Workers’ Compensation Consultant - System Wide

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. This is a REMOTE (work from home) position. Candidate can live anywhere within the continental US but must be open to working eastern time zone hours. Summary of Primary Function/General Purpose of Position The Workers’ Compensation Specialist/Consultant main objective is to Support the Manager, Workers’ Compensation in overseeing the multi-jurisdictional self-insured and insured workers’ compensation programs, ensuring TPA service level performance, state and regulatory compliance. OSHA record-keeping, OSHA log set-up and maintenance, OSHA 300A management, OSHA Serious Event Reporting. Essential Job Functions Daily oversight and interaction with TPA for SI program including ensuring service level performance; timely payment; recommending appropriate reserving to Manager, Workers’ Compensation; staffing cases for defense and strategy to drive early RTW and cost containment. Oversight and interaction with TPA and defense counsel for litigation management. Participate in quarterly TPA claim reviews for appropriate reserves and claims strategy. Complete state SI renewal applications, Excess Insurance renewal applications and other state required forms. Complete workers’ compensation insurance renewal applications and prepare payroll audits for insured program. Oversight of OSHA record keeping including Serious Event Reporting, OSHA log set up and all aspects of OSHA 300A’s. Complete annual surveys as required by Bureau of Labor Statistics. Recommend to Manager claims for settlement authority, investigation, Field Case Management, reserve changes. Monitor subrogation and excess insurance recoveries. Obtains and maintains robust working knowledge in multi-jurisdictional workers’ compensation regulations, claims administration practices, risk management information systems, ADA, FMLA, Kronos, Workday, Microsoft Excel and PowerPoint, BSMH policies and procedures. Effective interaction and communication with internal and external customers, to include associates, managers, vendors, HR and benefits team, legal, payroll, finance, etc. Initiative and ability to think innovatively to increase efficiency of processes. Collaborate with Employee Health and LOA teams for RTW/investigation, identify trends, investigation high frequency/severity claims for prevention. Employment Qualifications Required Minimum Education: 4 year/ Bachelors Degree Specialty/Major: Human Resources, Finance, Healthcare, Business Minimum Years and Type of Experience: 3-5 years of prior experience with workers’ compensation claims administration Other Knowledge, Skills and Abilities Required: Works Independently, takes initiative and innovative work practices. Microsoft Excel, PowerPoint, working knowledge FMLA/ADA Other Knowledge, Skills and Abilities Preferred: Workday, Kronos, Risk Management Information Systems, multi-jurisdictional workers’ compensation claims administration Many of our opportunities reward* your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Employer contributions to retirement savings plan when eligible Paid time off Educational Assistance And much more *Benefits offerings vary according to employment status All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com