Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a Workers' Compensation and LOA Specialist, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.
You Will:
Reports new claims to insurance carrier.
Ensures timely processing of workers' compensation claims; evaluates accident reports to determine accuracy and completeness and to ensure adequate scope of investigation for human resources and safety departments.
Ensure that HR and legal department is aware of all depositions, trial or legal proceeding dates.
Assists in coordinating medical treatment for all newly reported workers compensation
Providing accurate information to injured employee on seeking medical care within the medical provider network (MNP) and filling prescriptions
Conducts initial investigations over the phone by interviewing injured employee, site contacts, and witnesses upon receipt of new claims/incident reports. If there are any apparent red flags, notify Workers' Compensation Manager, insurance carrier and HR team.
Coordinates and facilitates claim process by acting as a liaison between the insurance carrier/third party administrator, medical provider, site management and injured employee
Maintains effective communication with employee, insurance carrier, managers, supervisors, and Work Comp Manager
Audit claims to ensure insurance carrier are delivering quality support to injured employee; provide feedback to senior HR management where deficiencies or issues are identified.
Facilitate management of individual WC cases by providing insurance carrier with case information, including job descriptions, wage histories and personnel information
Follow up with employees regarding their work status, conferring with manager, third-party administrator, and healthcare provider as needed
Responsible for managing WC leave of absence FMLA/ADA.
Ensure clear, timely communication to appropriate regional HR generalist or Director and site management regarding WC leaves.
Interactive process under the Americans Disability Act (ADA) and Fair Employment Housing Act ("FEHA"):
You Are:
Genuinely passionate about customer service and exercise sound judgement and an ability to remain professional in all situations
Able to demonstrate high level of attention to detail, excellent organizational skills and have the ability to multitask
Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world class customer service
To Ensure Success In This Role, You Must Have:
Must have and use good overall organizational skills, customer service, public relations, strong time management, ability to multi-task, attention to detail and strong written and verbal communications skills.
Must be experienced with FMLA, ADA, FEHA, LOA, and California leave laws.
Must be detail oriented and able to interact effectively with employees, vendors, peers, and management.
Computer skills are required; experience with MS Word, Excel and HRIS system are highly preferred.
Associate's degree (A.A.) or equivalent from two-year college or technical school; or Human Resources Certificate; or six months to one year of related experience or training; or equivalent combination of education and experience.