Grow your career on a team that strives to enhance the employee experience at all levels. By joining our Human Resources team, you'll be a part of a caring community that provides great benefits and resources to our employees, all while thriving in a dynamic environment.
Workers Compensation Claims Administrator
What Will You Do?
The Workers Compensation Claims Administrator's purpose of this position is to minimize financial loss resulting from Workers' Compensation claims made against the company. This position is responsible for reporting work related claims and the supplemental documentation and information so that medical and wage loss benefits can be paid under the provisions of California Workers Compensation programs. This includes quality claim management and litigation support to the completion of each claim in a timely and cost-effective manner.
Works directly with employees, medical providers, third party administrator and attorneys to ensure quality claim management in the resolution of each claim.
Conduct frequent and ongoing reviews of each case to ensure the file is reserved appropriately, documented timely, and that the TPA has implemented an aggressive action plan to resolve each claim in a timely and cost-efficient manner.
Review injury reports from Health & Safety department for severity or red flags. Enter additional information into ProcessMap or current HSE program and submit to the TPA. Do continuous updates regarding time away from work or restricted duty to ensure OSHA log is correct.
Ensure WC files contain complete documentation regarding injury reports, medical notes/slips,DWC-1 form, MPN notices and company notices.
Interact directly with employees regarding initial details of the injury, progress updates, light duty job offers until claim resolution. Answer employee questions regarding WC benefits or other claim related issues.
Work with leaders and/or management regarding light duty available for their employee(s) and ensure that the TPA is informed of all work status changes (light duty, off work, full duty).
Manage MPN program including enrollments, and mandatory postings and ensure that correct documents are being used by Human Resources at the time of hire and again by the Health/Safety Dept. when injury documents are being completed. Ensure employees understand MPN requirements.
Work with HR regarding the Interactive Process for employees receiving permanent restrictions.
Works with Matrix Absence Management submitting leave information when employee is off work due to medical care or restrictions. Updates Matrix when the employee returns.
Review all WC legal documents when received by the company and notify HR, GB, and our defense counsel. Compiles litigation packet of supporting documents and submits to WC defense firm.
Work with attorneys on investigations, depositions, witness statements, etc. until resolution of the claim.
What Do You Need?
High School Diploma or Equivalent, Required
Minimum 3 years' experience in Workers Comp or Health Insurance or Human Resources
Experience working with highly confidential information ie. personal/medical/financial/legal
Strong working knowledge of Microsoft office suite programs, Windows and Internet
Insurance claims handling
Workers' Compensation basics
Proficient in applicable computer applications including MS Word, Excel, Internet
Human Resources laws/policies (ADA, FMLA, 132-A, FEHA)
Must be able to handle confidential information in a mature and professional manner while using sound judgment and discretion in processing claims
High attention to detail and accuracy
Effective time management and organizational skills
Effective interpersonal communication skills
Analytical and problem-solving skills
Handle multiple projects simultaneously within established time constraints
Ability to handle and diffuse high stress/ high emotion situations
Bilingual in Spanish strongly recommended
Mental and Physical Demands/Working Conditions:
Mental Effort
Work is performed under strong demands in a fast-paced environment
Suggestions to TPA to improve claim outcomes
Manage multiple tasks simultaneously
Displays empathy, understanding and patience with employees and external stakeholders
Withhold decisions/opinions until all information and facts are gathered
Physical Requirements
Minimal travel required
Sits for extended periods of time
Stands and walks/moves to different departments or areas of the facility as needed
Continuous use of hands to write and operate keyboard and mouse
Ability to communicate in person and via phone (deskset or online)
Bend, squat, twist and lift up to 10 lbs
Climb stairs
Working Conditions
Full-time in-office position
Flexible and willing to work extended hours when necessary
Who Are We?
At Ashley, we're more than a business...we're family. As the largest manufacturer of home furnishings in the world, we know what it takes to build incredible furniture and future leaders. We're problem solvers with the grit to persevere during challenging times and innovators who won't coast when times are good. We create solutions, not excuses. And never settle for status quo. It's the reason we're always searching for better ways to delivering an exceptional customer experience. That's why Ashley Furniture is #1 in our industry.
Ready to grow? You've come to the right place. Ashley Furniture has a "Growth Mindset", and once you join our team, you'll learn from the best in the business.
Apply today and find your home at Ashley!
Benefits We Offer
Benefits: When you join our family, you are eligible to participate in our comprehensive benefits programs which includes Health, Dental, Vision, Life/Disability, Flexible Spending Accounts, 401(k), Paid Holidays, 80 hours paid vacation and 40 hours of California Paid Sick Leave. Benefits may vary based on position and location, so we encourage you to speak with the recruiting team during the interview process.
Our Core Values
Honesty & Integrity
Passion, Drive, Discipline
Continuous Improvement/Operational Excellence
Dirty Fingernail
Growth Focused
To learn more about Ashley Furniture, our community engagement programs, environmental stewardship, and our core values, please visit our Corporate Social Responsibility information page: Corporate Social Responsibility
Compensation
Min - $27.00| Max - $31.00 per hour
Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related reasons.
We are an equal opportunity employer and provide a drug-free working environment. While Ashley appreciates the interest of all candidates only those meeting specific position requirements may be contacted. Principals Only.