Employment Type:

Full time

Shift:

Day Shift

Description:

Potentially a remote opportunity

Monday - Friday with some hours on a rotating weekend and holiday schedule

MISSION STATEMENT:

We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

POSITION SUMMARY

The Worker’s Compensation Specialist is the subject matter expert for THNY workers’ compensation program. Is responsible for the maintenance and administration of the THNY self-insured group trusts.

Is also responsible for the in-house management of work-related injuries and an active participant in the claims administration process.

EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:

Bachelor’s degree or 5+ years’ experience in Worker’s Compensation claims administration; or an Associate’s degree in finance, insurance or other health-related field and 5+ years’ experience or 10+ years’ experience in self-insured trust administration.

NYS independent adjuster’s license preferred

Health care or industry experience preferred.

SPECIAL EQUIPMENT, SKILLS, OR OTHER REQUIREMENTS: Strong written and oral communication skills, strong interpersonal, motivational and conflict resolution skills. Broad-based knowledge of OSHA, NYS Worker’s Compensation law and other hospital related regulatory compliance requirements. Strong accounting or bookkeeping skills, able to produce metric analysis and reports, presentation skills, team player, negotiation/ crucial conversations skills and ability to influence change without direct authority.

WORK ENVIRONMENT AND HAZARDS: Office and/or Clinical Setting.

PHYSICAL DEMANDS: Sedentary work: requires sitting, standing, and walking.

WORK CONTACT GROUP: All services, employees, medical staff, patients, visitors, vendors, various regulatory and professional agencies.

SUPERVISED BY: Regional Director of Risk Management

SUPERVISES: None

CAREER PATH: Management

Responsibilities:

Manages the reporting, review and analysis of Workers’ Compensation claims and litigation.

Prepares reports identifying trends, patterns, and findings in Worker’s Compensation claims.

Evaluates the extent and elements of exposure recommending appropriate actions for risk mitigation.

Supports TH Claims managers (CM) and the third-party administrator (TPA) in the management of Worker’s Compensation claims for THNY region.

Champions early return to work programs, safety, and other related programs to contribute to reduced incidents and lost time.

Develops and administers systems to track lost and restricted time.

Monitors reserves and assists TH CM in claim settlements and reserve adjustments.

Identifies and investigates claims for possible fraud, subrogation, contribution, recovery, controversion and case management opportunities to reduce total claim cost

Supports finance department in the management and oversight of WC self-insurance trust matters.

Serves as a resource to colleagues, managers, and directors related to Worker’s Compensation processes.

Supports special projects and business analysis as requested

Pay Range: $24.60 - $45.00

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran