Workers' Compensation Collector II

About the role

The Workers' Compensation (WC) Resolution Specialist II's primary responsibility is to manage and resolve accounts/cases associated with workers' compensation claims in outstanding AR greater than 1 year. This role demands a strong understanding of workers' compensation regulations, excellent negotiation skills, and the ability to collaborate with multiple stakeholders.

Responsibilities

• Review, assess, and analyze cases associated with workers' compensation claims to determine their validity and accuracy
• Conduct comprehensive research and gather necessary documentation to support negotiations and resolutions
• Negotiate with claims adjusters, lien resolution specialists, defense attorneys, and other relevant parties to reach fair and reasonable settlements
• Ensure compliance with all relevant workers' compensation laws, regulations, and guidelines in lien resolution activities
• Maintain effective communication with various stakeholders, including claims adjusters, attorneys, lien units, clients, and internal stakeholders to update them on the progress of case resolution
• Maintain detailed records of all resolution activities, including agreements, payments, and any relevant correspondence
• Create and maintain detailed analysis of cases in preparation of litigation
• Record keeping of payments pursuant to settlement agreements and correspondence with a guarantee of payment
• Handle any disputes or conflicts related to lien resolution in a professional and diplomatic manner
• Identify opportunities to minimize costs associated with resolution of cases while upholding legal and ethical standards
• Stay updated on changes in workers' compensation laws and regulations, and attend training sessions or workshops as necessary
• May handle collections of the Voucher and/or Civil AR, requiring basic workers’ compensation knowledge related to vouchers
• Other duties as required

Requirements

Education and/or experience

• A high school diploma or equivalent required
• 3+ years of experience in the workers’ compensation field required

Skills

• Typing speed of at least 35 WPM with 90% accuracy
• In-depth understanding of workers' compensation statutes, regulations, and case law
• Ability to collaborate with multiple stakeholders
• Comprehensive skills in process writing and flow chart mapping
• Exceptional ability to effectively negotiate
• Excellent verbal and written communication skills, including proof-reading, syntax, and grammar
• General computation skills, including the use of a calculator
• Technology proficiency using a computer, business phone, office software, video conferencing, and other computer programs including Google Workplace (Docs, Sheets, Calendar, Gmail, etc.) and Microsoft applications
• Ability to complete data entry with a high level of accuracy

Functional Requirements

• Must be able to perform the essential functions of the position with or without accommodation, including, but not limited to:
• Sitting for at least one hour at a time (total: 4-6 hours/day)
• Keyboarding for extended periods of time (total: 4-6 hours/day)
• Using a phone with or without a headset for extended periods (total: 3-5 hours/day)