Specialist Case Manager
vor 2 Monaten
Job Description: Are you ready to be part of something truly innovative?
At DXC, we are thrilled to announce the launch of our new self-insurance business operation, and we are looking for talented individuals to join our growing team.
This is a unique opportunity to help shape the future of our operations, as we build a customer-focused service team from the ground up.
At DXC, we value collaboration, innovation, and diversity.
By joining us, you'll have the chance to contribute to projects that matter while growing your career in a dynamic and supportive environment.
If you're ready to take the next step and make a real impact, we invite you to apply and help us build something amazing together
The Workers Compensation Self-Insurance Specialist Case Manager is responsible for overseeing and managing complex claims.
This role involves coordinating with various stakeholders, including injured employees, medical providers, and legal representatives, to ensure effective case management and compliance with applicable laws and policies.
The specialist will focus on a variety of claims, including impairment benefits, common law claims, complex claims, and mental injury claims.
Key Responsibilities Claims Management: Oversee the lifecycle of workers' compensation claims, from initial reporting to resolution.
Ensure timely and accurate processing of claims and documentation.Specialist Claims Handling:Impairment Benefits: Assess and manage claims related to permanent impairment, ensuring accurate evaluations and appropriate benefit calculations.Common Law Claims: Navigate and manage common law claims, including third-party liability issues and any related litigation.Complex Claims: Handle complex claims involving multiple injuries, extensive medical treatment, or significant legal challenges.
Develop tailored strategies for resolution.Mental Injury Claims: Address claims related to mental health injuries, ensuring comprehensive assessments and appropriate treatment plans are in place.Assessment and Analysis: Evaluate the severity of claims and determine necessary actions, including medical treatment, rehabilitation, and return-to-work programs.
Analyse trends in claims data to identify areas for improvement.Compliance: Ensure compliance with state and federal workers' compensation regulations and self-insurance requirements.
Stay updated on legislative changes affecting self-insured programs.Stakeholder Communication: Act as a liaison between injured employees, employers, medical providers, and legal counsel.
Facilitate clear communication and address concerns related to claims.Case Review and Strategy: Conduct regular case reviews to assess progress and develop strategies for resolution.
Recommend appropriate interventions, including vocational rehabilitation and settlement options.Reporting and Documentation: Maintain accurate records of claims activities and prepare reports for internal and external stakeholders.
Document all communications and decisions related to claims.Training and Education: Provide training and support to staff and management on complex claims management policies and procedures.Qualifications Education: Bachelor's degree in allied health or a related field desirable.Experience: Minimum of 3-5 years of experience in workers' compensation claims management, with a focus on complex claims management.Knowledge: Strong understanding of workers' compensation laws, regulations, and best practices.
Familiarity with self-insured programs, particularly in impairment benefits, common law, complex cases, and mental injury claims.Skills: Excellent communication, analytical, and organisational skills.
Ability to manage multiple cases simultaneously and work collaboratively with diverse teams.Technical Proficiency: Proficient in Microsoft Office Suite. #J-18808-Ljbffr
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