Glidewell

Workers Compensation Risk Analyst

Glidewell • $79K — $100K *
Irvine, CA 92620In-Person
Finance & Insurance
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Bachelor's degree in relevant field is a plus.
  • Minimum 7 years' experience in workers' compensation claims and litigation process.
  • Experience with disability management, Interactive Process, and LOAs.
  • Proficiency in operating within large deductible programs.
  • Strong understanding of workers' compensation regulations and compliance.

Responsibilities

  • Oversee the full life cycle of workers' compensation claims.
  • Enforce workers' compensation programs according to company policies.
  • Collaborate with HR teams on cases involving employee relations and grievances.
  • Advocate for employees to resolve issues with their claims.
  • Conduct employer-level investigations to gather case-related information.
  • Manage interactions with injured employees regarding treatment and progress.
  • Participate in claims review meetings with TPA and legal counsel.

Benefits

  • Ongoing professional development opportunities.
  • Access to a range of health and wellness programs.
  • Support for training and compliance with safety standards.
  • Engagement in risk management and safety committees.
  • Participation in industry group meetings for knowledge growth.
Full Job Description
Description

Position at Glidewell Dental

Essential Functions:
  • Oversees the full life cycle of workers' compensation claim and develops strategies to handle specific cases in consultation with the appropriate parties.
  • Enforces workers' compensation programs in alignment with department and company policies and procedures.
  • Partners with other Human Resources teams on overlapping matters related individual cases involving LOA's, employee relations, grievances, and performance management concerns with a goal of employee satisfaction and reducing our liability for litigation.
  • Oversees workers compensation processes for medical treatments, benefits, and advocates for employees in resolving concerns and issues regarding their workers compensation claims.
  • Interacts with employees while maintaining high level of customer service through follow up on work statuses and satisfaction of medical treatment, and their progress in modified duties; maintains dialogue with employees for up-to-date medical documentation and advocacy when needed to limit or avoid litigation, resulting in cost containment.
  • Conducts employer level investigations to obtain critical information from witnesses, incident facts and evidence including company camera surveillance that help with the decision-making process of case facts and compensability
  • Conducts return to work and interactive processes with injured employees, oversees outside disability management vendor on litigated cases.
  • Completes and submits reportable injuries/illness and findings to third party administrator (TPA); relaying proposed actions to TPA for further handling.
  • Partners with and supports TPA, legal counsel and injured workers on all open claims as necessary to ensure proper claim resolution.
  • Diaries all open claims through resolution and maintains ongoing dialogue and provides direction on proceedings with legal, claims team and physicians to ensure best case outcomes at resolution.
  • Attends Workers' Compensation Appeal Board hearings, trials and depositions to represent the Company as necessary; provides pertinent case information to Defense Counsel as necessary.
  • Responds to subpoenas, prepares case summaries for litigated claims, and partners with Defense Counsel and TPA to ensure clear understanding of case details and company disposition.
  • Participates in quarterly claims review with TPA and legal counsel to discuss case updates and legal strategy towards cost effective and timely case resolution
  • Identifies potential risk exposures and analyzes injury claims for potential risk trends to develop short and long-term resolution in partnership with appropriate parties to support mitigation of injuries and claims.
  • Partners with Environmental Health & Safety (EHS) and Health and Wellness (H&W) to evaluate employee worksites and identify potential work injury job hazards including indication of safety, ergonomics, or additional risk trends. Discusses causes and concerns with EHS, H&W, and management to begin the correction and elimination of risk concerns.
  • Participates in monthly risk management meetings with EHS and H&W to discuss identified risk and injury patterns and feasible action plan.
  • Conducts up-to-date Workers' Compensation training to new hires, current employees, and newly promoted members of leadership.
  • Provides recommendations and implements improvements in injured worker and supervisor training.
  • Partners with EHS on safety concerns identified and suspected from the employer level investigation, for assessment and correction. Supports EHS dept. with accident investigation and safety related assignments
  • Helps with first aid treatment and First Responder assistance in emergency situations and for workers compensation related incidents.
  • Supports all offsite locations with workplace injuries, training, protocols and provides annual regulatory insurance posting notices.
  • Creates and maintains monthly injury and incident reports for management and HR Teams.
  • Oversees compliance with internal policies, procedures, and workers compensation regulations; documents and maintains individual claim files and OSHA logs as required by Cal-OSHA.
  • Attend and participate in professional group meetings; stay abreast of trends and innovations in the field of workers' compensation administration and keep current on legislative and regulatory issues at the State and Federal level.
  • Performs other related duties and projects as business needs require at direction of management.


Education and Experience:
  • Bachelor's degree in relevant field, a plus.
  • Minimum Seven (7) years' experience with worker's compensation claims, system litigation process and exposure to large deductible programs; experience with disability management, Interactive Process and LOA's.

Special Requirements/Certification:
  • Workers' Compensation Claims Administration (WCCA) certification, a plus.

Pay Range: $79,610-$100,000/yr

About Glidewell

Glidewell is a privately owned dental technology company that provides dental products, services, and education to dental professionals. The company is based in Newport Beach, California and has additional locations in Irvine, California; Louisville, Kentucky; and Dallas, Texas. Glidewell is known for its innovative dental products and services, including BruxZir Solid Zirconia, the most prescribed brand of full-contour zirconia in North America.
Learn more about Glidewell
Size
6,000 employees
Industry
Healthcare
Founded
1970
* Ladders Estimates

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