Sr. Workers Compensation Specialist

Job Summary

Responsible for managing activities associated with workers’ compensation claims made against Medline Industries and its subsidiaries, including but not limited to employee inquiries, vendor management, vendor selection, broker coordination and management inquires. Responsible in assisting proactive program areas such as EHS to actively reduce risk and deliver safety program objectives.

Job Description

Responsibilities:

• Manage the overall relationship among various workers’ compensation service vendors, brokers and Medline to ensure proper handling of all work-related injuries that are compensable under various workers’ compensation jurisdictions. Responsible for cost-effective handling of all claims for a region of corporate locations.

• Make recommendations on workers’ compensation program improvements, settlements, denials, and vendor/policy changes.

• Provide advice and counsel regarding claims management, claim compensability and/or settlement strategies with Medline, TPAs, nurse case managers and defense attorneys.

• Ensure accurate and timely reporting of all workers’ compensation claims by all employees and management to the appropriate vendor or state agency. Ensures return-to-work capabilities are considered and occur within Medline's policies and practices.

• Responsible for managing return-to-work program across a region to site-specific resources.

• Manage outside service providers (TPAs, investigators, lawyers, medical providers) to ensure resolution with outstanding bills, documentation gathering and information sharing.

• Develop and coordinate training curriculum to management on injury reporting, investigations, drug testing and alcohol screening.

• Ensure compliance with all related company policies and practices.

• Investigate additional information that is needed for new claims appearing on the weekly claim report.

• Follow-up items include communicating with the involved parties to gather missing or additional documentation either through phone calls, emails or both. Identify trends and need for additional training across regional locations. Ensure appropriate medical care is provided for those that require it, as well as monitoring vendors to make sure they are actively managing Medline's claims. Manage catastrophic claims and proactively directing nurse case management services.

• Escalate problem claims, violation of company policies to EHS team members &/or senior management for follow-thru and correction.

• Track claim costs and overall company costs of claims against annual team goals.

• Research regional/national offerings (contracts/pricing) for vendors which include program implementation and post-evaluation.

• Mentor and coach to Workers’ Compensation Specialist team members as needed.

• Manage the ergonomic job assessment process across all locations including training, usage of assessment tools (Humantech, force gauge, etc.) and prioritizing project focus.

• Work with division resources to implement identified job performance changes or work-site improvements.

Qualifications:

• Bachelor’s Degree in a business-related field.

• At least 4 years of Workers Compensation claim experience.

• General knowledge about workers’ compensation laws and specific state laws is essential.

• Ability to utilize basic math skills to analyze claims cost, reserves and settlements.

• Experience with Microsoft Office suite for Word, Excel, Outlook (e-mail), third-party claims management systems.

• Excellent verbal and written communication skills.

• Position requires travel up to 15% of the time for business purposes (within state and out of state).

Preferred Qualifications:

Bilingual (Spanish).

Medline Industries, LP, and its subsidiaries, offer a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization.

The anticipated salary range for this position:

$86,840.00 - $125,840.00 Annual

This salary range is an estimate and the actual salary will vary based on applicant’s location, education, experience, skills, and abilities. This role is bonus and/or incentive eligible. Medline will not pay less than the applicable minimum wage or salary threshold.

Our benefit package includes health insurance, life and disability, 401(k) contributions, paid time off, etc., for employees working 30 or more hours per week on average. For a more comprehensive list of our benefits please click here. For roles where employees work less than 30 hours per week, benefits include 401(k) contributions as well as access to the Employee Assistance Program, Employee Resource Groups and the Employee Service Corp.

Every day, we’re focused on building a more diverse and inclusive company, one that recognizes, values and respects the differences we all bring to the workplace. From doing what’s right to delivering business results, together, we’re better. Explore our Diversity, Equity and Inclusion page here.

Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic.

Apply