Worker’s Compensation & Risk Management Specialist

Location US-NY-East Syracuse
Street
281 Sanders Creek Parkway
Job Type
Full-Time
Zip
13057
# of Openings Remaining
1
Travel
0%

Position Summary

Aspen Dental Management, Inc. (ADMI) is the nation’s premier dental services organization. We provide expert business and administrative support to the fastest growing, branded network of dental practices in the country. We recognize that our success is a direct result of empowering and supporting ambitious dental professionals; together we build and develop successful, patient focused dental practices. As a reflection of our current needs and planned growth we are very pleased to offer an opportunity to join our team as a Workers Compensation & Risk Management Specialist.

 

The Workers Compensation & Risk Management Specialist (“Specialist”) will manage the administration of claims for employee incidents for multiple companies located in multiple states. This will include managing the service of insurance carriers (“Carrier”), vendor partners, and any other service providers related to the managing of claims. This position will also support in the areas of Loss Control and Safety Training.

 

Under the general direction of the Manager, Compliance & Risk Management, the Specialist is responsible for mitigating Worker’s Compensation risk and claims by formulating, developing, and coordinating all claim-related activities. The Specialist will be responsible for ensuring compliance across ADMI and supported practices.

Responsibilities

  • Act as a liaison within the company and with customers
  • Facilitates worker’s compensation claim activities and develops strategies to optimize claim management procedures to drive better claim outcomes.
  • Works closely with the Manager, Owners, and Company Management to develop and implement programs to address negative trends identified through the review of reports.
  • Review and manage all incident reports for employee and patient incidents from initial report through conclusion/closure.
  • Determine need to report claims to Carrier for handling.
  • Communicate directly with employees in a professional and courteous manner while explaining the claim process.
  • Coordinates return to work program working closely with HR business leads, medical providers, management, and third parties to enhance participation.
  • Provide direction and management to third parties to facilitate resolving all claims quickly and cost effectively.
  • Ensures proper and efficient handling of claims; gathering of claims data and information.
  • Facilitates claim reviews with third parties.
  • Attends claim related meetings.
  • Maintain internal claim files.
  • Compiles, reviews, and analyzes reports to identify trends.
  • Understands and communicates claims management philosophy and strategy.
  • Be available to Dentists, Specialists, Doctors and Clinical Affiliates for consultation and advisement on matters involving malpractice insurance.
  • Collaborate and support the Credentialing Department by supplying liability certificates for general dentistry and specialists timely.  
  • Analyze tail insurance payroll deduction opportunities and remain up to date on state payroll deduction regulations.
  • Communicate effectively with Payroll on the collection of tail insurance premiums from paychecks when permissible.
  • Develop and issue tail invoices, and collect payments from dentists and specialists.
  • Gather performance information, produce reports, and make recommendations on changes to systems, processes and malpractice insurance workflows.
  • Monitor dentist’s payroll deduction form completion rates. Follow-up when appropriate.
  • Support Specialists with the payment of insurance premiums and update/collect insurance certificate renewals.
  • Manage the small claims process for Urgent Care providers/entities. 
  • Report all applicable Urgent Care events and claims to the insurance carrier(s).
  • Create and maintain data in information systems or databases.
  • Builds, maintains, and manages relationships with third parties, insurance carriers, outside legal counsel and other claims related parties.
  • Provide support in assessing areas to address relative to Safety Training and Loss Control.
  • Assist in safety training and provide input on safety issues/concerns
  • Supports risk projects and initiatives.
  • Promotes loss prevention strategies.

Minimum Education and Experience

Qualifications:

  • College degree preferred or greater than two years of claims experience.
  • Minimum 2 years of experience as a claims analyst, administrator or similar function.
  • Must demonstrate ability to effectively lead a multi-state program involving employees who are not on-site at the same location.
  • Customer service experience.
  • Ability to investigate and direct the claims management process.
  • Proficiency with Microsoft Office.
  • Proficiency with Risk Management Information Systems (RMIS).
  • Must possess strong organizational skills.
  • Must possess strong communication skills, both written and verbal.
  • History of implementing programs to positively impact claim costs a plus.

 

Skills and Competencies:

  • Displays technical and professional expertise in claims management and loss prevention
  • Ability to adapt to changing priorities
  • Communicates effectively and collaborates
  • Takes initiative, solves problems, analyzes issues and drives for results
  • Displays honesty and integrity
  • Ability to maintain confidentiality
  • Ability to read and interpret regulatory rules and regulations
  • Strong presentation skills
  • Time management skills

 

 

 

About Aspen Dental Management, Inc.

Aspen Dental-branded practices are supported by ADMI, a dental support organization that provides non-clinical business support to licensed, independent dentists.

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