Workers Compensation, Risk Analyst ; Hybrid

Position: Workers Compensation, Risk Analyst 3 (Hybrid)
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** Job Description
** The Workers Compensation Risk Analyst 3 will be responsible for managing moderately complex claims, including high exposure and litigated claims.

Responsibilities include:

determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance applicable laws; and identifying opportunities for and managing subrogation of claims and negotiating settlements.  This is an intermediate claims examiner position that reports directly to the Risk Claims Supervisor.
A day in the life...
* Thoroughly investigate workers’ compensation claims by timely contacting injured workers, medical providers, and employer representatives/witnesses and documenting investigation efforts and findings within claim management guidelines
* Determine if claims are valid under applicable workers’ compensation statutes.
* Communicate with medical providers to develop and authorize appropriate treatment plans.
* Manage time loss claims with proactive efforts for early return to work.
* Review and analyze medical bills to confirm charges and treatment are related to the work injury and in accordance with the treatment plan.
* Ensure payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statutes.
* Calculate and assign appropriate reserves to claims and manage reserve adequacy throughout the life of the claim.
* Manage claim recoveries, including but not limited to subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets.
* Prepare required state filings within statutory limits.
* Oversee and work with outside counsel to provide information and strategic direction as needed for litigation and/or settlement negotiations
* Report to the office on scheduled in-office days to support real-time collaboration with the claims team and supervisor on complex and litigated claims; this in-office presence is an essential function of the role.
* Ability to maintain on-going education credits in a multitude of states. Manage claims across multiple state jurisdictions (currently 18 states handled in house), each with distinct statutory and regulatory requirements.  You own this if...
* High school diploma or general education degree (GED) and two years of workers’ compensation claims handling experience required. Bachelor's degree from four-year college or university preferred.  
** CERTIFICATES, LICENSES, REGISTRATIONS
** IEA Certificate, California Self Insured Certificate preferred.  
** KNOWLEDGE AND SKILLS
*** Strong understanding of workers’ compensation laws and regulations as well as workers’ compensation claim principles and application.
* Strong verbal and written communication and negotiation skills.
* Ability to work positively and collaboratively in a team environment; must use good judgment at all times
* Excellent time management and organizational skills
* High level of attention to details while working in a fast-paced environment
* Frequent use of computers, telephones, and other standard office equipment
** PHYSICAL REQUIREMENTS
** This position involves desk / office work.  Employees may need to regularly sit, walk, stand, speak, listen, and do computer keyboarding.
** WORK ENVIRONMENT
** This position operates in a hybrid work environment, requiring regular in office attendance (currently expected to be 4 days a week with an option to work from home 1 day per week).  Regular, reliable attendance at the assigned worksite in accordance with this hybrid schedule is an essential function of this position. Requires the frequent use of a computer, telephone, copier, and other standard office equipment.

** Pay Range Details
** The pay range(s) below has been provided…