| Location | York, PA |
You belong at Day & Ross.
Workers Compensation & Leaves Specialist
Full-time - Onsite
York, PA
Under the direction of the Manager, Pension & Benefits, NA, the Workers Compensation & Leaves Specialist will perform varied administrative and specialized tasks in support of the day-to-day administration of employee benefit programs, assist with various benefit related issues in accordance with established policies and regulations, while maintaining a very high degree of confidentiality. They will be liaising directly with the Third Party Workers' Compensation Administrator (TPA) or State Workers' Compensation Agency (if applicable) to ensure timely processing of workers'' compensation claims; evaluates accident reports to determine accuracy and completeness and to ensure adequate investigation; ensure that the claim is in compliance with applicable state laws and regulations, and monitor entire claims life cycle with TPA/State. This position requires a motivated HR professional to support the team and business by fostering a working environment that promotes positive communication, empowerment, development, and support. As a key member of the HR team, you will create the same positive working relationships with our client groups.
How You'll Help
Work collaboratively with third party administrators (TPA's) to ensure reasonable responses to concerns and accuracy in the application of the policy and challenge when required.
Works with Managers and Employees to initiate workers' compensation claims with TPA.
Facilitates State-owned Workers' Compensation cases as needed in monopolistic states (North Dakota, Ohio, Washington, and Wyoming).
Liaises with TPA/State Case Agents, and Human Resources Partners to review Workers' Compensation cases and accommodations.
Evaluates accident reports, department investigation results and other documentation. Compile facts and data regarding accident reports and filed cases to support reporting to TPA/state.
Provides information and notices of return to work in accordance with local, state and federal regulations and the Workers'' Compensation Act.
Liaises with TPA/State to coordinate return-to-work programs and activities and ensures accommodations are met when applicable.
Oversee and administer leaves requests and short-term disability claims in conjunction with TPA
Maintains knowledge of all applicable leave and accommodation laws including the FMLA, ADA and state and local laws
Strong analytical skills with the ability to collect, organize and analyze information with attention to detail and accuracy.
Attends trainings and seminars, conducts research and maintains liaison relationship with TPA/State Agencies to stay in compliance with changing laws and trends.
Other duties and projects as assigned.
Your Skills & Experience:
Post-secondary education, preferably in human resources, or a combination of education and experience. Medical course work preferred.
Training in various federal and state Workers' Compensation compliance and regulatory laws
Training in DOT/OSHA compliance preferred
Registered Nurse (RN) designation or nursing background considered a strong asset.
Requires 3+ years of experience in medical claims analysis or a related field.
Working knowledge of the Workers'' Compensation Act and other applicable state/federal statutes and regulations
Working knowledge of medical terminology, body systems and/or impairments and their disabling effects
Working knowledge of office procedures and files
Ability to obtain facts that ensure that claims information is complete and accurate
Ability to balance/prioritize cases and liaise with TPA as required
Ability to evaluate time-loss claims information to estimate impact
Good judgment in interpreting medical facts presented by a physician and applying these facts in determining an individual''s capacity to engage in gainful occupation within the business
Effective communication skills
Ability to maintain satisfactory working relationships with co-workers, the general public and other agency personnel
Strong interpersonal and communication skills (both verbal and written)
Completes work with a high attention to detail and maintain a high level of confidentiality
Ability to multi-task in a fast-paced environment
Strong analytical skills with the ability to collect, organize and analyze information with attention to detail and accuracy.
English is required, other languages an asset
Independent contributor, able to work with little supervision. No direct reports.
Working Conditions:
Travel/Mobility
Environment
Physicality
Work Schedule
Safety
To apply, visit our Careers page at dayross.com.
If you're chosen for the role, you'll be asked to provide reference and criminal background checks before employment. You'll only be contacted if you're selected for an interview.
About Day & Ross
From a single truckload of potatoes in the 1950s to a fleet of thousands, Day & Ross has grown to become one of the largest transportation and logistics providers in North America. With over 7,500 team members on and off the road in the US and Canada, we offer a diversified portfolio of freight and delivery solutions, including LTL, Truckload, Residential, Dedicated Fleet Solutions, and Logistics.
We believe our people are our greatest strength. For over a decade, we've been recognized as one of Canada's Best Managed Companies. We've also been named a Top Company for Women to Work for in Transportation since 2018. Our recognition reflects the family values we share with our parent company, McCain Foods Limited.
As a federally regulated employer, Day & Ross fully supports the principles of employment equity and encourages all qualified members of the designated groups to apply. Day & Ross is committed to ensuring equal access and participation for people with disabilities and meeting their needs in a timely manner. We will do so by removing and preventing barriers to accessibility and by meeting our accessibility requirements under Accessible Canada Regulations and in alignment with our business practices, capabilities, and values.