Workers Compensation Analyst

Hourly Pay Range:

$32.60 - $48.90 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Workers Compensation Analyst

Position Highlights:

• Position: Workers Compensation Analyst

• Location: Evanston, IL

• Full Time/Part Time: Full Time

• Hours: Monday-Friday, 8:00am-4:30pm

• Required Travel: travel to other Endeavor Health locations may be required

What you will do:

Workers Compensation Program Coordination

• Monitors and tracks employee incident reports, reviews workers’ compensation claims, and codes timecards for team members on workers’ compensation.

• Aids in an investigation to determine the accuracy of the claim, verifies conditions and relevant contributing factors, and other details with potential for litigation.

• Coordinates the transitional duty program in collaboration with department managers.

• Monitors lost time claims and update leave information with the Leave and Absence Team Codes timecards for the individuals on workers’ compensation.

• Participates in claim meetings and periodic claim review sessions with Third Party Administrator(s). 

• Aids in an investigation to determine the accuracy of the claim, verifies conditions and relevant contributing factors, and other details with potential for litigation. 

Workers Compensation Data, Reports, and Analytics

• Reviews all Employee Incident Reports (EIRs) and workers’ compensation-related information for completeness or anomalies. 

• Reaches out to team members for clarification on missing/inaccurate information, when needed.

• Reviews, monitors, and audits internal medical charges (EPIC) work queues for appropriate billing; takes action on incorrect charges in relation to Workers Compensation Program. Reviews all reports of occupational and/or non-occupational injuries and illnesses and clarifies diagnoses and work restrictions as necessary from Employee Health and/or TPA, as appropriate to designated program.

• Analyzes and evaluates claim reports, medical data, invoices, and other data to assess reliability and accuracy of information provided.  Responsible for completing OSHA reporting requirements within specified timeframe, this includes notification to OSHA for severe injuries, all recordkeeping requirements (OSHA Form 300, 300A, and 301), electronic submission of records, and annual posting requirements.

Documentation and Compliance

• Maintains accurate, detailed reports and records. Documents all case activity accurately and timely within the case management system (Team Member Health System) in accordance with internal policies and state regulations. Develops and maintains a tracking system to enable compliance with OSHA record-keeping, reporting, and annual filing requirements. 

• Tracks and categorizes incidences of employee injuries and illnesses.

• Meets regularly with the Employee Health team, to review and analyze employee injury cases.

• Reviews controls to ensure established procedures and policies are maintained and in compliance with regulations and laws.

Teamwork and Collaboration

• Builds relationships with team members and leaders across Endeavor Health in support of organizational and team objectives.

• Responds thoroughly and promptly to customer needs and actively manages customer/peer relationships.

• Participates in regulatory processes, surveys, and inspections, as needed.

• Creates and builds positive relationships both internally and externally and effectively communicates with Executive Leadership, Operational Management, team members, vendors and contractors.  

• Participates in quality improvement projects, as requested

• Acts as a liaison to HR Business Partners/Employee Relations providing all needed employee injury record documentation and/or claim information.  

What you will need:

• Education: Bachelor degree in related field and/or comparable experience

• Certification: n/a

• Experience: 3 years’ experience with workers’ compensation, claims management, safety management and/or comparable experience.

• Unique or Preferred Skills:

  • Excellent critical thinking and judgment

  • Flexible/adaptable – ability to work well with ambiguity

  • Customer Service orientation

  • Proficient MS Word, Excel, and Powerpoint

  • Knowledge of workers compensation laws/regulations and claim management practices