Workers Compensation Risk Consultant

EPIC Brokers$100K — $120K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 2-5 years of experience in Risk Management or claims adjusting.
  • Experience with California Workers' Compensation claims preferred.
  • Strong administrative skills with exceptional attention to detail.
  • Excellent verbal and written communication skills.
  • Ability to adapt to changing priorities and deadlines.

Responsibilities

  • Understand client's business and recommend cost-reduction strategies.
  • Evaluate and mitigate client's risks to minimize exposure.
  • Provide consultative support on WC jurisdictional compliance.
  • Collaborate with WC claim adjusters and provide service as needed.
  • Analyze claims and ensure accurate reserve assessments.

Benefits

  • Generous Paid Time Off including managed PTO and company holidays.
  • Paid parental and pregnancy disability leave.
  • Employee referral bonus program up to $1,500.
  • Professional growth opportunities such as mentorship and tuition reimbursement.
  • Unique benefits including Pet Insurance and Identity Theft Protection.
Full Job Description
LOCATION: Remote, California

JOB OVERVIEW:

Fairly Group, a division of EPIC Insurance Brokers, specializing in risk management and insuring clients in the sports and entertainment industries.

We are seeking a detail-focused individual to join our team as a Risk Consultant. The Risk Consultant works in partnership clients to identify and reduce the cost of workers' compensation (WC) risk by influencing change within the client's organization. This position provides clients with day-to-day strategic claim oversight, guidance through complex risk management issues, and best practice process implementation to control costs and improve long-term WC program performance. This role demands extraordinary client support, careful attention to detail, precision, and intuitive interpersonal and communication skills. The Risk Consultant will prioritize superior medical treatment for the client and athlete/injured worker.

WHAT YOU WILL DO: Job duties include, but are not limited to, the following:
• Deeply understand the client's business and challenges and recommend intuitive, relevant interventions and actions aimed at cost reduction.
• Identify and provide evaluation of a client's risks and recommend action to minimize or eliminate those risks.
• Provide consultative support to the client regarding WC jurisdictional compliance.
• Work closely with WC claim adjusters or at times directly provide similar service as some clients may handle claims internally rather than through a third-party administrator.
• Conduct video/telephonic claim reviews to identify and proactively initiate actions for favorable outcomes and claim to resolution.
• Analyze reserve increase requests and ensure accuracy of exposure assessments.
• Review litigation correspondence and interface with Legal Counsel on litigation strategy and up to date jurisdictional law.
• Review medical provider billing and repricing from bill review vendors for accuracy and opportunities for price negotiation.
• Enter first reports of injury, medical bills, and notes into the electronic claim management system.
• Review incident reports with third party involvement for subrogation potential.
• Oversee third party vendor programs including Managed Care, Bill Review, Nurse Case Management, Field Case Management, Surveillance, Subrogation and Medicare Set Aside services.
• Attend in-person meetings with clients and vendors.
• Review and/or create reports, scorecards and loss-runs and complete analysis of loss data, claim reviews and communicate trends.

WHAT WE ARE LOOKING FOR:
• Obtain and maintain required State Risk Management license, such as Property & Casualty Agent, Risk Manager, or Adjuster.
• Strong administrative skills and exceptional attention to detail/accuracy.
• Professional, intuitive communication skills, both written and verbal. Ideal candidates can successfully pivot between written and verbal communication, providing detailed and accurate information in all.
• Candidates who adapt well to priority changes, deadlines, and consistently are quick to respond to/or acknowledge communications (both from internal and external sources).
• Positive and outgoing disposition, eager to work as a team while also functioning well working independently.

WHAT YOU WILL BRING:
• Minimum of 2 to 5 years of professional experience working Risk Management/claims adjusting.
• Experience working with California Workers' Compensation claims is highly preferred but not required.
• Excellent organizational, interpersonal and communication skills.
• Good problem-solving and critical thinking skills.
• Ability to work in a fast-paced environment and deliver results to meet timelines.
• Ability to be discreet and maintain the security of customer information.
• Proficient in Microsoft Office Suite, in particular Outlook, Excel, Word and PowerPoint.

Educational requirements:
• Bachelor's degree preferred but not required.

COMPENSATION:

The national average salary for this role is $100 000.00 - $120 000.00 in base pay and exclusive of any bonuses or benefits. The base pay offered will be determined based on your experience, skills, training, certifications and education, while also considering internal equity and market data.

WHY EPIC:

EPIC has over 60 offices and 4,000 employees nationwide - and we're growing! It's a great time to join the team and be a part of this growth. We offer:
  • Generous Paid Time off
    • Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days
  • Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave
  • Generous employee referral bonus program of $1,500 per hired referral
  • Employee recognition programs for demonstrating EPIC's values plus additional employee recognition awards and programs (and trips!)
  • Employee Resource Groups: Women's Coalition, EPIC Veterans Group
  • Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development
  • Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support
  • Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs
  • 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC!
  • EPIC Gives Back - Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation
  • We're in the top 10 of property/casualty agencies according to "Insurance Journal"

To learn more about EPIC, visit our Careers Page: https://www.epicbrokers.com/about/epic-careers/.

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