Worker's Compensation & Leaves Specialist
or drop it." Also "Prefer a few substantive sections over many thin ones." So we need to decide which sections have content. We have: - About the role: The description includes "You belong at Day & Ross. Workers Compensation & Leaves Specialist Full-time - Onsite York, PA Under the direction of the Manager, Pension & Benefits, NA, the Workers Compensation & Leaves Specialist will perform varied administrative and specialized tasks..." That's role description. So we can put that in About the role. - Responsibilities: The bullet list of duties: "How You’ll Help Work collaboratively..." etc. Also "Oversee and administer leaves requests..." etc. So we can list responsibilities. - Requirements: The "Your Skills & Experience" section includes education, experience, etc. That could be Requirements or Qualifications. We need to decide. The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Skills. We can combine some. Probably we can have Requirements (education, experience) and Skills (specific skills). But we need to avoid duplication. Let's parse content: From posting: Job Description You belong at Day & Ross. Workers Compensation & Leaves Specialist Full-time - Onsite York, PA Under the direction of the Manager, Pension & Benefits, NA, the Workers Compensation & Leaves Specialist will perform varied administrative and specialized tasks in support of the day-to-day administration of employee benefit programs, assist with various benefit related issues in accordance with established policies and regulations, while maintaining a very high degree of confidentiality. They will be l iaising directly with the Third Party Workers’ Compensation Administrator (TPA) or State Workers’ Compensation Agency (if applicable) to ensure timely processing of workers' compensation claims; evaluates accident reports to determine accuracy and completeness and to ensure adequate investigation; ensure that the claim is in compliance with applicable state laws and regulations, and monitor entire claims life cycle with TPA/State. This position requires a motivated HR professional to support the team and business by fostering a working environment that promotes positive communication, empowerment, development, and support. As a key member of the HR team, you will create the same positive working relationships with our client groups. How You’ll Help Work collaboratively with third party administrators (TPA’s) to ensure reasonable responses to concerns and accuracy in the application of the policy and challenge when required. Works with Managers and Employees to initiate workers’ compensation claims with TPA. Facilitates State-owned Workers’ Compensation cases as needed in monopolistic states (North Dakota, Ohio, Washington, and Wyoming). Liaises with TPA/State Case Agents, and Human Resources Partners to review Workers’ Compensation cases and accommodations. Evaluates accident reports, department investigation results and other documentation. Compile facts and data regarding accident reports and filed cases to support reporting to TPA/state. Provides information and notices of return to work in accordance with local, state and federal regulations and the Workers' Compensation Act. Liaises with TPA/State to coordinate return-to-work programs and activities and ensures accommodations are met when applicable. Oversee and administer leaves requests and short-term disability claims in conjunction with TPA Maintains knowledge of all applicable leave and accommodation laws including the FMLA, ADA and state and local laws Strong analytical skills with the ability to collect, organize and analyze information with attention to detail and accuracy. Attends trainings and seminars, conducts research and maintains liaison relationship with TPA/State Agencies to stay in compliance with changing laws and trends. Other duties and projects as assigned. Your Skills & Experience Post-secondary education, preferably in human resources, or a combination of education and experience. Medical course work preferred. Training in various federal and state Workers’ Compensation compliance and regulatory laws Training in DOT/OSHA compliance preferred Registered Nurse (RN) designation or nursing background considered a strong asset. Requires 3+ years of experience in medical claims analysis or a related field. Working knowledge of the Workers' Compensation Act and other applicable state/federal statutes and regulations Working knowledge of medical terminology, body systems and/or impairments and their disabling effects Working knowledge of office procedures and files Ability to obtain facts that ensure that claims information is complete and accurate Ability to balance/prioritize cases and liaise with TPA as required Ability to evaluate time-loss claims information to estimate impact Good judgment in interpreting medical facts presented by a physician and applying these facts in determining an individual's capacity to engage in gainful occupation within the business Effective communication skills Ability to maintain satisfactory working relationships with co-workers, the general public and other agency personnel Strong interpersonal and communication skills (both verbal and written) Completes work with a high attention to detail and maintain a high level of confidentiality Ability to multi-task in a fast-paced environment Strong analytical skills with the ability to collect, organize and analyze information with