Career Opportunities: Employee Advocate - Wc (4666)

Role Purpose Statement

The primary objectives of the workers’ compensation advocate are:

• Ensure that this is a consistent for all injuries, and coordinates the effective flow of claims information.
• Coordinate daily claim activities to reduce the cost of each claim from day one.
• Serve as an advocate for all injured workers.
• Educate the injured workers on claims process.
• Improve the quality of workers’ compensation claim handling practices.

Main Accountabilities

• Demonstrate clear recognition of legal issues; ensure that they are elevated to the appropriate claim consultant based on the complexity of the situation.
• Serve as a sounding board for the injured worker and facilitate questions about workers compensation benefits.
• Facilitate the resolution of claims by aiding with communication between the injured worker, the adjusters and all other parties involved in the claim management process.
• Initiate contact with injured employee immediately upon notification of injury and maintain open communication throughout the life of the claim by building trust with the injured worker.
• Assist with transitional duty program and accommodation process.
• Identify and help reduce unnecessary delays in the process.
• Communications should be timely, concise and accurate.
• Build and maintain effective relationships while becoming a part of the organizations culture,
• Monitor claim for utilization of nurse case management and escalate accordingly.
• Review employee’s diagnosis and next steps with medical treatment, including diagnostic testing or specialist referral.
• Contact the treating physician following the injured employee’s appointment to obtain diagnosis, work restrictions, and treatment plan.
• Exhibit a high level of competence and performance in written and verbal communications.
• Model corporate values and participate as required in groups, initiatives, and advisory boards.
• Ensure that medical treatment is provided as efficiently and effectively as possible to the injured worker.
• Communicate with the claim adjuster, sharing information to ensure appropriate handling of each claim.

Knowledge, Skills and Experience

Qualifications:

• Ability to maintain confidentiality
• Associates degree or equivalent education and /or work experience preferred but not required.
• Counseling background
• Ability to prioritize
• Special Considerations
  • Customer service background
  • Counseling background
• Strong verbal and written communication skills
• Valid Driver’s License and clean driving record
• Bilingual (Spanish/English)
• Empathetic listening skills coupled with innate curiosity
• Strong problem-solving skills with the ability to make decisions in accordance with departmental standards
• Travel required for training, site visits, and corporate meetings
• Motivated self-starter able to work independently
• Excellent interpersonal, relationship-building and collaboration skills
• Strong organizational, multi-tasking, and follow-up skills
• Computer operating skills including but not limited to, Outlook, Word, Excel and PowerPoint (experience with Risk Connect and Risc-Fax/Luminos)
• Previous experience with Workers’ Compensation a plus.
• Customer service background