ANALYST WORKERS COMPENSATION (RISK MANAGEMENT)
hace 4 días
Atlanta
POSITION SUMMARY The Workers' Compensation Analyst supports the administration and continuous improvement of the district's workers' compensation program, with secondary support for unemployment claims administration. Under the direction of the Manager, Workers' Compensation & Unemployment, the role is responsible for analyzing claims activity, coordinating claim documentation, monitoring compliance, supporting return-to-work efforts, and helping ensure timely, accurate, and consistent resolution of claims. This position serves as a key liaison among employees, supervisors, payroll, medical providers, third-party administrators, and legal or regulatory partners to reduce risk, control costs, and improve employee support and program effectiveness. MIMIMUM QUALIFICATIONS EDUCATION: • Bachelor's degree in human resources, business administration, public administration, risk management, finance, or a related field preferred, • Additional years of equivalent professional experience may be considered in lieu of the degree requirement CERTIFICATION/LICENSE: • PHR, SHRM-CP, workers' compensation claims, or related professional certification preferred WORK EXPERIENCE: • Three to five years of progressively responsible experience in workers' compensation, claims administration, risk management, human resources, benefits, leave administration, or a closely related function required., • Experience analyzing claims activity, coordinating case documentation, supporting hearings or audits, preparing reports, and communicating with internal and external stakeholders required, • Experience in K–12 education or public sector preferred KNOWLEDGE, SKILLS & ABILITIES • Knowledge of workers' compensation claims processes, unemployment administration, leave coordination principles, and general risk management practices, • Knowledge of applicable federal, state, and local laws, regulations, reporting requirements, and recordkeeping expectations related to claims administration and workplace injuries, • Skill in reviewing documentation, analyzing claim trends, identifying discrepancies, and preparing clear reports, summaries, and recommendations, • Skill in maintaining accurate records, managing multiple deadlines, and coordinating follow-up with internal departments and external partners, • Ability to communicate clearly and professionally with employees, supervisors, medical providers, legal representatives, administrators, and outside agencies, • Ability to interpret policy, explain procedural requirements, and provide customer-focused guidance in sensitive or complex situations, • Ability to exercise sound judgment, maintain confidentiality, and handle sensitive employee information with discretion and professionalism, • Administers and monitors workers' compensation claims from initial report through closure, ensuring claim files, incident documentation, wage information, and related records are complete, timely, and accurate, • Reviews first reports of injury, medical documentation, claim correspondence, and related case materials to identify issues, escalate concerns, and support timely claim handling and resolution., • Serves as a liaison among employees, supervisors, payroll, benefits, third-party administrators, medical providers, attorneys, and regulatory agencies regarding claim status, documentation, return-to-work matters, and program requirements, • Tracks lost-time claims, restricted duty assignments, return-to-work activity, settlements, trends, and program costs; prepares reports, dashboards, and recommendations for leadership review, • Assists with the administration of unemployment claims, hearings, documentation requests, and related follow-up, while maintaining primary focus on workers' compensation analysis and program support, • Audits claims files, payments, coding, and administrative practices to help ensure compliance with district procedures, applicable laws and regulations, and internal controls, • Coordinates modified duty and return-to-work processes by working with departments and supervisors to identify transitional assignments and support timely employee reintegration when appropriate, • Prepares case summaries, supporting documentation, and response materials for audits, hearings, mediations, legal review, and leadership briefings as assigned, • Identifies claim trends, root causes, and operational risk factors; recommends process improvements, training needs, and corrective actions to strengthen compliance, reduce claim frequency, and improve service delivery, • Provides guidance to administrators and employees regarding workers' compensation procedures, reporting expectations, required documentation, and available support resources, • Maintains confidential records and case information in applicable systems; ensures data integrity and prepares materials needed for audits, hearings, litigation support, or leadership briefings, • Supports development of employee and supervisor training, communication tools, and reference materials related to injury reporting, claim management, safety awareness, and program compliance, • Required to have prompt, regular attendance in person and be available to work on-site during regular business hours and as needed., • Performs other duties as assigned by the appropriate administrator or their representative. PHYSICAL ABILITIES AND WORKING CONDITIONS The physical abilities, working conditions and other conditions of employment listed in this document are representative of, but are not intended to provide an exhaustive list of the requirements for positions in this classification. In the event of an emergency or situation requiring guidance from Federal, State, or local or school district authorities, the requirements of this position may change temporarily or for the school year to best serve the needs of our students. Vision: Ability to read small print and view a computer screen for prolonged periods. Hearing: Ability to tolerate exposure to noisy conditions Speech: Ability to be understood in face-to-face communications, to speak with a level of proficiency and volume to be understood over a telephone or computer. Upper Body Mobility: Ability to use hands to grasp and manipulate small objects; manipulate fingers, twist and bend at wrist and elbow; extend arms to reach outward and upward; use hands and arms to lift objects; turn, raise, and lower head. Strength: Ability to lift, push, pull and/or carry objects which weigh as much as 15 or more pounds on a frequent basis. Environmental Requirements: Ability to encounter constant work interruptions; work cooperatively with others; work independently; work indoors. Mental Requirements: Ability to read, write, understand, interpret and apply information at a moderately complex level essential for successful job performance; math skills at a high school proficiency level; judgement and the ability to process information quickly; learn quickly and follow verbal procedures and standards; give verbal instruction; rank tasks in order of importance; copy, compare, compile and coordinate information and records. Understand how to manage stress Additional Work Conditions & Physical Abilities: Will require travel to multiple sites. The Atlanta Public School System does not discriminate on the basis of race, color, religion, sex, citizenship, ethnic or national origin, age, disability, medical status, military status, veteran status, marital status, sexual orientation, gender identity or expression, genetic information, ancestry, or any legally protected status in any of its employment practices, educational programs, services or activities. Reasonable accommodations may be made to enable individuals with disabilities to perform essential duties. This job description is intended to accurately reflect the duties, responsibilities and requirements of the position. It is not intended to be and should not be construed as an all-inclusive list of all the responsibilities, skills, or working conditions associated with the position. Management and administration reserves the right to modify, add, or remove duties and assign other duties as necessary. COMPENSATION: Salary Grade: 129 Salary Range: Salary Schedules - Atlanta Public Schools Work Year: 252 days (Annual)
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