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Workers Compensation Specialist

Employer
Washington Metropolitan Area Transit Authority
Location
Washington D.C
Closing date
Oct 5, 2022

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Industry
Delivery and Transportation
Function
Other
Hours
Full Time
Career Level
Experienced (Non-Manager)
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Job Details

Minimum Qualifications:

Education
  • Bachelor's degree from an accredited college or university

Experience
  • A minimum of five (5) years' experience specific to workers' compensation claims adjusting

Certification/Licensure
  • N/A

Preferred
  • WC Claims, Broker and/or Underwriting experience preferred
  • Associate in Claims (AIC)

ESSENTIAL FUNCTIONS
  • Manages Worker's Compensation (WC) "Return to Duty" process, coordinating with operations, payroll, Third Party Administration (TPA), and other departments. Assists Manager, Workers' Compensation in oversite of the WC TPA to ensure compliance with Workers' Compensation Claims Manual (WCCM) and WC Policy Instruction (P/I).
  • Develops and conducts regular training as directed by Manager, Workers Compensation with respects to WCCM, (including but not limited to WC claim reporting procedures, WC P/I, new WC rules/laws and WC fraud recognition and prevention) to ensure and improve effectiveness and efficiency of WC claims programs.
  • Liaison for litigated WC claim activity between WMATA litigators (Counsel) and WMATA TPA to improve coordination of claim activities through ongoing communications and timely exchange of information.
  • Provides a channel into WMATA internal departments (including but not limited to OHAW, Operations, HR, Payroll) to assist TPA claim adjusters in accessing internal information that is necessary to adjust claims.
  • Assist with internal processing of invoices, recovery of checks/drafts, procurement activities, obtaining wage information, PARP requests, and other activities associated with the management of WMATA WC programs as directed by Manager, Workers Compensation.
  • Analyzes WC claims for unsafe conditions and/or means to improve safety in WMATA work environment.
  • Assists with the management of data in WMATA's Risk Management Information Systems RMIS system (Origami) and TPA claims system(s) to ensure accuracy of data and assist in the management/coordination of data between the two systems, WMATA RMIS and TPA claims systems.
  • Represent WMATA as an expert witness in litigated claims.
  • Assist Manager, Workers' Compensation in conducting audit of WC TPA to ensure compliance with WCCM, WC P/I and TPA contract. Analyze WC claims for unsafe conditions and/or means to improve safety in WMATA work environment.
  • Works with WMATA Workforce Availability (Light Duty) to maximize participation of eligible employees in WMATA's Light Duty program.
  • Act as resource for answering questions about Workers' Compensation and WMATA's WC claim programs.

Medical Group:

Satisfactorily complete the medical examination for this position, if required. The incumbent must be able to perform the essential functions of this position either with or without reasonable accommodations.

Job Summary/Duties:

The Workers' Compensation Specialist is responsible for assisting in the management and administration of WMATA's Workers' Compensation claims programs.

Evaluation Criteria

Consideration will be given to applicants whose resumes demonstrate the required education and experience. Applicants should include all relevant education and work experience.

Evaluation criteria may include one or more of the following:
  • Skills and/or behavioral assessment
  • Personal interview
  • Verification of education and experience (including certifications and licenses)
  • Criminal Background Check (a criminal conviction is not an automatic bar to employment)
  • Medical examination including a drug and alcohol screening (for safety sensitive positions)
  • Review of a current motor vehicle report

Closing

WMATA is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable federal law.

This posting is an announcement of a vacant position under recruitment. It is not intended to replace the official job description. Job descriptions are available upon confirmation of an interview.

Company

The Washington Metropolitan Area Transit Authority operates the second largest rail transit system and the fifth largest bus network in the United States. Safe, clean and reliable, "America's Transit System" transports more than a third of the federal government to work and millions of tourists to the landmarks in the Nation's Capital.

Metro has earned a worldwide reputation for security and architectural beauty. WMATA is clearly the employer of choice for over 10,000 area residents. The Authority was created in 1967 by an interstate compact to plan, develop, build, finance and operate a balanced regional transportation system in the National Capital area. Construction of the Metrorail system began in 1969. Four area bus systems were acquired in 1973. The first phase of Metrorail began operation in 1976. The final leg of the original 103-mile rail network was completed in early 2001. Metrorail now operates 83 stations. One line extension and three new stations are now under construction.

Metrorail and Metrobus serve a population of 3.4 million within a 1,500-square-mile area. The transit zone consists of the District of Columbia, the suburban Maryland counties of Montgomery and Prince George's and the Northern Virginia counties of Arlington, Fairfax and Loudoun and the cities of Alexandria, Fairfax and Falls Church. Overall, about 40 percent of the region's residents commute to work on Metro.

Metro and the federal government are partners in transportation. Half of the 83 Metrorail stations serve federal facilities and 36 percent of the local federal workforce uses Metro. We are committed to being an integral part of the Washington metropolitan area by ensuring the best in safe, reliable, cost-effective and responsive transit services, by promoting regional mobility and by contributing toward the social, economic and environmental well-being of our community. Employees are Metro.; We are committed to providing a working environment that fosters a high standard of performance, recognition for contributions and innovations, mutual respect and a healthy quality of life.

We are committed to developing ourselves through technology, training and education. We recognize our diversity as a source of strength that enables us to attain individual and Authority goals. In addition to competitive salaries, Metro employees enjoy a number of attractive benefits. These benefits include paid time off in the form of vacations, holidays and sick leave; medical, dental, life insurances as well as long term disability. Retirement is planned for through a defined contribution plan and a deferred compensation plan. Alternative work schedules, teleworking and free transportation on Metrorail and Metrobus make for an great benefits package for WMATA employees.Jump to our website to apply online for current openings and save the link for future vacancies as they occur.http://content.wmata.com/jobs/employment_opportunities.cfm

 

 

Company info
Website
Location
600 Fifth St. NW
 Washington
DC
20001
US
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