modify computer generated reports to review trends, safety issues, and problem areas.
Other Information
Pursuant to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the “Commission”).
Equal Employment Opportunity
Pursuant to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the “Commission”).
Equal Employment Opportunity
MTA and its subsidiary and affiliated agencies are Equal Opportunity Employers, including with respect to veteran status and individuals with disabilities. The MTA encourages qualified applicants from diverse backgrounds, experiences, and abilities, including military service members, to apply.