Advantage Sales & Marketing LLC dba Advantage Solutions

Workers Compensation Administrator

US-CA-Anaheim
Position Type
Full Time
Requisition ID
2017-133830
Category
Professional: (IT, Finance, Legal, HR, Talent Acquisition, Administrative, Customer Service)

Summary

Workers Compensation Administrator

 

Advantage Solutions is looking for a candidate with experience in full cycle workers compensation administration.  You are well organized, detail-oriented and able to handle a fast paced work environment.  You will bring experience working in a high volume department with the ability to be responsible for a large region across North America.

 

Responsibilities:

  • Serves as the central point of contact regarding workers compensation claims for the company and any or all subsidiaries.
  • Provides intake and claim reporting information and services telephonically, via email or web interface as appropriate and as needed for workers compensation claims.
  • Assists in coordinating medical treatment protocols for all newly reported workers compensation claims.
  • Coordinates leave information for workers compensation claims from intake thru closure, and transition from one leave type to another, including concurrent and/or simultaneous programs.
  • Produces written documents, such as letters, memos, and reports, in order to send and receive information regarding claim status, leaves of absence under the Family Medical Leave Act, and any other relevant state or federal leave laws, including the Americans with Disabilities Act.
  • Produces end-user reports to clients with various frequency & formats
  • Works with Benefits Team to update and maintain procedures relating to administration, compliance and audit requirements; associate handbook and other program-related documents.

Qualifications:

  • 2-4 years of experience in workers’ compensation claims management
  • Working knowledge of  HIPPA, FMLA, state leave laws, state workers’ compensation laws, statutes, liabilities, and procedures; industrial safety concepts; claims management practices; practices and procedures of claim evaluation, including claim investigation and claim settlement techniques; and medical, insurance, and legal terminology related to the cause and treatment of occupational injuries and illnesses.
  • Quality assurance and analysis proficiency to ensure compliance with federal and state regulations. 
  • Strong computer skills including proficiency with Microsoft Word, Excel, PowerPoint, Access, Outlook, and web-browsers
  • Ability to complete multiple duties with accuracy shifting from one to another with frequent interruptions and competing deadline
  • Excellent customer service orientation
  • Ability to work independently and prioritize duties with minimal supervision, in order to meet deadlines
  • Good written communication and verbal communication skills
  • Analytical and research Skills
  • Good interpersonal skills
  • Flexible and adaptable, able to change and alter according to changes in projects or business environment
  • Basic medical terminology and Bi-lingual speaking skills a plus

Advantage Sales and Marketing, LLC dba Advantage Solutions is one of North America’s leading sales and marketing agencies specializing in outsourced sales, merchandising, category management and marketing services to manufacturers, suppliers and producers of food products and consumer packaged goods. Advantage Solutions services a variety of trade channels including grocery, mass merchandise, specialty, convenience, drug, dollar, club, hardware, consumer electronics and home centers. We bridge the gap between manufacturers and retailers, providing consumers access to the best products available in the marketplace today.

 

Advantage Sales and Marketing, LLC dba Advantage Solutions is proud to be an Equal Opportunity Employer.

Responsibilities

Advantage Sales and Marketing, LLC (ASM) is one of North America’s leading sales and marketing agencies specializing in outsourced sales, merchandising, category management and marketing services to manufacturers, suppliers and producers of food products and consumer packaged goods. ASM services a variety of trade channels including grocery, mass merchandise, specialty, convenience, drug, dollar, club, hardware, consumer electronics and home centers. We bridge the gap between manufacturers and retailers, providing consumers access to the best products available in the marketplace today.

 

Position Summary     

                                              

The Workers’ Comp Administrator is responsible for coordinating the medical management of workers’ compensation cases, reviewing incident investigations, acquiring return-to-work documentation, coordinating modified-duty strategies, and assisting in conducting routine evaluations of the workers’ compensation management program from intake thru closure.

 

This role also provides leave administration and or leave coordination services, under the Family & Medical Leave Act of 1993, state leave laws, and employer authorized leave policies inclusive of workers compensation and the Americans with Disabilities Act. 

 

