Emplicity is a PEO located in Irvine, CA. We are looking for a Workers’ Compensation Coordinator to work with our Risk Management team. Emplicity has been in business for over 20 years and has a fantastic reputation for best-in-class services. Under general direction, ensures timely processing of workers' compensation claims; evaluates accident reports to determine accuracy and completeness and to ensure adequate investigation; ensures that the city is in compliance with applicable laws and regulations; provides training and guidance to claims coordinators in all departments.
ESSENTIAL FUNCTIONS:
- Evaluates accident reports, ensuring the timely processing of medical bills and temporary total disability benefits; reviews medical reports, witness statements, department investigation results, and other documentation.
- Maintains subrogation records and files for those incidents involving third parties. Sends subrogation letters to third parties in an effort to obtain reimbursement of monies spent by the city for medical treatment, time loss, and awards and settlements paid; submits amounts paid for medical treatment and/or temporary total disability benefits to the State Attorney's Office in order to seek reimbursement in cases where criminal charges have been filed.
- Compiles facts and data regarding accident reports and filed cases.
- Reviews documentation to determine whether medical bills and temporary total disability benefits should be continued; authorizes payment of medical bills and temporary total disability benefits upon receipt of proper documentation.
- Advises and/or assists departments in conducting an investigation of accident reports, including interviewing of witnesses and procurement of relevant documentation.
- Follows proper procedures and forms to be utilized in workers' compensation matters and the preparation of accident reports, notices of absence, and notices of return to work in accordance with city regulations and the Workers' Compensation Act.
- Documents telephone conversations, witness statements, medical reports, accident investigation results, and payment of medical bills; prepares summaries of medical reports; ensures that state Industrial Commission forms are properly prepared and filed.
Requirements
- Working knowledge of the Workers' Compensation Act and other applicable state/federal statutes and regulations.
- Ability to evaluate all medical and time-loss claims information to make determinations regarding payment of temporary total disability benefits and medical bills.
- Good judgment in interpreting medical facts presented by a physician and applying these facts in determining an individual's capacity to engage in gainful occupation.
- 2 - 4 years of relevant administrative experience in the area of workers compensation.
Benefits
- A great deal of flexibility and autonomy.
- Trusting and supportive team members who support you in your success.
- Competitive salary.
- Comprehensive benefits plan with company contributions to Health, Dental, and Vision.
- 401K with company matching.
- 11 paid holidays including your birthday!
- Great Paid Time Off policy.
Emplicity may not be one the biggest PEOs, but we’re definitely one of the best. To find out why and learn more about some of the things that make us special, please visit us at www.emplicity.com.