Healthcare Services Group (HCSG) is seeking a Workers’ Compensation Claims Specialist to join our growing Corporate Team.
Role | Workers’ Compensation Claims Specialist |
Department | Risk Management — Workers' Compensation Group |
Reporting Line | Reports directly to the WC Claim Manager |
Primary Goal | Protect organizational integrity through effective risk mitigation & claims liaison |
What We Do & Why It Matters
Our Risk Management team keeps Healthcare Services Group (HCSG) strong, steady, and trusted. We tackle risks head-on, plan ahead for what’s coming, and build solid relationships across the company. We focus on practical, cost-effective solutions that respect everyone involved while staying true to our values.
Key Responsibilities
As a Workers' Compensation Claims Specialist, you will support the department by serving as a key operational liaison between HCSG and external claims organizations, including Workers' Compensation Carriers and Third-Party Administrators (TPAs).
- Claims Organization Liaison: Operating as a primary link between HCSG and external claims vendors (WC Carriers and TPAs) to ensure timely, effective claims handling.
- Incident Review & Outcome Optimization: Reviewing workplace incidents and internal/external reporting to drive optimal loss and expense outcomes.
- Tracking & Compliance: Maintaining incident tracking systems for thorough follow-up while ensuring full compliance with HCSG's incident reporting policies.
- Medical Case Management: Managing and coordinating HCSG's medical case management vendor, designating vendor involvement at the initial reporting stage.
- Claims Oversight: Providing workers' compensation oversight for non-litigated cases within an assigned territory and facilitating appropriate claim closures.
- Worker Outreach & Return-to-Work: Managing the injured worker outreach program and ensuring Field Operations adhere to HCSG's Return-to-Work policies and procedures.
- Structured Progress: Every team member is expected to set stretch goals to expand their capabilities. Goal progress is reviewed monthly to promote ongoing growth and provide transparent, predictable performance evaluations.
Candidate Profile & Qualifications
- Core Attributes: Dependable, proactive, highly attentive to detail, and capable of working independently with minimal supervision.
- Communication: Exceptional verbal and written communication skills paired with a consistent professional demeanor.
- Technical Proficiency: Technical proficiency in Microsoft Office applications and Gmail.
Team Culture & Environment
- Supportive & Realistic: Risk Management is a 12-person department with a focused 7-member Workers' Compensation team. The team sets high standards and takes its work seriously, while remaining supportive, realistic, and approachable.
- Balanced Social Atmosphere: The team enjoys a friendly, sociable culture—hosting events like potlucks, team lunches, and seasonal cookie swaps throughout the year—while fully respecting individual boundaries and personal comfort levels.
QUALIFICATIONS:
- Mininum 4 years experience in a administrative or customer care support role. Previous Workers Compensation experience a plus.
- Technical proficiency (MS Office and Gmail) required
- Dependable, proactive, attentive to detail, and able to work independently with minimal supervision
- Exceptional communication skills and professional demeanor, Spanish speaking a plus