Workers Comp Specialist (Per Diem) - Corporate Care

RWJ Barnabas Lakewood , NJ 08701

Posted 2 months ago

Job Summary:

The Workers Compensation Specialist serves as the direct point of contact for all internal and external compensated related issues.

Essential Functions:

  • Acquires treatment authorization for workers compensation and MVA patients.

  • Acts as the department s key liaison to all workers compensation payors in the absence of the Director.

  • Assists in the management of client/system relationship; assumes responsibility for establishing/maintaining rapport with key employers, insurance companies and other business entities.

  • Assists with the coordination of special events and programs.

  • Ensures that workers compensation quick notes are prepared by clinicians and sent to employers/claim handlers within 24 hours; reports noncompliance to team leader/director as appropriate.

  • Functions as the between Corporate Care and HR for all work related injuries and employee return to work clearances.

  • Is responsible for all administrative responsibilities for internal/external workers compensation claims.

  • Monitors clinical efficiency and reports suggestions/situations to appropriate parties.

  • Performs other duties as required.

  • Responds to employer, carrier, and claims handler requests within 24 hours.

  • Tracks employee fit tests and administers as necessary to maintain compliance.

  • Tracks internal/external workers compensation claims to minimize financial leakage and reports as appropriate.

Job Requirements:

  • High School Diploma; Associates Degree preferred

  • Candidate must be detail oriented and conscientious, possess strong computer skills, possess

  • general office skills such as answering phones, copying and filing.

  • Prior workers compensation experience required.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Equal Opportunity Employer

RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, with a service area covering five million people. The system includes eleven acute care hospitals Clara Maass Medical Center in Belleville, Community Medical Center in Toms River, Jersey City Medical Center in Jersey City, Monmouth Medical Center in Long Branch, Monmouth Medical Center Southern Campus in Lakewood, Newark Beth Israel Medical Center in Newark, RWJUH- New Brunswick, RWJUH- Somerset in Somerville, RWJUH- Hamilton, RWJUH- Rahway and Saint Barnabas Medical Center in Livingston; three acute care children s hospitals and a leading pediatric rehabilitation hospital (Children s Specialized Hospital), a freestanding 100-bed behavioral health center, trauma centers, a satellite emergency department, ambulatory care centers, geriatric centers, the state s largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers and an accountable care organization.

Barnabas Health Medical Group is a multispecialty group practice comprised of highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting-edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of RWJBarnabas Health, the largest not-for-profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.

Equal Opportunity Employer

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Senior Director Of Complex Claims Corporate Care Lakewood NJ

RWJ Barnabas

Posted 2 months ago

VIEW JOBS 10/28/2020 12:00:00 AM 2021-01-26T00:00 Summary of Job Function This position is responsible for providing RWJBH leadership with strategic support for the RWJBH workers compensation program. This position will serve as a representative of the organization in the management of claims/litigation of worker s compensation matters, oversee external claims handlers responsible for the efficient and will be responsible for the administration and resolution of worker s compensation claims. Under the director of the Senior Vice President, this position will also be responsible for the following areas which include, but are not limited to coordinating claim strategies with the worker s compensation Third-Party Administrators (TPA), identifying claims with significant exposure and takes an active role coordinating a strategy for resolution, identifies and evaluates risks to employee safety and provides appropriate corrective action recommendations, provides and coordinates intervention and education related to risk management issues to promote safe work practices to benefit the employee, our patients and our visitors, establishes and monitors methods to avoid and reduce risk situations, prepares risk identification reports that identify risk trends for hospital administration and collaborate with corporate legal and defense counsel on claims managements and resolution strategies. Education and Experience: * Bachelor degree required; Master s degree or higher in business, science or other related discipline preferred. * Minimum of eight (8) years experience directly related to workers compensation in the state of New Jersey * Experience working with computer systems; proficient in Microsoft Excel, Outlook, EMR (Agility) and Word * Demonstrated knowledge of the workers compensation laws/statutes, regulations governing the administration of self-insured programs, settlement strategies and reopeners and reserve practices. Knowledge, Skills and Abilities: * Ability to work in a fast paced, client service oriented environment. * Effectively manages relationships with third party administrator, broker(s), defense counsel and clinical providers * Proficiency in creating and applying data analytics for use in benchmarking and financial analysis. * Ability to efficiently and effectively manage multiple tasks. * Must be able to make independent decisions, multitask and prioritize tasks, manage staff and meet company goals. * Ability to promote quality improvement through development and maintenance of standards. * Maintain professional conduct in all work-related and/or emergent situations. Hours: Monday - Friday, 8:30am - 5:00pm Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Equal Opportunity Employer RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, with a service area covering five million people. The system includes eleven acute care hospitals Clara Maass Medical Center in Belleville, Community Medical Center in Toms River, Jersey City Medical Center in Jersey City, Monmouth Medical Center in Long Branch, Monmouth Medical Center Southern Campus in Lakewood, Newark Beth Israel Medical Center in Newark, RWJUH- New Brunswick, RWJUH- Somerset in Somerville, RWJUH- Hamilton, RWJUH- Rahway and Saint Barnabas Medical Center in Livingston; three acute care children s hospitals and a leading pediatric rehabilitation hospital (Children s Specialized Hospital), a freestanding 100-bed behavioral health center, trauma centers, a satellite emergency department, ambulatory care centers, geriatric centers, the state s largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers and an accountable care organization. RWJBarnabas Health Medical Group is a multispecialty group practice comprised of highly trained and experienced world class primary and specialty care physicians. RWJBarnabas Health Medical Group physicians provide compassionate and innovative cutting-edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of RWJBarnabas Health, the largest not-for-profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. We offer a great work environment, competitive rates and excellent benefits, including: * Medical/Dental/Vision plans * 401 (k) * PTO * Short & Long Term Disability * Basic Life & Accidental Death Insurance * Tuition Reimbursement * Health Care/Dependent Care Flexible Spending Accounts Equal Opportunity Employer RWJ Barnabas Lakewood NJ

Workers Comp Specialist (Per Diem) - Corporate Care

RWJ Barnabas