Workers' Compensation Coordinator at Public Health Foundation Enterprises, In in Los Angeles, California

Job Description:

Heluna Health is a national nonprofit leader in providing program and support services to optimize population health. In any given year, our organization either directly implements or provides administrative support for approximately 400 public health and social service initiatives across a broad spectrum of population health domains. Heluna Health is an innovator of direct service programs, including the largest nonprofit network of WIC centers in the nation (the USDA funded Special Supplemental Nutrition Program for Women, Infants and Children), a community-based, nationally accredited dietetic internship program, violence prevention initiatives, and a nationally recognized early literacy program that has been shown to reduce school readiness disparities for low-income kids. Heluna Health offers a full range of program development, personnel, financial, and grant management solutions to researchers, universities, consortia, government agencies, community organizations, and population health practitioners in order to help more people live healthy and productive lives.
 

Heluna Health is seeking a Workers’ Compensation Coordinator to join our team. Under general direction, this position is responsible for facilitating the Workers’ Compensation claim handling process in accordance with established policies and procedures from inception until the claim is closed; evaluating accident and injury reports to determine accuracy and completeness; assisting in the investigation of workplace accidents; ensuring compliance with applicable laws and regulations. 

Pay range and compensation package: 

The salary range for this position is $27.40 to $31.67 per hour commensurate with experience.

ESSENTIAL FUNCTIONS

• Review accident and injury reports for accuracy and completeness.


• Assist with the investigation of workplace accidents. 


• Report claims information accurately and promptly to the appropriate third-party administrator (TPA). 


• Initiate contact with injured employees to explain the Workers’ Compensation process as it relates to the injured employee. Provide an overview of your role, the role of their Claims Examiner, and the return-to-work program. Also, confirm injury details for accuracy of claims reporting.


• Document conversations and maintain an accurate electronic file of communication related to the injured employee’s Workers’ Compensation claim.


• Maintain ongoing communication with injured employees, supervisors, and claims examiners. 


• Assist the Claims Examiner with obtaining additional information, such as earnings reports and return-to-work dates, for servicing and handling of each claim.


• Create action items for follow-ups (e.g., work status, QME/AME appointments, etc.).


• Obtain medical note from the injured employees after each medical visit to determine if accommodation is needed or return to work date.


• When necessary, contact Physician’s office to obtain work status.


• Act as liaison between the injured employee’s physician, nurse case manager, and management to gain a timely return-to-work release.


• Consult with physician, insurance carrier, and employee’s supervisor to facilitate the employee’s return to work. 


• Discuss essential functions of the position with Supervisor to determine appropriate accommodations.


• Engage injured employees in the Interactive Process.


• Complete Reasonable Accommodation Agreement Forms for accommodations.


• Communicate injured employees’ need for a leave of absence with the Leave of Absence Office. 


• Monitor lost time and modified duty cases. 


• Create, maintain and accurately update injury information into UKG for OSHA logs.


• Distribute OSHA logs for yearly posting.


• Work closely with third-party administrator to resolve claims as soon as feasible. 


• Understand State Compensation Laws and stay current with changes in the law to ensure that procedures are updated to include required changes.


• May be assigned administrative tasks or projects related to safety. 

JOB QUALIFICATIONS

• Working knowledge of the Workers' Compensation laws and regulations.


• Strong value of service to others with the ability to make decisions in compliance with departmental standards is required.


• Attention to detail and an excellent customer service-oriented approach is a must. 


• Must have the ability to handle highly confidential information with the utmost care and discretion is required. 


• Working knowledge of medical terminology, body systems and/or impairments and their disabling effects. 


• Working knowledge of office procedures and files. 


• Ability to obtain facts that ensure that claims information is complete and accurate. 


• Ability to track claims to their successful and timely completion.


• Ability to organize and prioritize heavy casework loads and efficiently process claims. 


• Previous computer experience is required with HRIS, payroll, and/or injury tracking systems.


• Ability to maintain satisfactory working relationships with co-workers and clients. 


• Effective communication and interpersonal skills.

Education/Experience 

• High School Diploma or GED required


• Associate’s degree, or equivalent education and/or work experience preferred.


• 2+ years of experience administering workers’ compensation, safety, loss control, and accident prevention is required.

Certificates/Licenses/Clearances

• Certified Safety Professional (CSP), OSHA certification, or workers’ compensation certification preferred.

PHYSICAL DEMANDS 

• Stand: Frequently


• Walk: Frequently


• Sit: Constantly


• Handling / Fingering: Constantly


• Reach Outward: Occasionally


• Reach Above Shoulder: Occasionally


• Climb, Crawl, Kneel, Bend: Occasionally


• Lift / Carry: Occasionally - Up to 20 lbs


• Push/Pull: Occasionally - Up to 20 lbs


• See: Constantly


• Taste/ Smell: Not Applicable

Key

• Not Applicable = Not required for essential functions


• Occasionally = (0 - 2 hrs/day)


• Frequently = (2 - 5 hrs/day)


• Constantly = (5+ hrs/day)

WORK ENVIRONMENT

General Office Setting, Indoors Temperature Controlled

EEOC STATEMENT

It is the policy of Heluna Health to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.

Heluna Health reserves the right to modify this job description and an employee’s job duties at any time upon notice.

 

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

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