attention to detail and accuracy. English is required, other languages an asset Independent contributor, able to work with little supervision. No direct reports. Working Conditions Travel/Mobility Limited travel may be required. Environment Busy office environment with extensive computer work and handling of documentation May be required to visit other locations, including offices, terminals, maintenance shops, etc. Physicality Prolonged periods sitting at a desk and working on a computer Work Schedule Normally 40 hours per week, Monday to Friday; may be required to work different or additional hours from time to time Safety Must follow all company requirements to promote a safe work environment. Perform all work safely in a fast-paced work environment. Required PPE must be worn at all times. Then application instructions etc. We need to extract sections: - About the role: first paragraph(s) before "How You’ll Help". Could include the initial description. - Responsibilities: the "How You’ll Help" bullet list (including oversee leaves etc.) plus maybe other duties. - Requirements: education, experience, training, etc. Could be "Your Skills & Experience" but that includes skills too. We could split: Requirements (education, experience, certifications) and Skills (specific abilities). But we need to avoid thin sections. Perhaps combine Requirements and Skills into one "Requirements" section that includes both education/experience and skills. However the instruction says we can use sections like Requirements, Qualifications, Skills. We need to decide based on content. We have: Education: Post-secondary education, preferably in human resources, or a combination of education and experience. Medical course work preferred. Training: Training in various federal and state Workers’ Compensation compliance and regulatory laws; Training in DOT/OSHA compliance preferred; Registered Nurse (RN) designation or nursing background considered a strong asset. Experience: Requires 3+ years of experience in medical claims analysis or a related field. Knowledge: Working knowledge of the Workers' Compensation Act and other applicable state/federal statutes and regulations; Working knowledge of medical terminology, body systems and/or impairments and their disabling effects; Working knowledge of office procedures and files. Abilities: Ability to obtain facts that ensure that claims information is complete and accurate; Ability to balance/prioritize cases and liaise with TPA as required; Ability to evaluate time-loss claims information to estimate impact; Good judgment in interpreting medical facts presented by a physician and applying these facts in determining an individual's capacity to engage in gainful occupation within the business; Effective communication skills; Ability to maintain satisfactory working relationships with co-workers, the general public and other agency personnel; Strong interpersonal and communication skills (both verbal and written); Completes work with a high attention to detail and maintain a high level of confidentiality; Ability to multi-task in a fast-paced environment; Strong analytical skills with the ability to collect, organize and analyze information with attention to detail and accuracy.; English is required, other languages an asset; Independent contributor, able to work with little supervision. No direct reports. Thus we can have a "Requirements" section covering education, experience, training, knowledge, abilities. Or we could split into "Qualifications" (education, experience, certifications) and "Skills" (abilities). But we need to avoid thin sections; maybe better to have one "Requirements" that includes all. We also have Working Conditions: Travel/Mobility, Environment, Physicality, Work Schedule, Safety. This could be split into Schedule and Benefits? Benefits not mentioned. Pay not mentioned. So we should not create Benefits or Pay sections because no specific content. Schedule: we have "Work Schedule Normally 40 hours per week, Monday to Friday; may be required to work different or additional hours from time to time". That's specific schedule info, so we can include a Schedule section. We also have Working Conditions: Travel/Mobility, Environment, Physicality, Safety. Could be part of "Working Conditions" but not in allowed headings. Allowed headings are About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need to fit travel/mobility, environment, physicality, safety into either Responsibilities or Requirements? Probably not. Could we create a "Schedule" section for work schedule only, and maybe incorporate travel/mobility etc. into Responsibilities? But those are not responsibilities; they are working conditions. However we are not allowed to create arbitrary headings; we must only use those headings. If we don't have content for a heading, we must omit it. So we need to decide where to put travel/mobility, environment, physicality, safety. Perhaps we can include them under Responsibilities as part of duties? Not really. Could we include them under Requirements? Not really. Could we omit them? The instruction says "Preserve ALL substantive information; do NOT invent or summarize away detail." So we cannot drop substantive info. So we need to find a way to include them within allowed headings without misrepresenting. Perhaps we can treat them as part of "Responsibilities" as they are conditions of work, but that might be a stretch. However the instruction says "Use