What are the responsibilities and job description for the Workers' Compensation Claims Analyst position at Peoplease?
About Peoplease
Peoplease is a leading Professional Employer Organization (PEO) providing solutions to small and medium-sized businesses in the blue and gray-collar industries. We enable our clients and partners to achieve their aspirations by offering world-class service and administrative solutions in payroll, human resources, benefits, and risk management. At Peoplease, we foster a culture of inclusion and belonging, driven by our core values: Engagement, Integrity, Tenacity, Curiosity, Happiness, and a Service-obsessed mindset.
Position Summary
Peoplease is looking for a qualified Workers' Compensation Claims Analyst to join our team. The purpose of the Claims Department is to manage a caseload of complex workers’ compensation insurance claims for our client’s employees. The Workers' Compensation Claims Analyst will help the Claims Department by determining compensability, monitoring reserves, and aggressively negotiating settlement of claims. Additionally, this position is accountable for the quality of claim services as perceived by Peoplease clients and within our corporate claim standards.
An ideal candidate will have the ability to manage and execute the coordination of multiple projects within required timeframes and expectations; demonstrated excellence in communication skills; be able to inform both orally and in writing; working knowledge of Microsoft Office products. Demonstrate the ability to perform detail-oriented tasks; interact, coordinate, follow up, and effectively communicate with WC team members, regional teams, Senior Management, and Third-Party Administrators.
Candidate must be a self-starter with the ability to function as a remote employee with a Pacific Standard Time (PST) / Mountain Standard Time (MST) work schedule in a distributed work team.
Essential Duties and Responsibilities
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Manage a caseload of WC claims in multiple jurisdictions which may be outside the assigned region
Investigate and monitor claims in accordance with established claims handling procedures using company guidelines
Manage all open work comp claims for assigned multistate territories (Approx. 175-200 claims) with a mix of Med Only and indemnity/loss time
Give recommendations to carrier/TPA for ways to help lower the cost of the claims as well as getting the claim closed
Handle all litigation requests from attorneys
Review and evaluate settlement authority, reserve requests within assigned authority levels
Assess and monitor subrogation claims for resolution
Delivery of quality claim oversight to clients
Participate in QBR’s and client claim reviews
Guide and educate clients on proper claim reporting
Review medical, legal and miscellaneous file documentation to determine if reasonable and related to the ongoing claim
Liaison between the client and insurance carrier/TPA
Assist in selection and supervision of defense attorneys
Prepare reports detailing claims, payments and reserves
Prepare and participate in claims reviews
Compliance with Service Commitments as established by team
Multitask between internal RMIS Systems – Carrier/TPA/Peoplease
Performs other duties as assigned within scope of role
Minimum Qualifications (Knowledge, Skills, and Abilities)
3 years of WC claim experience and/or TPA claims oversight experience required
8am-5pm PST or MST work schedule
PEO or Staffing WC claims oversight experience a plus
Additional WC claims management experience in multiple jurisdictions a plus
Ideal candidate will have experience working as a remote employee in a distributed work team
Must be detail oriented
Must be able to meet deadlines
Proficient with Microsoft Office products
Why Join Us?
Be part of an innovative and growth-oriented company in the PEO industry.
Opportunity to drive meaningful impact and lead a high-performing team.
Competitive salary and benefits package.
Physical Demands and Work Environment
The role requires regular communication and occasional travel to support the distributed workforce. The role will primarily function indoors but may involve working in varying temperatures or outdoor environments as needed.
Salary.com Estimation for Workers' Compensation Claims Analyst in Orlando, FL
$68,366 to $85,886
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