Oceanside, CA, 92054, USA
8 days ago
Workers Compensation Claims Analyst (bilingual English/Spanish)
Kellermeyer Bergensons Services (KBS) has an immediate full-time opportunity to join our team as a Workers Compensation Analyst.  If you enjoy working in a fast-paced environment that is ever-changing, like problem solving, and customer service, then this is the job for you! For more than fifty years, KBS has been providing essential facility services in North America to help clients maintain clean and healthy operations. With a culture driven by our core values – trust, reliability, service and doing things the right way, and rooted in a fundamental belief that all work is “honorable and we acknowledge the dignity of those who do it.” These values are embraced by our highly diverse and inclusive workforce. What are you waiting for, APPLY TODAY and join the KBS Crew! Job Overview Salary Range: $65-70K This position is a remote opportunity. Candidate must live on the East Coast and be on EST. Position Summary Works to ensure the company is in compliance with all applicable laws and regulations. Processes workers compensation claims and approves claim settlements within defined level of authority. Evaluates accident reports to determine accuracy and completeness. Ensures that adequate investigations are conducted. Provides high-level analysis regarding risk management based on claims data. Works closely with field managers to improve workers’ compensation results, including loss prevention and claims management. Essential Duties and Responsibilities Legal adherence • Comply with federal, state and local legal requirements by being knowledgeable of existing and new legislation, ensuring adherence to requirements and advising management on needed actions Claims Processing and management • Ensure workers’ compensation claims are responded to timely and accurately • Approve claim settlements within authority level • Respond to requests from carrier to increase reserves, conduct surveillance and assign Nurse Case Management to improve outcome • Communicate actively with field, HR, and Legal to facilitate the timely and accurate processing and closures of workers’ compensation claims • Review open claims with field managers and carrier • Attend quarterly claims reviews with carrier • Facilitate communication between legal team, manager, carrier and/or state agency, as needed Safety and loss prevention analysis, training and risk mitigation • Analyze, trend, and reduce the occurrence and cost of work-related injury claims; identify trends and help create tactics to mitigate future liability Regulatory documentation and reporting • Execute and maintain OSHA-related regulatory programs and documentation • Review accident investigations, injuries, and OSHA logs Knowledge, Skills and Competencies • Knowledge of OSHA General Industry standards, state safety statutes and local municipal regulation • Ability to anticipate and mitigate potential issues • Organization, planning and priority setting skills • Accurate and clear communications (oral and written)  • Strong analysis and assessment skills • Investigation and documentation skills • Time management with sense of urgency for time critical issues • Bilingual in English and Spanish • Microsoft Office programs to include, but not limited to Word, Excel, PowerPoint and Outlook Experience Required: + Fluency in Spanish + Safety and workers compensation background + HR experience a plus + 2-4 years direct experience managing workers compensation claims + Bachelor’s degree in Business or Risk Management-related field or equivalent experience   What’s In It for You? As a full-time KBS employee (30+ hours per week) you may qualify for benefits including medical, dental, vision, prescription drugs, and more! + Paid Time Off + Paid Holidays + Sick Time + Life Insurance + Supplemental Health Insurance (E.G., Accident) + 401k plan with a match or Non-qualified Deferred Compensation Plan + Pet Insurance + Perkspot Discount Program – discounts on travel, gyms, cell phones, restaurants, auto, apparel & electronics  KBS considers all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity, and expression, marital or military status, or based on an individual's status in any group or class protected by applicable federal, state, or local law. KBS also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.     Powered by JazzHR
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