Workers Compensation Coordinator

Charlotte County (FL)•Port Charlotte, FL

77d•Onsite

About The Position

Performs professional work managing and analyzing all Workers' Compensation claims presented to or by Charlotte County. Work involves administering claims from intake through settlement or trial, overseeing the Light Duty Return to Work Program, ensuring compliance with statutory requirements, coordinating with medical providers and third-party administrators, and providing assistance and information to County managers, employees, and external parties regarding the Workers' Compensation program. Position requires independent judgment, initiative, and self-motivation. Interacts with management, employees, public, constitutional offices, medical providers, third-party administrators, brokers, and attorneys.

Requirements

An equivalent combination of relevant training, education and experience:
Associate's Degree
Five (5) years of experience in Workers' Compensation administration, public liability, self-insurance, safety, loss control, or Risk Management.
Active 6-20 All-Lines Adjuster License.
Knowledge of local, state, and federal statutes concerning Workers' Compensation, self-insurance, and loss control.
Knowledge of departmental policies, procedures, and record-keeping requirements for processing Workers' Compensation claims.
Knowledge of Microsoft Word, Excel, PowerPoint, and other job-related computer programs.
Skill in effective communication, both orally and in writing.
Skill in prioritizing, organizing, and managing multiple Workers' Compensation cases simultaneously.
Ability to maintain accurate and confidential claim records and reports.
Ability to exercise sound judgment and discretion in applying and interpreting Workers' Compensation laws, policies, and procedures.
Ability to analyze and evaluate claim information and make recommendations regarding resolution or settlement.
Ability to establish and maintain effective working relationships with County management, employees, medical providers, TPAs, brokers, and attorneys.
Ability to provide internal and external customer assistance through various forms of communication.

Nice To Haves

Risk Management
Human Resources
Business Administration

Responsibilities

Manages the administration of Workers' Compensation claim files from intake through settlement or trial for all County Departments and Constitutional Offices (except CCSO).
Establishes and maintains claim files; receives and processes notice of injury reports; prepares communications to employees explaining Workers' Compensation benefits and statutory requirements.
Coordinates with the Employee Health Clinic, claims adjuster, medical case manager, and supervisor to assist employees in obtaining treatment, returning to work with restrictions, and obtaining follow-up care; notifies the Safety Officer of all injuries.
Manages and directs the Workers' Compensation Light Duty Return to Work Program for all injured employees.
Negotiates Workers' Compensation mediations; recommends and authorizes settlements in accordance with established procedures.
Coordinates conflict resolution on behalf of employees regarding claims or coverage issues; serves as liaison between employees, third-party administrators (TPAs), and service providers in settlement of claims.
Develops and presents training, new employee orientation, and educational programs related to Workers' Compensation policies, procedures, and reporting requirements.
Coordinates with Environment, Health and Safety to insure mitigation of risk and employee training.
Manages the claims database software program and ensures quality control from first notice of injury through claim closure.
Participates in TPA audits; provides information to assist with audit reviews and findings; verifies Workers' Compensation classification codes to ensure accurate employee classification.
Oversees TPA and broker compliance in submitting required reports and documentation; reviews data and payroll information for accuracy and timely reporting; and processes quarterly payments of the Self-Insurance Assessment Invoice.
Prepares the annual Self-Insurance chargeback billing to ensure revenues are credited to the appropriate department; reviews and ensures accuracy of the Workers' Compensation check register; and prepares monthly TPA and claimant payments as needed.
Manages TPA contract for the Workers' Compensation program, including recommendations for renewals and participation in bid processes.
Maintains and compiles records and reports for all Workers' Compensation claims, including injury logs, lost time, and transitional duty days.
Assists in litigation activities related to Workers' Compensation claims by providing documentation and supporting attorneys during mediations, depositions, and trials.
Performs administrative duties including the preparation of written reports, memorandums, letters, and electronic correspondence.
Provides exceptional customer assistance, problem-solving, and complaint resolution regarding Workers' Compensation inquiries by all forms of communication.