Workers compensation coordinator job description
Updated March 14, 2024
11 min read
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Example workers compensation coordinator requirements on a job description
Workers compensation coordinator requirements can be divided into technical requirements and required soft skills. The lists below show the most common requirements included in workers compensation coordinator job postings.
Sample workers compensation coordinator requirements
- Knowledge of workers' compensation laws and regulations
- Experience in claims management and processing
- Proficiency in Microsoft Office and database management
- Excellent written and verbal communication skills
- Bachelor's degree in HR or related field
Sample required workers compensation coordinator soft skills
- Strong attention to detail and accuracy
- Effective problem-solving and decision-making abilities
- Ability to work independently and as part of a team
- Excellent organizational and time management skills
- Empathy and ability to handle sensitive situations with discretion
Workers compensation coordinator job description example 1
Tesla workers compensation coordinator job description
The Role
The Return to Work Coordinator is responsible for administrative tasks within a range of RTW disciplines, with a strong emphasis placed on employee communication and intervention. The role will support both the Return to Work Manager and Return to Work & Workplace Specialist in program implementation. The Return to Work Coordinator plays a key role in the engagement of the transitional work population, the documentation of offer letters and communication, and overall mitigation of lost time cases.
Responsibilities Include
+ Administer leave of absence within TESLA's leave portal and process returns as needed
+ Determine eligibility of injured workers to provide introduction to Return to Work Program
+ Support day-to-day Return to Work operations and documentation management for ADA, Workers' compensation, and OSHA Recordkeeping
+ Provide assistance and act as primary point of contact to injured employees as it relates to the RTW Program. Intervention and employee engagement include, but are not limited to, phone, text, email, and certified mail
+ Creation and documentation of Return to Work offer letters for employees with applicable medical restrictions
+ Coordinate and communicate transitional work to appropriate stakeholders as needed, such as Tesla's third-party administrators, Benefits, Leaves Human Resource Business Partners, and Legal
+ Implementation and escalation of employees not adhering to applicable policies such as the Return to Work and Attendance policies
+ Answer and respond timely to email inquiries from internal and external stakeholders
+ Defuse challenging situations involving injured workers with questions and concerns related to the Return to Work program
+ Create detailed timelines with supported documentation including case details and the overall interactive process
Eligibility Requirements
+ Bachelor's degree from an accredited college or equivalent experience
+ 2+ years of experience within either an environmental, health, and safety role, human resources, or risk management role
+ Deep understanding and application of federal and state disability and paid family leave laws (i.e., ADA, FMLA, CFRA, PDL,)
+ Advanced computer skills and experience with Microsoft Office applications (Word, Excel, PowerPoint,)
+ Strong background in customer service including conflict resolution
+ Service oriented, treats colleagues as clients
+ Excellent written and verbal communication skills with the ability to influence and communicate effectively with all levels of employee personnel
+ Ability to work effectively and efficiently under pressure while managing competing demands and tight deadlines
+ Comfortable in an entrepreneurial environment where demands and priorities change rapidly
+ Enjoy working in a fast-paced environment
+ Quick, accurate data entry, and strong time-management skills
+ Results-driven with a strong sense of urgency and ability to drive results
+ Well-organized and excellent attention to detail, Available for second or third shift schedule along with weekend work as needed
The Return to Work Coordinator is responsible for administrative tasks within a range of RTW disciplines, with a strong emphasis placed on employee communication and intervention. The role will support both the Return to Work Manager and Return to Work & Workplace Specialist in program implementation. The Return to Work Coordinator plays a key role in the engagement of the transitional work population, the documentation of offer letters and communication, and overall mitigation of lost time cases.
