Menomonee Falls, Wisconsin, USA
6 days ago
Workers Compensations Analyst

About the Role
In this role you will protect the interests of the company and associates by overseeing workers comp claim processing and compliance.

What You’ll Do

Oversee the Texas Injury Plan

Monitor compliance with the Texas Injury Plan and all self insured filings, premiums, and requirements

Oversee claims adjusting services, insurers and medical providers on all claims, including litigation

Direct the activities of third party administrators

Interpret laws ,regulations and policies to guide appropriate decision-making

Directs the activities of outside claims adjusting services, insurers, and medical providers

Guide manager involvement and decision-making on claim settlements and hearings

Communicate with store and distribution center teams to ensure prompt return to work and updated medical status

Communicate with insurance carriers, doctor's offices, attorneys, etc.

Prepare reports, documentation and correspondence related to workers comp claim processing

Additional task may be assigned as necessary

What Skills You Have
Required

Multiple years experience in insurance field with adjusting experience in worker's compensation claims with National Insurance carrier, Third Party Administrators (TPA), and/or self-insured company

Proficient in the use of claims management systems, databases, and internet programs.

Ability to effectively present and direct information to all management levels.

Ability to read, analyze, and interpret state worker's compensation regulations.

Preferred

Multi-state work comp experience

Retail experience

Managing losses in a risk management environment

Working knowledge of ERISA/Self Insured plans

Special Requirements

Ability to travel

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