Workers' Compensation Manager
EMSA- Emergency Medical Services Authority · Oklahoma City, OK · 1 mo ago
Human ResourcesFull-time
Responsibilities
- Manage the end-to-end workers’ compensation claims process, including creating, reviewing, and submitting First Reports of Injury and associated documentation for completeness and timeliness.
- Collect and maintain all documentation related to on-the-job injuries, including reports, witness statements, medical records, and accident investigation results.
- Proactive monitoring of all open claims daily for status changes, documenting all communications and updates within the case files.
- Medical coordination: Partner with team members, adjusters, and medical providers to ensure injured employees receive appropriate, timely evaluation and treatment using an approved list of medical providers.
- Serve as the primary point of contact for third-party administrators (TPAs), legal counsel, and insurance brokers to ensure efficient claim resolution.
- Internal communication: contact management, HR, scheduling and the injured team member within 24-48 hours of an incident; provide regular updates to the Director of Risk & Occupational Health regarding claim and return-to-work status.
- Facilitate, schedule, participate in, and keep minutes for periodic claims reviews with operations, adjusters’ brokers, and attorneys.
- Facilitate light duty assignments for team members which keep them performing work assignments within their identified restrictions and navigate return-to-work initiatives.
- Present claim trends, loss analyses, financial forecasts, and risk management recommendations to leadership and other stakeholders as needed.
- Conduct comprehensive analysis of workers' compensation, liability, and insurance loss run data to identify claim trends, emerging risks, and opportunities for risk reduction.
- Prepare and manage annual budgets and financial forecasts related to workers' compensation, insurance, claims administration, and risk management programs.
- Perform root cause analyses of workplace incidents, injuries, and claims to identify contributing factors and recommend corrective and preventive measures.
- Will be responsible for administering and