Return to Work Specialist

Berkley•Manassas, VA

About The Position

The Return to Work (RTW) Specialist advances BerkleyNet’s mission of delivering exceptional workers compensation outcomes by facilitating safe, timely, and sustainable return‑to‑work plans for injured employees. The role serves as a strategic partner to employers, injured workers, medical providers, and internal claims teams, ensuring that modified duty opportunities are identified, communicated, and implemented effectively. This position directly contributes to loss cost management, improved recovery outcomes, and an elevated customer experience by reducing disability duration and supporting early, collaborative return‑to‑work solutions.

Requirements

Minimum of 2+ years of technical claims handling experience with a heavy emphasis on workers’ compensation claims in multiple jurisdictions
Consistently display a high-level of ownership, drive, and accountability
Acts as an informal leader
Excellent written, verbal, interpersonal and relationship building skills
Exceptional time management and organization skills
Strong insurance business acumen and leadership skills
Ability to work independently and strategically problem solve
Strong analytical and critical thinking skills
Ability to diplomatically manage conflict
Ability to develop relationships within the organization and work effectively across departments
Strong discretion and integrity in dealing with highly confidential and sensitive information
Display a high degree of attention to detail
Bachelor’s degree or equivalent work experience

Nice To Haves

Supervisory experience a plus, but not required
AIC, ARM, CCP or CPCU insurance designation preferred

Responsibilities

Coordinate individualized return‑to‑work plans that align with medical restrictions, employer capabilities, and jurisdictional requirements.
Monitor medical progress and work status to ensure plans remain appropriate and updated as conditions evolve.
Identify modified duty opportunities by partnering with employers to understand job tasks, essential functions, and potential accommodations.
Evaluate work capacity and readiness using medical documentation, provider input, and claim facts.
Recommend claim strategies that support early return‑to‑work, including transitional duty, ergonomic adjustments, or alternative placements.
Exercise authority to approve or escalate RTW decisions in accordance with company guidelines and best practices.
Collaborate with injured workers to set expectations, address barriers, and support a positive recovery experience.
Partner with employers to educate them on RTW best practices, modified duty options, and program benefits.
Communicate with medical providers to clarify restrictions, obtain updated work status, and align treatment plans with RTW goals.
Maintain accurate RTW documentation within claim files, ensuring clarity, timeliness, and regulatory compliance.
Track and report RTW metrics such as days away from work, transitional duty utilization, and program effectiveness.
Ensure adherence to jurisdictional requirements related to work status forms, communication timelines, and accommodation obligations.
Identify trends and opportunities to enhance BerkleyNet’s RTW program, tools, and employer resources.
Support training and education initiatives for internal teams and external partners on RTW processes and best practices.
Visibly supports the overall claims adjusting and managed care functions in multiple jurisdictions
Assist claims management in monitoring and researching jurisdictional case law and statutory legal trends
Demonstrate the use of tact and discretion in all communications and provides a positive contribution to the morale of the claims department
Lead special projects as assigned by senior claims management
Continuously strives to improve our product and business results through innovation
Obtain and maintain adjuster license in multiple jurisdictions as required