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Workers Compensation / Unemployment Compensation Specialist

Company: St. Lukes University Health Network
Location: Bethlehem
Posted on: December 4, 2019

Job Description:

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Workers Compensation/UE Specialist is responsible for working with injured employees, managers and care teams to facilitate a fast and safe return to work, whether back to the employees original position or in a modified duty position. Reports claims and updates to the TPA for proper claims handling in accordance with applicable laws. Completes and maintains all OSHA documentation for the network as required for year-end reporting. JOB DUTIES AND RESPONSIBILITIES: - Manages the Workers Compensation Program according to established criteria and assures that a case management approach is established for all workers compensation claims. - Maintains ongoing communication with TPA and reviews all claims as need with claims personnel. - Works closely with treating providers to assure that a plan of care is established with realistic goals and target dates for return to work emphasizing an early return to work and an aggressive use of light duty. - Works closely with the Workers Compensation Manager to ensure that legal counsel is brought in when appropriate and assists counsel on any litigated claims. May attend WC hearings as needed. - Maintains close communication with the injured employee, manager, medical providers and TPA. - Works closely with Human Resources Directors at all entities, Managers, Supervisors and Clinical Coordinators to facilitate and address opportunities for modified duty return to work. - Completes and submits all Unemployment Claims, network-wide, to ensure timely and proper filing of documents to the state. - Advises Manager and entity HR Directors of upcoming hearings and/or required phone interviews as requested by the state. PHYSICAL AND SENSORY REQUIREMENTS: Requires sitting for up to eight hours per day, one to two hours at a time. Standing for up to one to two hours per day. Must have the ability to hear as it relates to normal conversation, seeing as it relates to general, peripheral and near vision, visual monotony. EDUCATION: Associates Degree preferred or related work experience, minimum of 2 years. TRAINING AND EXPERIENCE: A minimum of 1-2 years of Pennsylvania Workers Compensation experience with direct adjudication, supervision, and administration of workers compensation claims with an insurance company, TPA or self-insured company. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

Keywords: St. Lukes University Health Network, Bethlehem , Workers Compensation / Unemployment Compensation Specialist, Other , Bethlehem, Pennsylvania

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