Icon hamburger
US
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply Now
Thumsup

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.
Default2

Workers Compensation Specialist - Spanish Speaking Preferred

Smithfield Foods Vernon Full-Time
Apply Now
Your Opportunity

The Workers Compensation Specialist is responsible for overseeing the medical clinic staff and for managing all Workers’ Compensation claims utilizing the Smithfield Workers’ Compensation Claims Management Program.  The WC Specialist (WCS) is required to act as an advocate and claims specialist providing initial and on-going advocacy of claims including detailed analysis, ensuring thorough investigation. In addition, the WCS coordinates all return to work efforts, helps coordinate transitional duty job offers, maintains the location’s Transitional Duty Job Task Bank, coordinates and leads roundtable discussions of open claims, attends claims review meetings, and maintains general oversight of the claim to ensure the TPA is effectively moving the claim toward resolution.

The candidate must possess a desire to develop technical knowledge of standard concepts, practices, procedures, laws and regulations within Workers Compensation and related services. They review, recommend and assist adjusters in investigation strategies.

Core Responsibilities

Workers’ Compensation:  

  • Reports all new claims to TPA via Claim Intake platform, either entering the claims directly or working with in-house clinic to complete this task.
  • Meets with all injured employees on new claims to explain the WC process, present them with the WC Packet, Health Access Card and First Fill card
  • For new claims, works within California law to direct the initial medical care
  • Work closely with TPA adjuster on every claim to make sure adjuster has clear knowledge and understanding of all facts of each claim
  • Participates in claim reviews, and hearings, as appropriate. Reviews workers’ compensation costs and monitor claims to help reduce workers’ compensation costs. 
  • Serves as liaison with insurance TPA, health provider and company.
  • Completes the entire California Self-insured Reporting process for all California locations

Claims Management: 

  • Responsible for monitoring and oversight of patient care including doctors’ visits, therapy sessions and return to work.  
  • Facilitates the entire temporary transitional duty process in keeping with Smithfield guidelines, recognizing and pursuing alternative transitional duty assignments whenever possible, working closely with TPA to coordinate these efforts.
  • Develops and coordinates return to work plans including job assessments. Works closely with local HR department, so they maintain compliance with the Americans with Disability Act (ADA) and Family Medical Leave Act (FMLA).
  • Reviews medical reports and works collaboratively with adjuster to evaluate employee’s work restrictions; ability to return to work and or need for reasonable accommodation on short and long-term basis.
  • Meets with employees face to face to discuss temporary or permanent work restrictions to assist them in returning to work in safe and durable manner.

Safety:

  • Initiates incident investigation report, secure employee and witness statements and send to TPA

Administrative documentation/organization: 

  • Ensures supervisory personnel are aware of employee restrictions due to work related injury or illness.  Ensures employees are working within those restrictions.  Keeps organized Workers’ Compensation file for each claim.

Act as communication liaison between the various departments:

  • Communicate to upper management on a weekly basis status of all open claims. Open communication with Human Resources on denied claims and lost time claims.

Training: 

  • Participate in new employee orientation to ensure employees are aware of proper work-related reporting procedures. Ensure management team has clear understanding of the Return to Work portion of the program. Assist with annual Workers’ Compensation supervisory training.

The above statements are intended to describe the general nature of work being performed. They are not intended to be an exhaustive list of all required responsibilities, duties, and skills. May perform other duties as assigned.

Qualifications

The requirements listed below are representative of the knowledge, skills, and/or ability required.  Reasonable accommodations may be made to enable individuals to perform the essential functions. 

  • Bachelor’s Degree and 5+ years related experience in Workers Compensation claim management; or equivalent combination of education and experience are required.
  • Expert level knowledge of California Workers’ Compensation laws. Have working knowledge of OSHA, ADA, FMLA and HIPPA regulations. 
  • Possession of a certificate in Workers’ Compensation from an institution recognized by the California Department of Insurance or the Insurance Education Association is highly desired.
  • Self-Insurance Professional Certification Preferred
  • Must be able to collaborate with other functional areas such as Human Resources, Safety and the Management/supervisory team.
  • Bilingual, English-Spanish, preferred.
  • Ability to work well with others in fast paced, dynamic environment.
  • Ability to be respectful, approachable and team oriented while building strong working relationships and a positive work environment.
Work Environment & Physical Demands

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • The majority of the time is spent in an office setting outside of the production plant.  The plant environment will include wet or humid conditions (non-weather related), extreme cold and heat (non-weather related), working near moving mechanical parts, exposure to fumes or airborne particles, and chemicals.
  • Noise level in the work environment is usually moderate but can be loud when in the production area.
EEO/AA Information

Smithfield, is an equal opportunity employer committed to workplace diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, gender identity, protected veterans status or status as a disabled individual or any other protected group status or non-job related characteristic as directed by law.

Careers and Benefits

To learn more about Smithfield’s benefits, visit smithfieldfoods.com/careerbenefits

 

Skills required

Accounting
Finance
Auditing
Analysis
Reports
Microsoft Excel
Apply to this job.
Think you're the perfect candidate?
Apply Now

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

Job ID: 2019-11388

CAREERBUILDER TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.

Smithfield Foods is a $15 billion global food and leading consumer packaged meats company.

We are also the world’s largest pork processor and hog producer, committed to providing good food in a responsible way. We accomplish that by maintaining robust animal care, community involvement, employee safety, environmental, and food safety and quality programs.

Based in Smithfield, Virginia, in the United States, we are the leader in numerous packaged meats categories with popular brands including Smithfield®, Eckrich®, Nathan’s Famous®, Farmland®, Armour®, Cook’s®, John Morrell®, Gwaltney®, Kretschmar®, Margherita®, Curly’s®, Carando®, and Healthy Ones®. Smithfield Foods is committed to providing good food in a responsible way and maintains robust animal care

How We Got Started

In 1936, Joseph W. Luter and his son founded a small meat-packing company, The Smithfield Packing Company, along the tributary of the historic James River in the colonial town of Smithfield, Virginia. Over 60 years later, the “Genuine Smithfield Ham” that brought them worldwide acclaim is still born, bred and produced only in Smithfield. We now have a line of quality meats so vast, it’s helped make the parent company, Smithfield Foods, the world’s largest producer of pork products. Thanks to our heritage and commitment to flavor, Smithfield is now known as the “Ham Capital of the World.”

View the full profile