Workers Compensation Claims Manager

PeaceHealth is seeking a Workers Compensation Claims Manager. This remote role requires the incumbent work & reside in OR, WA or Alaska by date of hire.

Facilitates the workers' compensation claims process for PeaceHealth. Responsibilities include working closely with caregivers, management, insurance carriers/Third Party Administrator (TPA), caregiver health and departmental staff to manage workers' compensation claim services.

• Facilitates and coordinates the workers’ compensation claims management process across PeaceHealth.
• Works with caregivers during the claims process to coordinate the claim, o return the caregiver to their job. Reviews and facilitates temporary modified work, monitors ongoing needs and approvals through insurer/TPA.
• Works with Caregiver Health & Safety, Human Resources and other key stakeholders to facilitate fact finding investigations of workers’ compensation claims and other associated issues.
• Works with insurance carriers/TPAs to proactively coordinate workers’ compensation claims in the most medically beneficial and cost-effective manner.
• Works with insurer/TPA on any litigation related to claims.
• Provides guidance and education on work related injuries / illnesses to PeaceHealth caregivers. Partners with managers/supervisors in coordinating their employee’s workers’ compensation claims and provides training as needed. Serves as subject matter expert regarding jurisdictional workers’ compensation laws (including litigation) and OSHA regulations
• Analyzes loss runs to identify trends and exposures and provides recommendations for process improvements; development of strategic plans for improved program outcomes and cost containment.
• Updates the workers’ compensation claims database as appropriate to maintain regulatory compliance.
• Reviews all OSHA 300 and 300A logs for accuracy and completion of OSHA BLS survey.
• Performs other duties as assigned.

• College Coursework in a related field, or equivalent combination of education and experience.
• Bachelor's Degree preferred.
• Minimum of 3 years Workers’ compensation claims management experience, preferably in a health care setting.
• Workers Comp Claims Exam Certification.
• Certified Disability Management Specialist preferred.

• Proficient expertise in MS Office programs (Excel, Word, PowerPoint) and knowledge of workers’ compensation database preferred.
• Knowledge of workers’ compensation insurance laws and legal terminology.
• Good written and verbal skills.

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.
• Predominantly operates in an office environment.
• Some time spent on site in medical/hospital setting.
• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

The salary range for this job opening at PeaceHealth is $77,584 – $116,313 annually. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility .

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.

Salary : $77,584 - $116,313