Workers Compensation Care and Concern Advocate

The Workers Compensation Care and Concern Advocate guides injured employees through the entire workers’ compensation lifecycle with empathy, clarity and efficiency. The Advocate serves as an important employee advocate, ensuring every injured employee understands their benefits, receives timely care, and smoothly transitions back to work. The Advocate serves as a compassionate liaison between injured employees, insurance adjusters, medical providers, and internal departments.

• Initiate the first contact with injured employees (within 24 hours of a reported workplace injury) to check in on their status and wellbeing. Initiate “get well” messages from store leadership to injured employee as appropriate.
• Explain benefits, rights and procedures in a clear and caring manner. Provide an overview of the roles and responsibilities of the injured employee, the TPA, and the employee's physician if applicable.
• Verify accuracy of all submitted forms and help answer any questions the injured employee may have.
• Maintain regular check-ins with injured employees and Dept. Mgr. to monitor recovery progress, return to work, accommodation compliance and to address questions and concerns
• Assist in tracking and documenting return to work progress and helping to resolve any barriers
• Advocate for injured employees to ensure they receive timely medical care, timely RFA process, appropriate accommodations and modified duties when needed
• Assist the claims adjuster with obtaining additional information such as schedules, missed time, wage statements and personnel files.
• When claims are classified as first aid, remain in contact with the injured employees until they are discharged from care.
• Promptly escalate medical only and indemnity claims to WC Analyst and potential legal issues to supervisor.
• Identify potential claim disputes early and intervene to prevent escalation and litigation.
• Maintain communication with the TPA.
• At weekly review, present claims reported in the prior week; update status of injured employees, potential red flags and concerns regarding the reporting and/or injury.
• Answer calls and questions from injured employees and direct employees to the best resource to address their questions.
• Incident Reviews: Visit stores post-injury to meet with injured employee and Dept. Mgr, fostering root cause analysis, accountability, and preventative actions.

Range: $26-$29

Salary : $26 - $29