Responsibilities Include
+ Administer leave of absence within TESLA's leave portal and process returns as needed
+ Determine eligibility of injured workers to provide introduction to Return to Work Program
+ Support day-to-day Return to Work operations and documentation management for ADA, Workers' compensation, and OSHA Recordkeeping
+ Provide assistance and act as primary point of contact to injured employees as it relates to the RTW Program. Intervention and employee engagement include, but are not limited to, phone, text, email, and certified mail
+ Creation and documentation of Return to Work offer letters for employees with applicable medical restrictions
+ Coordinate and communicate transitional work to appropriate stakeholders as needed, such as Tesla's third-party administrators, Benefits, Leaves Human Resource Business Partners, and Legal
+ Implementation and escalation of employees not adhering to applicable policies such as the Return to Work and Attendance policies
+ Answer and respond timely to email inquiries from internal and external stakeholders
+ Defuse challenging situations involving injured workers with questions and concerns related to the Return to Work program
+ Create detailed timelines with supported documentation including case details and the overall interactive process
Eligibility Requirements
+ Bachelor's degree from an accredited college or equivalent experience
+ 2+ years of experience within either an environmental, health, and safety role, human resources, or risk management role
+ Deep understanding and application of federal and state disability and paid family leave laws (i.e., ADA, FMLA, CFRA, PDL,)
+ Advanced computer skills and experience with Microsoft Office applications (Word, Excel, PowerPoint,)
+ Strong background in customer service including conflict resolution
+ Service oriented, treats colleagues as clients
+ Excellent written and verbal communication skills with the ability to influence and communicate effectively with all levels of employee personnel
+ Ability to work effectively and efficiently under pressure while managing competing demands and tight deadlines
+ Comfortable in an entrepreneurial environment where demands and priorities change rapidly
+ Enjoy working in a fast-paced environment
+ Quick, accurate data entry, and strong time-management skills
+ Results-driven with a strong sense of urgency and ability to drive results
+ Well-organized and excellent attention to detail, Available for second or third shift schedule along with weekend work as needed
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Workers compensation coordinator job description example 2
AHMC Healthcare workers compensation coordinator job description
Primary Function
As a Workers' Comp Claims Coordinator is responsible for the investigation, evaluation, disposition and settlement of the most complex claims and highest exposures. This includes the investigation, determination and evaluation of coverage, liability and damages, and the evaluation of proper reserves.
Nature and Scope (Essential Functions)
1. Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action to appropriately settle the claim
2. Interacts extensively with various parties involved in the claim process
3. Utilize critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling losses, as well as plan and organize activities throughout the claims management process
4. Communicate with external claims adjuster to enable the successful settlement and disposition of serious claims.
5. Documents and communicates all claim activities timely and effectively and in a manner which supports the outcome of the claim file
6. Handles claims consistent with "Best Practices", and also in accordance with any statutory, regulatory and ethics requirements
7. The incumbent directs services and management training related to workers' comp.
8. The incumbent is responsible for keeping abreast of relevant issues that impact workers' comp and communicates to members of the administrative team, facilities management team and facilities human resources departments.
9. The incumbent will review the investigation documentation thoroughly and make appropriate recommendations to resolve concerns brought to the attention of administration, human resources departments.
10. The incumbent is responsible for coordinating weekly claims review meetings with appropriate parties to ensure the handling of WC claims is being done accurately and timely.
11. The incumbent works in collaboration with internal and external resources in order to achieve best outcomes.
12. The incumbent develops an operating budget, monitors, analyses and implements controls to ensure that the assigned areas operate within approved budget.
13. The incumbent develops and analyses reports to provide educated sound recommendations related to programs and other activities related to workers' comp.
14. The incumbent participates in developing, implementing and evaluating programs to effectively impact the workers' compensation program.
15. The incumbent ensures regulatory compliance.
16. Incumbent is responsible for managing the workers' compensation claims in compliance with all state and federal laws.
17. Keeps immediate supervisor informed of any benefit related concerns/issues and collaborates to address issues on a timely basis.
18. Works collaboratively with AHMC colleagues to deliver exceptional customer service and build cohesive interdepartmental relationships.
19. Assists the facilities in addressing complex WC claim issues.
20. Performs other duties as assigned or required.
Qualifications
1. Bachelor's (BS or BA) degree in a field of study related to this position preferred.
2. Minimum 5 years experience as a workers' compensation adjuster.
3. Five or more years of claims-related experience with a consistent high level of performance and achievement
4. Workers' Compensation Claims Administrator Certificate (WCCA) and/or Workers' Compensation Claims Professional (WCCP) preferred but not required.
5. Extensive knowledge of accepted industry standards and practices
6. Ability to effectively operate a computer, knowledge of MS Office applications, and related claims and business software.
7. Knowledge state workers' compensation laws.
8. Possess excellent negotiating skills and communication skills.
9. Ability to communicate effectively with internal and external resources.
10. Must possess excellent human relation skills.
11. Must possess excellent critical thinking skills.
12. Possess strong organizational skills with ability to multi-task, and prioritize workload.
Accountability
1. The incumbent is responsible for managing the workers' comp cases to achieve targeted outcomes.
2. This position is responsible for promoting an environment of teamwork with all members of the organization.
3. The incumbent is responsible for assuring the assigned area(s) are in compliance with hospital policies and procedures.
4. This position is accountable for meeting budgetary expectations.
5. This position is responsible for assuring departments are in compliance with the organization's workers' comp policies and procedures.
