Workers Compensation Specialist

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting over 16,000 healthcare professionals and team members across more than 1,400 health and wellness offices in 48 states. TAG provides centralized business support services to independent practice owners and clinicians in dental care, urgent care, veterinarian, and medical aesthetics.

About the role

The Workers Compensation & Risk Management Specialist will manage the administration of workers' compensation claims for employee incidents across multiple companies and states. This role involves coordinating with insurance carriers, vendor partners, and other service providers, as well as supporting loss control and safety training initiatives. The Specialist will ensure compliance across TAG and supported practices while mitigating risk and optimizing claim outcomes.

Responsibilities

• Act as a liaison within the company and with customers to facilitate workers’ compensation claim activities.
• Develop and implement strategies to optimize claim management procedures for better outcomes.
• Work closely with management to address negative trends identified through report reviews.
• Review and manage all incident reports for employee and patient incidents from initial report through closure.
• Determine the need to report claims to the carrier for handling.
• Handle payroll and claims reporting for monopolistic states.
• Communicate directly with employees to explain the claim process professionally and courteously.
• Coordinate return-to-work programs with HR, medical providers, management, and third parties.
• Provide direction to third parties to resolve claims quickly and cost-effectively.
• Ensure proper and efficient handling of claims, including data gathering and information management.
• Facilitate claim reviews with third parties and carriers for workers’ compensation claims.
• Manage annual BLS reporting to states and update Workers' Compensation policies based on entity changes.
• Attend claim-related meetings and maintain internal claim files.
• Compile, review, and analyze reports to identify trends.
• Understand and communicate claims management philosophy and strategy.
• Report applicable urgent care events and claims to insurance carriers.
• Create and maintain data in information systems or databases.
• Build and manage relationships with third parties, insurance carriers, legal counsel, and other claims-related parties.
• Support safety training and loss control initiatives, including assessing areas for improvement.
• Promote loss prevention strategies and support risk projects and initiatives.

Requirements

• College degree preferred or greater than two years of claims experience.
• Minimum of 2 years of experience as a claims analyst, administrator, or similar function.
• Ability to lead a multi-state program involving remote employees.
• Customer service experience.
• Proficiency with Microsoft Office and Risk Management Information Systems (RMIS).
• Strong organizational, communication (written and verbal), and time management skills.
• Ability to read and interpret regulatory rules and regulations.
• History of implementing programs to positively impact claim costs is a plus.

Skills and Competencies

• Technical and professional expertise in claims management and loss prevention.
• Ability to adapt to changing priorities and solve problems.
• Effective communication and collaboration skills.
• Initiative-driven with a results-oriented mindset.
• Honesty, integrity, and ability to maintain confidentiality.
• Strong presentation skills.

Pay

$70,000–$80,000 annually, plus bonus incentives.

Benefits

• Paid time off.
• Health, dental, and vision insurance.
• 401(k) savings plan with company match.