Return to Work Coordinator (Finance)

This position serves as a liaison between the employer, injured worker and treating physician to get the injured worker back to work at their full capabilities as quickly as possible. This results in lower out of work days, reduced TTD and other associated positive outcomes on the workers compensation claim.

Return to Work Coordinators are responsible for managing the release information from doctors appointments and resulting work statuses resulting from an injured worker's workers compensation injury. This empowers return to work coordinators to optimize their time, and clearly measure the outcomes of their work. ?

• Bachelor's Degree from a college or university preferred.
• 2 + years of STD/LTD claims adjudication.
• Experienced in the TPA or self-administration services is desired
• Experience with FMLA/State leave claims is a plus
• Aptitude for learning medical terminology and conditions, as well as interpreting procedures and regulations
• Ability to work independently while assimilating various technical resources
• Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
• Effective interpersonal skills capable of dealing with external sources and all levels of employees.
• Strong ability to identify, analyze and solve problems.
• Capable of quickly learning new tools.
• Experience with excel at least at a beginner level is required.
• Ability to interpret and manipulate tables of data to draw conclusions and identify trends.
• Excellent logic; creative and critical thinking skills; solutions-focused.
• Excellent oral and written communication.
• Highly organized thinking, writing, and presenting so that key points are delivered powerfully and clearly.
• Ability to work in a team environment.
• Related experience in claim services preferred

#LIEM3

• Assists in facilitating light duty accommodations and assisting employees in transitioning to full duty and provides alternative work solutions if unable to return to light or full duty.
• Assists and coordinates bona fide job offers with the employer and examiner to ensure compliance with all State rules and regulations.
• Serves on the Cross-Functional Team that supports clients who have purchased the Return to Work service. Under the direction of the Account Executive, facilitates review meetings with clients to ensure customer success. Works with Account Executives, Clients and Claims Operations team to resolve service problems, answer questions, and act as a liaison with internal functional representatives and troubleshoots, following up with all parties for resolution.
• Facilitates the implementation of the RTW service model by setting up data management and client visibility tools.
• Reviews claim data with clients using various reports and tools to articulate, administer, and manage processes for updating claims across systems.
• Collaborates with technical operations to maintain and update the business requirements for enhancing the tools leveraged in the RTW service model.
• Supports sales initiatives for RTW and OSHA Recordkeeping by providing input to marketing materials as well as engaging in sales conversations.