Workers Compensation Analyst

About the Role: The Claims Specialist will assist the Director of Workers Compensation in overseeing the managing the operational excellence of the Workers’ Compensation Program. The Claims Specialist will play a critical role in ensuring quality claim file management. This will be completed by working with internal and external partners to drive performance.Proactively manage the day-to-day interface and expectations with the TPA and Transdev business partners. Provide technical direction on claim decisions and resolution in partnership with our external Third-Party Administrator (TPA) partner within the assigned authority level.

The Claims Specialist will be expected to act as a subject matter expert and exhibit thought leadership to assist in enhancing collaboration with business partners across Transdev.

Annual Salary Range: $70,000-$87,000

Benefits may vary depending on location policy. The below represents the standard Corporate Policy.

• Vacation:minimum of two (2) weeks

-Sick days: 5 days

• Holidays: 12 days; 8 standard and 4 floating
• Other standard benefits: 401(k) retirement plan, medical, dental and vision, life insurance, short-term disability, voluntary long-term disability.

Principal Duties and Responsibilities

• Claims Quality Assurance (QA)
• Responsible for ensuring claims are handled in accordance with established guidelines and service instructions.
• Ensures timely completion of file reviews
• Identify claim handling trends by applying industry knowledge of the claims process, policies & procedures
• Meet regularly with Director of Claims to provide QA results and recommendations for opportunities for improvement.
• Claims Technical Oversight
• Manage claims to reduce costs and improve outcomes
• Direct Third-Party Administrator (TPA) and assign and direct defense attorneys on litigated matters.
• Authorize reserve and settlements
• Claims Customer Service
• Serve as a point of contact for our locations to provide general claim guidance and help set claim process expectations.
• Participate in interactions with TPA adjusters and claims partners to drive optimized claims outcomes and top-notch claims experience.
• Work to continuously improve our claims operations and look at opportunities and gaps in claim service, handling SOPs, protocols, and processes.

Requirements

• High School Diploma or equivalent is required.
• Bachelor's Degree or equivalent experience with some college coursework is preferred.
• Minimum of 2-years workers’ compensation claims experience is required.
• Strong communication (written and verbal) skills, to deliver more complex information effectively.
• Strong problem-solving skills to be able to manage complex tasks and work through to solutions with little guidance and direction.
• Demonstrated knowledge and experience in claim adjudication, medical management, and litigation management.
• Ability to use skills to overcome conflict and reach beneficial outcomes.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Transdev complies with federal and state disability laws and makes reasonable accommodations for applicants and candidates with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, please contact us.HR.TalentAcquisition@transdev.com

Drug-free workplace:

Transdev maintains a drug-free workplace. Applicants must:

• Be eligible to work in the United States without requiring sponsorship now or in the future (if based in the U.S.).
• Successfully pass a pre-employment drug screen.

About Transdev: Cities, counties, airports, companies, and universities across the U.S. contract with Transdev to operate their transportation systems, maintain their vehicle and fleets, and deliver on mobility solutions. Transdev U.S. employs a team of 32,000 across 400 locations while maintaining more than 17,000 vehicles.

Part of a global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team members from around the world. As an operator and global integrator of mobility, we are driven by our purpose. Transdev – the mobility company – empowers the freedom to move every day thanks to safe, reliable, and innovative solutions that serve the common good. Find out more at www.TransdevNA.com or watch an overview video at https://youtu.be/ilO5cv0G4mQ

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.

Transdev is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, national origin, age, disability, veteran status, genetic data, gender identity, sexual orientation, religion or other legally protected status.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.

California applicants: PleaseClick Herefor CA Employee Privacy Policy.

Job Category: Professionals

Job Type: Full Time

Work Type: Hybrid Remote

Req ID: 8715

Pay Group: NF2

Cost Center: 801

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.

Transdev is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, national origin, age, disability, veteran status, genetic data, gender identity, sexual orientation, religion or other legally protected status, or any other classification protected by federal, state, or local law.

Drug-free workplace

If based in the United States, applicants must be eligible to work in U.S. without restrictions for any employer at any time; be able to pass a drug screen and background check.

California applicants: Please Click Here for CA Employee Privacy Policy.

About Transdev

Cities, counties, airports, companies, and universities across the U.S. contract with Transdev to operate their transportation systems, maintain their vehicle and fleets, and deliver on mobility solutions. Transdev U.S. employs a team of 32,000 across 400 locations while maintaining more than 17,000 vehicles.

Part of a global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team members from around the world. As an operator and global integrator of mobility, we are driven by our purpose. Transdev – the mobility company – empowers the freedom to move every day thank to safe, reliable, and innovative solutions that serve the common good. Find out more at http://www.TransdevNA.com or watch an overview video.

Salary : $70,000 - $87,000