Work Comp Examiner
About The Position
Under the supervision of the Workers’ Compensation Manager, this position manages an assigned portion of university employee worker’s compensation claims. The Office of Risk Management is to provide a safe and healthful higher education environment for students, faculty, staff, and others utilizing UW System programs and facilities. The Office of Risk Management strives to meet this goal with: proactive loss prevention, health, safety, and environmental management quality property, liability, and worker’s compensation claim management protection of UW System assets risk assessments and mitigation planning The Office of Risk Management efforts encompass developing and maintaining emergency management systems and responses, monitoring areas of high risk, providing guidance and expertise on workers compensation claims and workplace injuries, negotiating insurance policies on behalf of the UW System, and more.
Requirements
- Excellent written and verbal communication skills
- Proficient use of Microsoft Office Products
- Excellent customer service skills
- Ability to analyze difficult problems and make independent judgments
Nice To Haves
- Experience with claims management
- Basic understanding of medical terminology
- Ability to understand and administer relevant worker’s compensation law and return to work programs.
Responsibilities
- Receive and investigate claims to approve, suspend, or deny claims within the statutory guidelines laid out by Wisconsin Stats. Chapter 102.
- Following compensability determination, issues timely workers compensation benefits and maintains appropriate case reserves.
- Interprets and evaluates medical reports to determine benefits.
- Handle confidential information relating to employee data and medical records
- Recommends appropriate use of third-party services such as private investigations, independent medical examinations, and case management services.
- Evaluates the potential for third party lawsuits and notifies all parties of the state’s subrogation interests.
- Assist campuses in the coordination of early return to work programs, striving to restore the injured worker to a pre-injury health status and gainful employment.
- Pays medical bills when appropriate; also authorizes payment of bills to bill review.
Benefits
- Universities of Wisconsin employees receive an excellent benefits package.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
