Senior Workers Compensation Claim Coordinator

Insperity provides the most comprehensive suite of scalable HR solutions available in the marketplace with an optimal blend of premium HR service and technology. With more than 90 locations throughout the U.S., Insperity is currently making a difference for thousands of businesses and communities nationwide.

Behind our success is the unshakeable belief in the value of our people. We value diversity, inclusivity and a sense of belonging. We celebrate work and life events, and we partner with our clients and communities to make great things happen.

We have received recognition numerous times as a top place to work, most recently ranking on Glassdoor’s “Best Places to Work in the U.S. 2024” list, and U.S. News & World Report’s “Best Companies to Work for 2024” list. In addition, we have been recognized for having one of the country’s Top 50 Midsize Early Talent Programs by RippleMatch’s 2024 Campus Forward Awards. There is no better time to be a part of Insperity, and our best work is yet to come. Learn more at Insperity.com.

Why Insperity?

Flexibility: Over 80% of Insperity’s jobs have flexibility. We want your time to have balance, whether it’s spent with coworkers, clients, family or your community.

Career Growth: Insperity provides many ways to grow with the company. We offer continuous learning programs, mentorship opportunities and ongoing training.

Well-Being: Our total rewards package includes generous paid time off, top-tier medical, dental and vision benefits, health & wellness support, paid volunteer hours and much more. We take care of our people so that you can do your best work.

Senior Workers Compensation Claim Coordinator

 

Provides support to the Workers' Compensation Claims Department. Key functions of this position include administrative support, customer service, interdepartmental communications, vendor support and data integrity.

Responsibilities:

• Processes First Report of Injury (FROI) workers’ compensation claims.

• Completes wage statements and wage runs for indemnity workers' compensation claims.

• Sends Leave of Absence Request Forms to the authorized client representative listed in AIMS for employees that meet the serious health condition criteria as outlined in FMLA.

• Monitors and documents work status changes of injured workers and communicates these changes to the Leave & Disability Group, HR, Payroll, and the Contact Center.

• Answers general workers' compensation inquiries, assists with technical claims questions, answers questions related to health benefits and Flexible Spending Accounts from internal constituents and external customers.

• Retrieves voicemails from the Team Line and responds to inquiries or forwards to appropriate personnel.

• Completes supplemental State forms.

• Indexes and distributes incoming faxes, mail and prepares outgoing mail including, but not limited to, Third Party Administrator (TPA).

• Ensures that returned SRS reporting instructions and Physician Panel documents are mailed to the client’s correct address.

• Forwards OSHA requests via OSHA Letter to designated client contact.

• Ensures State-specific Employer requirements are met such as providing State supplemental reports, bona fide job duty letters and wage information to the TPA.

• Assists in the resolution of claim issues/problems.

• Assists, as assigned, with the coordination of Return to Work (RTW) efforts between client, TPA and Managed Care Organization (MCO), education of clients on RTW program benefits and encouragement of participation, involvement in RTW team meetings and maintenance of client bank of transitional job descriptions.

• Confers with the applicable Field Services Operations personnel on an employee’s qualifications to perform the essential functions of a transitional job, bona fide job offers and personnel actions.

• Monitors indemnity claims for appropriate plan of action, resolution, pursuit of subrogation recovery, and enters well-documented evidence in Insperity notes.

• Assists the WC group with other projects and duties, as assigned.

• Acts as back up for designated personnel.

 

Qualifications:

• High School Diploma is required.

• Two to three years of experience in the insurance industry is required.

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At Insperity, we celebrate the diversity of our employees and our leadership. Insperity is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.