About this role
KEY RESPONSIBILITIES
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● Claims Management: Coordinate the intake and reporting of all workplace injuries and workers’ compensation claims, ensuring claims are reported to carriers/third-party administrators (TPAs) within required timelines. Maintain accurate and organized claim documentation and records, monitor claim status, and proactively follow up with adjusters, employees, and providers.
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● Employee Support and Communication: Serve as the primary point of contact for injured employees throughout the claims process. Provide regular updates to leadership and stakeholders on claim progress.
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● Return-to-Work Coordination: Collaborate with community managers, insurance providers, and TPAs to facilitate modified duty assignments. Ensure compliance with medical restrictions and transitional work programs, track return-to-work progress, and identify opportunities to reduce lost time.
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● Compliance and Risk Management: Ensure compliance with state and federal workers’ compensation regulations (e.g., L&I requirements, if applicable). Assist with audits, claims reviews, and regulatory reporting, and help develop and improve workers’ compensation processes and policies.
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● Incident Reporting and Trending: Coordinate the reporting and documentation of all employee and resident incidents, including injuries, near misses, and property damage. Review incident reports for completeness and accuracy, track and trend incidents (such as slips, trips, and falls), and provide recommendations to reduce risk.
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● Collaboration and Support: Support the Legal/Risk department with other projects and tasks related to safety, risk management, and legal matters. Provide back-up support to the Compliance Specialist and Compliance Coordinator.
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Requirements
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CANDIDATE PROFILE
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● Two (2) to five (5) years of experience in workers’ compensation, claims coordination, HR, or risk management.
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● Experience working with insurance carriers, TPAs, and medical providers.
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● Strong understanding of workers’ compensation laws and processes; state-specific knowledge is preferred.
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● Excellent communication and interpersonal skills, with a strong customer service mindset.
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● Strong organizational skills and attention to detail.
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● Ability to manage multiple claims and priorities simultaneously, with strong time management skills.
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● Problem-solving and critical thinking skills, with a collaborative, relationship-building approach.
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● High level of confidentiality and professionalism when handling sensitive and confidential information.
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● Proficiency in Microsoft Office (Excel, Word, Outlook); experience with claims management systems is preferred.
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● Comfortable working in an office or home-office based setting.
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PREFERRED QUALIFICATIONS
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● Experience in healthcare, senior living, or multi-site operations is highly preferred.
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● Familiarity with state-specific programs such as the Washington State Department of Labor & Industries (L&I) and return-to-work incentive programs is an advantage.
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Benefits
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Free lunch meal, fruits, snacks, and drinks
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Onsite gym with a free professional instructor
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Weekly fitness activity and an annual fitness challenge where you can win up to 70,000 PHP
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Weekly engagement activities with prizes that are up to 3,000 PHP
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Free upskilling academy to improve your performance and skillset
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State-of-the-art facilities from toilets to your workstation
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Amenities such as sleeping quarters, game area, chat room, shower room