Workers Compensation Specialist- 901 (901)

Overview

HES is a premier national provider of facilities management services focused 100% on educational institutions. Headquartered in Knoxville, Tennessee, HES builds best-in-class programs for custodial, maintenance, grounds, and landscaping services. With hundreds of years of combined facilities experience, the HES leadership team is comprised of results-oriented, hands-on executives and facilities experts who give school facilities their full attention. Whether for a grounds and landscaping program, custodial services, or maintenance solutions, HES will change the way you look at facilities management.

Founded in 1972, HES has a proven track record of working successfully and exclusively in the educational environment, maintaining a singular focus on facilities management, undistracted by competing priorities. HES has earned the trust of over 150 education partners across 29 states. We employ 13,000 dedicated team members and maintain more than 200 million square feet daily.

Job Skills / Requirements

Essential Functions:

This job description should not be interpreted as all inclusive. It is intended to identify the essential functions and requirements of the position. Other job-related responsibilities and tasks may be assigned. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions.

•  Provide claims advocacy and support for injured employees.
• Developing strategies for cost-effective claim resolution, including negotiating settlements and coordinating subrogation efforts.
• Oversee and manage outside counsel, TPA adjusters, and other claims related vendors.
• Assist with litigation by coordinating with Risk Director, outside counsel, and claims adjusters.
• Provide consistent and frequent status updates to internal stakeholders throughout the life of assigned claims.
• Participate in claims review and compile monthly/quarterly status reports on all assigned claims.
• Conduct ongoing litigation reviews, recommending strategies for optimal or early resolution.
• Support decisions related to reserves, settlement, return to work, subrogation, and nurse case management.
• Collaborate with Director of Risk Management to conduct research and remain actively aware of industry best practices.
• Support Safety, Operations, and other internal stakeholders as required of position.
• Work on special projects and perform miscellaneous duties as required of position.

Minimum Qualifications:

The requirements listed below are representative of the minimal education, experience, knowledge, skills, and/or abilities required for this position.

Education:

• Bachelor’s Degree

Certifications: N/A

Experience:  

• 2 years of multi state workers’ compensation experience with insurance carrier, third party administrator, corporate.

Skills:    

• Strong analytical skills related to investigations, claims strategies and claims reviews.
• Proactive problem-solver.
• Strong time management skills.
• ?Excellent written and verbal communications skills; ability to manage complex situations.
• ?Strong attention to details, including regular follow-up on action items.
• Knowledge of medical terminology, medical treatment protocols, and legal proceedings.
•  Intermediate technology skills related to Excel, queries, and TPA claim systems (i.e., Luminous).

Travel

• Less than 10%

Preferred Qualifications:

• Bi-lingual in Spanish
• Human resources, OSHA, and/or Safety experience

Physical and Working Conditions

The physical requirements described here are representative of those that must be met by an employee to successfully perform the duties of this job.  Reasonable accommodation may be made to enable individuals to perform the essential functions of this job.   

The work environment characteristics described here are representative of those an employee encounters while performing the essential job functions of this job.  Usual office working conditions: noise level in the work area is typical of most office environments with telephones, personal interruptions, and background noises. While performing the duties of this position, the employee is frequently required to walk, stand, bend, kneel, stoop, communicate, reach, and manipulate objects. Duties involve moving materials weighing up to 10 pounds on a regular basis such as files, books, office equipment, etc., and may infrequently require moving materials weighing up to 40 pounds.  Manual dexterity and coordination are required while operating equipment such as computer keyboard, calculator, and standard office equipment.  Specific vision abilities required by the job include close vision and the ability to adjust focus.

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Education Requirements (All)

Bachelor's Degree Preferred

Additional Information / Benefits

Optional daily pay 

Benefits: Medical Insurance, Life Insurance, Dental Insurance, Vision Insurance, Paid Vacation, Paid Sick Days, Paid Holidays, 401K/403b Plan, Special Incentive Plans