Essential Job Duties and Responsibilities

  • Serves as the central point of contact regarding workers compensation claims for the company and any or all subsidiaries.
  • Provides intake and claim reporting information and services telephonically, via email or web interface as appropriate and as needed for workers compensation claims.
  • Assists in coordinating medical treatment protocols for all newly reported workers compensation claims.
  • Prepares necessary wage statements and wage verification forms.
  • Monitors, produces, and sends state regulatory information and notices.
  • Assists in preparation of reports assessing financial impact of program administration.
  • Maintains effective communication with associates, third party carrier and or carrier representatives, managers, supervisors, and safety coordinator.
  • Comprehends and makes inferences from written material letters and reports from doctors in order to make determinations regarding ability to return to work.
  • Coordinates leave information for workers compensation claims from intake thru closure, and transition from one leave type to another, including concurrent and/or simultaneous programs.
  • Produces written documents, such as letters, memos, and reports, in order to send and receive information regarding claim status, leaves of absence under the Family Medical Leave Act, and any other relevant state or federal leave laws, including the Americans with Disabilities Act.
  • Create and maintain electronic and physical records and tracking information using Microsoft office applications, HRIS applications, and other vendor systems ensuring accuracy and completeness of all records.
  • Creates and Maintains electronic OSHA 300 and 300A records ensuring accuracy and completeness for all reporting and work locations.
  • Ensures confidentiality of associate records is fully maintained and that all medical and family leave standards and protocols are followed under legal, regulatory and company policy.
  • Produces end-user reports to clients with various frequency & formats
  • Works with Benefits Team to update and maintain procedures relating to administration, compliance and audit requirements; associate handbook and other program-related documents.
  • Monitors satisfaction with Workers’ Comp, Leave and Disability Administration via periodic customer surveys and recommends needed changes.
  • Participates in special projects and cross functional teams as required.
  • Safety: must have the ability to perform the job safely by demonstrating full awareness of his/her surroundings.  Will utilize proper safety techniques and equipment use when necessary.  Will be proactive in alerting Management of any unsafe act or condition to prevent injuries.

Supervisory Responsibilities

 

Direct Reports

 

This position does not have supervisory responsibilities for direct reports

 

Indirect Reports

 

This position does not have guidance or mentoring responsibilities for indirect reports

 

Travel and/or Driving Requirements

 

Travel is not an essential duty and function of this job. Driving is an essential duty or function of this job. 

 

Minimum Qualifications

 

Education Level: (Required) Bachelor's Degree or equivalent experience

   

Field of Study/Area of Experience

  • 2-4 years of experience in workers’ compensation claims management
  • Working knowledge of  HIPPA, FMLA, state leave laws, state workers’ compensation laws, statutes, liabilities, and procedures; industrial safety concepts; claims management practices; practices and procedures of claim evaluation, including claim investigation and claim settlement techniques; and medical, insurance, and legal terminology related to the cause and treatment of occupational injuries and illnesses.
  • Quality assurance and analysis proficiency to ensure compliance with federal and state regulations. 

Skills, Knowledge and Abilities

  • Strong computer skills including proficiency with Microsoft Word, Excel, PowerPoint, Access, Outlook, and web-browsers
  • Well-organized, detail-oriented, and able to handle a fast-paced work environment
  • Ability to complete multiple duties with accuracy shifting from one to another with frequent interruptions and competing deadline
  • Excellent customer service orientation
  • Strong prioritization skills
  • Ability to work independently and prioritize duties with minimal supervision, in order to meet deadlines
  • Good written communication and verbal communication skills
  • Analytical and research Skills
  • Good interpersonal skills
  • Flexible and adaptable, able to change and alter according to changes in projects or business environment
  • Basic medical terminology and Bi-lingual speaking skills a plus

Environmental & Physical Requirements

 

Office / Sedentary Requirements

 

Incumbent must be able to perform the essential functions of the job.  Work is performed primarily in an office environment. Typically requires the ability to sit for extended periods of time (66%+ each day), ability to hear the telephone, ability to enter data on a computer and may also require the ability to lift up to 10 pounds.  A detailed Environmental and Physical Requirements document is available in the Total Rewards department. 

 

Additional Information Regarding ASM Job Duties and Job Descriptions

 

Job duties include additional responsibilities as assigned by one’s supervisor or other manager related to the position/department. This job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position. ASM reserves the right at any time with or without notice to alter or change job responsibilities, reassign or transfer job position or assign additional job responsibilities, subject to applicable law.  ASM shall provide reasonable accommodations of known disabilities to enable a qualified applicant or employee to apply for employment, perform the essential functions of the job, or enjoy the benefits and privileges of employment as required by the law.

 

Any estimate, schedule, or guideline provided to associates in this job description or elsewhere in connection with their jobs is only intended to help describe job duties and for planning purposes.  Regardless of any such estimate, schedule, or guideline, associates must always record all time worked for our company (which includes but is not limited to on-site work time in an assigned store, office, or other work location; required waiting time; administrative time; and work-related travel time).

Important Information

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

                                    

Are you passionate about Service Excellence, Results, Integrity, Entrepreneurial Focus and Leadership: These are our values at Advantage Sales & Marketing LLC. Come learn why “Winning Together” is more than just words on a piece of paper. It is the vision by which we live our mission as an organization: "To create outstanding value for clients and customers through superior sales execution, operational excellence and innovative marketing services."

 

Advantage Sales & Marketing LLC is committed to providing equal opportunity in all employment practices without regard to age, race, color, national origin, sex, sexual orientation, religion, physical or mental disability, or any other category protected by law. As part of this commitment, ASM shall provide reasonable accommodations of known disabilities to enable an applicant or employee to apply for employment, perform the essential functions of the job, or enjoy the benefits and privileges of employment as required by the law.

 

Advantage Solutions will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.  All of our positions require the satisfactory completion of a background check. Please be aware that acknowledging or having criminal convictions does not constitute an automatic bar to employment.  Factors including, but not limited to age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.

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