Workers Compensation Administrator

About the role

The Claims Administrator is responsible for implementing all aspects of the project workers compensation program under the guidance of the Bechtel claims team, including assisting with the administration of auto and other insured claims. The position is located at the project construction site in Winnemucca, Nevada, and is not remote work. The anticipated work schedule is Monday through Saturday, 6:00 a.m. to 4:30 p.m. While this is a contingency position, the employee is seconded to Bechtel and works under the direction of the Bechtel Head of Workers' Compensation and the Claims Director, managing routine matters independently while keeping Bechtel Claims fully informed at all stages.

Responsibilities

• Communicates effectively with injured workers, medical professionals, insurers, brokers, internal/external counsel, corporate management, and various related regulatory agencies.
• Develops and maintains project-specific workers compensation claims manual, compliance of ESIS NV provider panel, related processes and procedures for statutory claims.
• Implements improvements based on lessons learned, legislative changes or Court decisions, and Bechtel operating imperatives.
• Develops and provides onsite training related to workers compensation.
• Monitors claims activity to identify early negative claim trends or other issues that may negatively impact project performance.
• Is responsible for oversight and processing of workers compensation claims:
  • Responsible for initiating, preparing, and maintaining all documentation associated with claims.
  • Investigates and documents eligibility for workers compensation benefits and communicates same to insurer and related interested parties.
  • Assists with investigation and coordination of issues surrounding subrogation.
  • Interprets laws and regulations, determines appropriate courses of action, and presents solutions to resolve the claims.
  • Identifies potential subrogation issues, for internal discussion and next steps.
  • Monitors claim resolution activities implemented by insurer(s).
  • Maintains Project Risk Management Information System (RMIS).
  • Directs and monitors the activities and performance of Bechtel's insurance provider to ensure compliance with applicable regulations.
  • Implements, monitors, and ensures compliance of Special Account requirements.
  • Conducts regular claim reviews, claim audits and prepares related reports.
  • Interfaces with insurer to effectively manage claims, including but not limited to authorizing claim reserve changes, authorizing insurer referral to outside counsel, and assessing and approving settlement strategies.
  • Coordinates and supports early return to work.
  • Manages relationships with onsite clinic, panel physicians and other medical providers, to ensure effective claims management and return to work.
  • Works with injured worker and supervision on developing and implementing return to work plan.
  • Assists in management fitness for duty and ADA accommodation issues as needed.
  • Assists Bechtel Risk Management in the defense of litigation or other complex case support (i.e., responding to interrogatories and other discovery requests).
  • Assists with gathering information and filing other insured claims as requested.
  • Performs other