6. The incumbent is accountable for communicating to the internal resources of any possible issues which may arise in order to proactively develop an action plan to minimize or eliminate the issue.
7. The incumbent is responsible for acting in an ethical manner at all times.
8. The incumbent is accountable for maintaining confidentiality on sensitive matters.
9. The incumbent is responsible for complying with all company policies and procedures.
10. The incumbent is responsible for complying with all local, state and federal laws.
Dimensions
AHMC provides management services to AHMC Anaheim Regional Medical Center with 223 beds, Garfield Medical Center with 211 beds, Greater El Monte Community Hospital with 115 beds, Monterey Park Hospital with 102 beds, San Gabriel Valley Medical Center with 273 beds, Seton Medical Center with 357 beds, Seton Medical Center Coastside, a 116-bed skilled nursing facility, and Whittier Hospital Medical Center with 172 beds. The facilities are Medicare and Medi-Cal certified and accredited by The Joint Commission on Accreditation of Healthcare Organizations. The hospitals provide healthcare services reimbursed by Medicare, Medi-Cal, traditional insurance plans, PPO, HMO and under capitated arrangements.
Facility Name: Corporate Office
Shift: Days
External Company Name: AHMC Healthcare
Street: 1000 Fremont Ave
As a Workers' Comp Claims Coordinator is responsible for the investigation, evaluation, disposition and settlement of the most complex claims and highest exposures. This includes the investigation, determination and evaluation of coverage, liability and damages, and the evaluation of proper reserves.
Nature and Scope (Essential Functions)
1. Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action to appropriately settle the claim
2. Interacts extensively with various parties involved in the claim process
3. Utilize critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling losses, as well as plan and organize activities throughout the claims management process
4. Communicate with external claims adjuster to enable the successful settlement and disposition of serious claims.
5. Documents and communicates all claim activities timely and effectively and in a manner which supports the outcome of the claim file
6. Handles claims consistent with "Best Practices", and also in accordance with any statutory, regulatory and ethics requirements
7. The incumbent directs services and management training related to workers' comp.
8. The incumbent is responsible for keeping abreast of relevant issues that impact workers' comp and communicates to members of the administrative team, facilities management team and facilities human resources departments.
9. The incumbent will review the investigation documentation thoroughly and make appropriate recommendations to resolve concerns brought to the attention of administration, human resources departments.
10. The incumbent is responsible for coordinating weekly claims review meetings with appropriate parties to ensure the handling of WC claims is being done accurately and timely.
11. The incumbent works in collaboration with internal and external resources in order to achieve best outcomes.
12. The incumbent develops an operating budget, monitors, analyses and implements controls to ensure that the assigned areas operate within approved budget.
13. The incumbent develops and analyses reports to provide educated sound recommendations related to programs and other activities related to workers' comp.
14. The incumbent participates in developing, implementing and evaluating programs to effectively impact the workers' compensation program.
15. The incumbent ensures regulatory compliance.
16. Incumbent is responsible for managing the workers' compensation claims in compliance with all state and federal laws.
17. Keeps immediate supervisor informed of any benefit related concerns/issues and collaborates to address issues on a timely basis.
18. Works collaboratively with AHMC colleagues to deliver exceptional customer service and build cohesive interdepartmental relationships.
19. Assists the facilities in addressing complex WC claim issues.
20. Performs other duties as assigned or required.
Qualifications
1. Bachelor's (BS or BA) degree in a field of study related to this position preferred.
2. Minimum 5 years experience as a workers' compensation adjuster.
3. Five or more years of claims-related experience with a consistent high level of performance and achievement
4. Workers' Compensation Claims Administrator Certificate (WCCA) and/or Workers' Compensation Claims Professional (WCCP) preferred but not required.
5. Extensive knowledge of accepted industry standards and practices
6. Ability to effectively operate a computer, knowledge of MS Office applications, and related claims and business software.
7. Knowledge state workers' compensation laws.
8. Possess excellent negotiating skills and communication skills.
9. Ability to communicate effectively with internal and external resources.
10. Must possess excellent human relation skills.
11. Must possess excellent critical thinking skills.
12. Possess strong organizational skills with ability to multi-task, and prioritize workload.
Accountability
1. The incumbent is responsible for managing the workers' comp cases to achieve targeted outcomes.
2. This position is responsible for promoting an environment of teamwork with all members of the organization.
3. The incumbent is responsible for assuring the assigned area(s) are in compliance with hospital policies and procedures.
4. This position is accountable for meeting budgetary expectations.
5. This position is responsible for assuring departments are in compliance with the organization's workers' comp policies and procedures.
