Return To Work Associate

PRIMARY PURPOSE: To perform return-to-work assessment under general supervision; to coordinate return-to-work related activities including gathering medical information for accommodation evaluation; to resolve workers compensation cases; to provide customer support; and to support return-to-work/accommodation staff.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Performs initial evaluations assessment via telephone calls to physician and employer.
• Evaluates need for alternative return-to-work plan and coordinates return-to-work related activities.
• Supports return-to-work and/or job accommodation processes for return-to-work management.
• Supports return-to-work/job accommodation staff through the completion of components of the return-to-work management process.
• Provides return-to-work support for injured workers physicians employers and claims teams.
• Gathers return-to-work data from providers nurses and return-to-work specialists for record keeping.
• Resolves workers compensation cases by applying current policies and procedures per state workers compensation laws and client program design.
• Enters data into the claims management system accurately.
• Adheres to quality assurance standards.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organizations quality program(s).

QUALIFICATIONS

Education & Licensing

High school diploma or GED required.

Experience

One (1) year claims management experience or equivalent combination of education and experience required. Return-to-work experience preferred.

Skills & Knowledge

• Excellent oral and written communication including presentation skills
• PC literate including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate consideration will be given to reasonable accommodations.

Mental:Clear and conceptual thinking ability; excellent judgment troubleshooting problem solving analysis and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:Computer keyboarding travel as required

Auditory/Visual:Hearing vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions duties or local variances. Management retains the discretion to add or to change the duties of the position at any time.