Workers’ Compensation Claims Analyst

Workers’ Compensation Claims Analyst

Fowler Packing Company, a large family friendly agricultural grower, packer and shipper of fresh fruits and real estate developer, has an exciting opportunity for a Workers’ Compensation Claims Analyst to join our team.

We offer a competitive salary and a generous benefits package, which includes Health, Vision, Dental and Life Insurance, paid vacation, 401k and Profit Sharing upon meeting eligibility requirements.

Position Summary:

This position administers the Company’s and its entities Workers Compensation Program. The position is responsible for the timely processing of employee claims, evaluates accident reports, to determine accuracy and completeness to provide adequate investigation. This position will review existing policy and procedural administration of around 100 open claims on average for over 1000 employees.

Position Requirements

Responsibilities

The information listed below is meant to serve as samples of job duties and responsibilities for this position. This list is neither inclusive nor exclusive of the types of duties performed.

  • Confers with and advises management and employees regarding Workers Compensation policies and procedures.
  • Administers the Company’s fully-insured and self-insured workers’ compensation programs.
  • Works closely with the Safety Department to assess causation and formulate responses to workplace/work-related incidents and identify loss drivers.
  • Represents the Company at various claims review meetings.
  • Compiles facts and data regarding accident reports and filed cases.
  • Establish and maintain a communication link with injured worker and treating physician to ensure proper medical treatment is provided.
  • Evaluate current physician and facility care roster to determine quality of care.
  • Administer and maintain the Return to Work program that extends to all departments within the Company.
  • Ability to review and evaluate open claims and reserve amounts and work with insurance carriers to close open claims as quickly as possible.
  • Provide monthly and quarterly reports to management.
  • Establish good communication between injured worker, supervisors, management, and insurance carriers.

Knowledge & Skills

Knowledge of:

  • California Workers Compensation rules, regulations, and statutes.
  • Federal & State OSHA, American Disabilities Act (ADA), Family Medical Leave (FMLA), California Family Rights Act (CFRA) and rules relating to industrial accidents and injury leaves of absence
  • Ability to maintain caseload, efficiently and timely process claims, and multi-task with other projects.
  • Claims administration and investigation techniques

Skills of;

  • Interpreting and/or developing rules, regulations, policies, and procedures relating to Worker Compensation.
  • Gather and analyze data; research, analyze and make recommendations on complex issues.
  • Effectively manage multiple work assignments, set priorities, and meet established deadlines;
  • Bilingual in English and Spanish effectively both orally and in writing.
  • Handling confidential matters discreetly and effectively;
  • Prepare clear and concise reports and correspondence.
  • Demonstrate and maintain a high degree of initiative, maturity, integrity, loyalty, and good judgment.

Experience & Education Requirements

Education:   Possession of a bachelor’s degree

Experience: Two (2) years of full-time work experience that is equivalent with the oversight of a Worker’s Compensation program including investigation and litigation of claims, Claims Disability Management or a Return to Work Program.

 

 

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