6. The incumbent is accountable for communicating to the internal resources of any possible issues which may arise in order to proactively develop an action plan to minimize or eliminate the issue.
7. The incumbent is responsible for acting in an ethical manner at all times.
8. The incumbent is accountable for maintaining confidentiality on sensitive matters.
9. The incumbent is responsible for complying with all company policies and procedures.
10. The incumbent is responsible for complying with all local, state and federal laws.
Dimensions
AHMC provides management services to AHMC Anaheim Regional Medical Center with 223 beds, Garfield Medical Center with 211 beds, Greater El Monte Community Hospital with 115 beds, Monterey Park Hospital with 102 beds, San Gabriel Valley Medical Center with 273 beds, Seton Medical Center with 357 beds, Seton Medical Center Coastside, a 116-bed skilled nursing facility, and Whittier Hospital Medical Center with 172 beds. The facilities are Medicare and Medi-Cal certified and accredited by The Joint Commission on Accreditation of Healthcare Organizations. The hospitals provide healthcare services reimbursed by Medicare, Medi-Cal, traditional insurance plans, PPO, HMO and under capitated arrangements.
Facility Name: Corporate Office
Shift: Days
External Company Name: AHMC Healthcare
Street: 1000 Fremont Ave
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Workers compensation coordinator job description example 3
Florida Medical Clinic workers compensation coordinator job description
**Minimum of 1 year experience in a similar role required. Work comp experience required.**
WHAT DOES FMC HAVE TO OFFER ITS EMPLOYEES?
We offer a wide choice of compensation and benefit programs that are among the best. From competitive salaries to retirement plans. We make every effort to take care of the people who make our company great.
- Gives you an employer that you will have pride in working for
- Provides excellent training programs and opportunities for growth
-
Offers Medical Benefits including:
- Employer Contributions to HSA high deductible plan
- Discounts at our medical facilities
- Cigna Open Access OAPIN & OAP plans
- Supports Incentive based Wellness Programs
- Offers company sponsored Life Insurance with buy-up provisions
- Provides Dental, Vision, Long and Short Term Disability, Accident & Illness policy options
- Supports Paid Time Off and Holidays
- Gives generous 401K plan with annual 3% Employer contribution after one year of employment
- Values and appreciates its employees
- Boasts a reputation for superior health care and quality service
Essential Functions:
- Answers phones and assists callers
-
- Makes appointments
- Takes messages
- Assists with medication refill requests
- Handles patient's requests or needs
-
- Accurately enter demographic and insurance information per company policy for proper billing
- Properly schedule patients using correct reason codes and follow the physician's template
- Schedule IME and Worker's Compensation cases acquiring all necessary information for appointments from the adjuster and documenting the information
- Fax the proper forms over to the adjuster for pre-pays on Worker's Compensation appointments per our billing policy
- Request records on Worker's Compensation cases following our office protocol for physician review and approval of the case
- Send out new patient paperwork packets for upcoming appointments
- Fill out same day appointment requests acquiring all necessary information per the physician policy
- Addresses Intergy tasks in a timely manner / Responds back within 24 hours or sooner for any voicemails that may have been left.
- Enters all related Work Comp info into the Practice Management System, including Nurse Case Manager or Adjustor contact numbers, dates of injury, claim numbers and any additional information needed for these cases.
- When down time occurs, assist with the backup phone que for the Ortho department.
- Forwarding of Transcription and Clinical Data
- Forwards provider correspondence and/or reports to Nurse case managers and Adjustor
- Follows up on any DWC 25 forms or other forms needed by the patient or the carriers in conjunction with Medical Records
Additional Responsibilities:
- Maintains an organized and clean work area
- Participates in maintenance of front office supplies
- Performs other incidental and related duties as required and assigned
- Travels to different FMC work locations as requested
Job Qualifications:
- High school graduate or GED equivalent
- Strong customer service orientation
- Excellent telephone etiquette
- Strong team player
- Basic computer proficiency
- Minimum 1 year of previous experience
Physical and Mental Demands:
- Sedentary work that primarily involves sitting/standing up to eight (8) hours per day
- The ability to think critically and act logically to evaluate situations, solve problems and make appropriate decisions
- High level of oral and written communication skills
- Uphold the highest level of confidentiality
Occupational Exposure:
- Low risk exposure to blood borne pathogens and chemical hazards
We are an Equal Opportunity Employer and make employment decisions without regard to race, gender, disability or protected veteran status
*
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Updated March 14, 2024
Updated March 14, 2024