Workers' Compensation Specialist IIBASX, a subsidiary of AAON, is looking for a Workers' Compensation Specialist II who is responsible for supporting and administering the company's workers' compensation program in a fully insured environment. This role involves coordinating claims in partnership with insurance carriers, ensuring compliance with regulations, and providing support to both employees and management regarding workers' compensation matters. This position serves as the primary internal point of contact for all workers' compensation activity and is responsible for ensuring claims are handled effectively, employees are supported, and processes are followed in alignment with company policies and regulatory requirements. Bilingual (English/Spanish) preferred.Primary DutiesPrimary duties may include, but are not limited to:Manage the day-to-day operations of the workers' compensation program, ensuring prompt and efficient reporting and coordination of claims with insurance carriers and third-party administratorsCoordinate with medical providers, employees, and insurance carriers to facilitate a smooth claims process and timely resolutionServe as the primary liaison between the company and external partners (insurance carriers, adjusters, and medical providers) regarding claim activity and statusMaintain accurate records of all workers' compensation claims and related documentationEnsure compliance with federal, state, and local workers' compensation laws and regulations, as well as internal policiesProvide guidance and training to management and employees on workers' compensation procedures, reporting requirements, and expectationsAssist in reviewing claim activity and partnering with carriers to address issues, delays, or complex casesInvestigate and report on incidents and accidents to determine root cause and support implementation of preventive measuresWork closely with human resources and legal departments to support the handling of complex or litigated workers' compensation casesCoordinate return-to-work programs and assist in developing modified duty plans for injured employees in collaboration with management and medical providersMonitor and analyze trends in workers' compensation claims to identify areas for improvement and cost reduction opportunitiesPrepare and submit required reports to regulatory agencies as neededPerform other duties as assignedJob RequirementsEducation and Experience Requirements:Associate's degree in human resources, business administration, or related field; bachelor's degree preferred.
Minimum of 3+ years of experience in workers' compensation claims coordination or administration, preferably in a fully insured environment. Bilingual (English/Spanish) preferred.Knowledge, Skills, and Abilities:Working knowledge of workers' compensation laws and regulationsFamiliarity with claim processes, insurance carrier interactions, and legal procedures (e.g., joint petitions, interrogatories, and related documentation)Strong organizational, analytical, and communication skillsAbility to exercise sound judgment and discretion when handling sensitive or complex situationsAbility to manage multiple priorities in a high-volume environmentProficiency in Microsoft Office Suite and workers' compensation or claims management systemsAbility to handle sensitive and confidential information with discretionCertification in Workers' Compensation (e.g., CWCP) preferredEssential Mental and Physical Functions:• Ability to sit and work at a computer for extended periods.• Occasional standing, walking, and lifting up to 20 lbs.• Use of fine motor skills for typing and document handling.• Ability to concentrate and make decisions in a dynamic work environment.• Regular interaction with employees, vendors, and regulatory agencies.Work Environment:Work is primarily performed in a climate-controlled office setting and may require frequent exposure to the manufacturing production floorWill be required to wear proper personal protective equipment and follow all safety proceduresMay be called into work outside of normal work hours or work extended hours in emergency situationsAbility to sit and stand for long periods of timeAbility to lift up to 25 lbsWork may require travel, including overnight staysDisclaimer:Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. This job description is not an exhaustive list of all functions that the employee may be required to perform, and the employee may be required to perform additional functions.
The company reserves the right to revise this job description at any time. The employee must be able to perform the essential functions of the position satisfactorily. If requested, reasonable accommodations may be made to enable employees with disabilities to perform the essential functions of the job, absent undue hardship.Acknowledgement:I have read this job description (or had it read to me) and I fully understand all my job duties and responsibilities. I am able to perform the duties and responsibilities as outlined, with or without reasonable accommodation.
I understand that my job duties and responsibilities may change on a temporary or regular basis according to the needs of my location or department and if so I will be required to perform such additional duties and responsibilities. If I have any questions about job duties not specified on this description that I am asked to perform, I should discuss them with my immediate supervisor or a member of the Human Resources staff.