Senior Return To Work Specialist

The salary range for this job posting is $60,236.00 - $107,944.00 annually + bonus + benefits

The above represents the salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors. Your recruiter can share more information about the specific salary range during the hiring process.

The salary range for this job posting for candidates who reside in Pennsylvania is $65,152 - $116,752 annually + bonus + benefits The above represents the salary range for this job requisition in PA. Ultimately, in determining your pay, we'll consider your location, education, experience, and other job-related factors. Your recruiter can share more information about the specific salary range during the hiring process.

While we prefer candidates that reside in Pennsylvania, we will consider those who reside anywhere in our listed payroll states. We may hire a non-senior level for this role and the pay range is inclusive of both the non senior and senior level. This role will work remote from home and report to a Director, Workers' Compensation Claims.

An active certification by one of the following national recognized professional organizations is a requirement for this role:  ABVE, CRC,CDMS, CCM.   

Are you a Referral?

If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our Talent Acquisition Team.

Unique residence requirements are listed in each job posting, please review closely for details.

Encova is only able to employ associates who reside and work within specific U.S. states. Our current policies are based on the laws in states in which we are registered for payroll. Our current footprint includes:

Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.

JOB OBJECTIVE:
The Senior Return to Work Specialist supports the efforts of the team to seek opportunities for early intervention to identify early return to work opportunities and deployment of field case managers to assist the adjuster achieve the most cost effective and positive outcome from work-related injuries. 

ESSENTIAL FUNCTIONS:  
1.    Collaborates with the Business Director in building the relationship with the policy holder by working and educating the policy holder on rehabilitation and safety matters.
2.    Provides guidance and direction to other team members in relation to resolution of issues and problem solving.
3.    Collaborates with the RTW Technical Coordinator in reviewing, development and implementation of best practices as needs arise.
4.    Works with the Business Director and the RTW TC in coordination, evaluation and providing of staff training needs.
5.    Acts as a go to technical resource to provide mentoring and leadership for fellow colleagues.
6.    Assist the RTW TC in verifying outside vendors are adhering to rules and remaining compliant. 
7.    Assists and supports the business group leader through the facilitation of claims team meetings and staffing as requested.
8.    Provides case management direction to outside field case managers including medical, RTW, physical restoration, vocational testing, job search, and retraining.
9.    Keeps apprised of emerging trends, such as legal decisions, penalties, settlements, DOLI injuries, in workers’ compensation. 
10.    Performs claims analysis and identifies trend factors on known high value incidents as requested and provides the information to the Business Teams. 
11.    Assists in the coordination of all aspects of disability management by ensuring an effective and efficient workflow of all disability management procedures and projects for the Business Groups as assigned. 
12.    Coordinates the disability management of all complex cases to facilitate a prompt, effective resolution. 
13.    Remains current with and adheres to best claim practices for return to work methodology
14.    Introduces new techniques and ideas to the Business Group to streamline procedures and produce cost savings through increased understanding of effective disability management.
15.    Provides claims adjuster support and follow-up to achieve successful return to work through individual or