WORKERS COMPENSATION SPECIALIST - EL SEGUNDO, CA
Job Field: Legal Jobs
Location: El Segundo, CA
Salary: $Not stated
JOB SUMMARY:
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<tr><td valign="top" width="450"><b>GENERAL PURPOSE OF THE JOBThis position assists the Corporate Manager of Insurance with the handling and management of DaVita''s Workers'' Compensation claims and acts as a direct liaison between DaVita''s management staff, teammates, claim adjusters, and defense counsel. Position directs claims resolution activities including claims settlements of up to $50,000.ESSENTIAL DUTIES AND RESPONSIBILITIES:The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive.* Evaluate claims to determine potential exposure; make recommendations concerning the value of the claim; oversee litigation and assist in the negotiation of settlements* Escalate issues as appropriate for prompt and effective resolution* Proactively oversee the Worker''s Compensation claims management activities in assigned territory(ies) and resolve problems of varying scope and complexity in accordance with state statutes* Manage and target resolution of DaVita''s Legacy claims programs aggressively* Evaluate high exposure Workers'' Compensation claims for settlement and appropriateness of established reserves* Attend claims audits and reviews; ensure claims are postured for expedited resolution * Provide daily assistance to DaVita''s management staff, teammates, claims adjusters, insurers, and defense counsel by answering claims-related questions or concerns in the administration and management of claims, return-to-work issues, and other claims matters * Analyze claims data to identify needed loss control interventions and assist with the development of appropriate loss prevention programs as requested* Provide training and education to facilities on Workers'' Compensation processes and procedures as needed or requested* Coordinate the handling of Workers'' Compensation subpoenas in an expeditious manner* Provide reporting and analysis on key metrics related to assigned territory(ies), including analytics on projected and/or established medical provider networks* Escalate exceptions, outliers, or circumstances that are out-of-norm to Corporate Insurance Manager as they occur and seek guidance in resolutions* Participate in meetings, presentations, and special projects as determined by the Corporate Manager of Insurance* Other duties and responsibilities as assigned including but not limited to:* Attend team meetings, phone conferences, and training as needed* Know, understand, and follow teammate guidelines, employment policies, and department or company procedures* Flexible schedule and ability to travel required* Travel required: up to 25% Here is what you can expect when you join our Village: * A "community first, company second" culture based on Core Values that really matter.* Clinical outcomes consistently ranked above the national average.* Award-winning education and training across multiple career paths to help you reach your potential.* Performance-based rewards based on stellar individual and team contributions.* A comprehensive benefits package designed to enhance your health, your financial well-being and your future.* Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation. * Bachelor''s degree in related area required* Workers'' Compensation certification required; certification in multiple jurisdictions preferred including but not limited to state mandated certificates such as WCCP, IEA, WCCA, etc. * Minimum of three years'' experience managing and/or handling Workers'' Compensation claims required* Intermediate computer skills and proficiency in MS Excel, Word, PowerPoint, and Outlook required Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen."Why wait? Explore a career with DaVita today.Go to http://careers.davita.com to learn more or apply. To learn more about our Village and the world of dialysis,click here.Follow us onFacebookandLinkedInDaVita is proud to be an EEO/AA employer M
KEY REQUIREMENTS:
Not stated