Worker's Compensation Specialist

Essential Functions:

• Coordinate the day-to-day activities of Sim Crane’s Compensation Program. Responsible for filing time-sensitive forms to our Third-Party Administrator (TPA) and to the Payroll department to ensure appropriate compensation to injured employees.
• Assist injured employees in the Worker’s Compensation claim process. Guide employees on each step of the process. Provide information to injured employees and keep them informed as appropriate to ensure the employee understands their entitlements and rights. Work with supervisors, Safety, Compliance, Human Resources and Payroll to get employees back to work promptly and safely.
• Establish, maintain, and audit records/files. Utilize Human Resources Information System (HRIS) to verify employment, salaries, and employee information for filing workers' compensation claims. Review work status reports, administer pay adjustments, coordinate Family Medical Leave (FML) with Senior HR Generalist, investigate and process claims. Work with TPA to manage large loss time claims. Arrange for modified duty and functional capacity evaluations (FCEs) for injured workers.
• Serve as liaison between the injured employee and the TPA, other divisions, departments, and outside agencies. Negotiate and resolve sensitive and controversial issues in consultation with the Director of Human Resources and Compliance. Maintain and exchange information with internal and external departments or agencies to explain policies, procedures, rules, regulations, and guidelines concerning workers' compensation. Ensure organizational compliance to all federal, state, and local laws for Sims Crane Workers' Compensation Program.
• Work with Sims Crane TPA to plan quarterly and periodic claim reports, claim review meetings, and coordinate facilities. Review check registers for accuracy and point out discrepancies to TPA. Coordinate Temporary Income Benefits (TIB) with TPA to ensure employee receives appropriate compensation from the College as well as the TPA.
• Work closely with the Sims Crane Risk Management and Safety team on investigating work-related accidents or illnesses and addressing potential workers' compensation claims where safety issues are prevalent. Serve as backup to the Safety team to address claims and interact with the TPA. Work with the Safety team to investigate injury sites and address potential unsafe matters.
• Develop, present, and promote training that informs employees and reduces costs associated with workplace injuries. Attend and participate in professional and group meetings, stay abreast of new trends and innovations in the field of workers' compensation administration.

• Organizes, expresses, and communicates ideas clearly in writing.
• Ensures that regular communication occurs based on the needs of the work, the individual, management, or the situation.
• Uses analogies, visuals, and other techniques to tailor communications to specific audiences.
• Utilizes skill in presenting information, analysis, ideas, and positions in a clear, succinct, accurate, convincing manner, as is appropriate with the audience.
• Identifies and uses effective communication channels and methods (e.g., presentations, electronic dissemination, social media).
• Clearly and effectively conveys information verbally.
• Asks appropriate questions

• Establishes and maintains credibility with the public, customers, and co-workers.
• Works with customers to assess their needs to meet/exceed requirements and expectations.
• Conveys a positive attitude when interacting with customers and staff.
• Identifies opportunities to improve customer service and satisfaction.
• Engages the customer as a partner in delivering service.
• Recognizes that customer feedback is an opportunity to improve performance and identifies the need for any changes in service delivery.
• Understands customers and takes a proactive approach to meeting their needs in an effective and timely manner.
• Builds and maintains effective working relationships and partners with customers.

• Relates to people in an open, friendly, and professional manner.
• Cooperates and works to gain support and commitment from others when performing tasks.
• Discusses subjects in a constructive manner, with all levels of staff.
• Fosters cooperation, collaboration, and communication to facilitate consensus and accomplish tasks.
• Demonstrates diplomacy by approaching others about sensitive issues in non-threatening ways.
• Fosters an environment conducive to open, transparent communications among all levels.
• Notices and accurately interprets what others are feeling, based on their word choices, voice tones, facial expressions, and other nonverbal behavior.
• Presents oneself in a professional manner to maintain image and credibility.

• Participates willingly and effectively in team assignments and projects.
• Identifies areas of personal expertise and seeks out opportunities to lend expertise to working groups to maximize outcomes.
• Solicits input from team members.
• Fosters a working atmosphere conducive to collaborative efforts.
• Listens to constructive feedback and incorporates suggestions to achieve collective objectives.

• Understands changes in work tasks, situations, and environment as well as the basis for change.
• Persists towards solutions and goals in changing circumstances.
• Acknowledges new information and adjusts responses accordingly.
• Adjusts timelines, results, and expectations appropriately to changing needs.
• Overcomes obstacles to achieve results.
• Thinks and acts effectively under pressure.
• Identifies ways to incorporate new practices into existing framework.
• Remains flexible and open to new ideas and encourages others to value change.

Required Skills/Abilities:

• Ability to interpret and implement federal, state and local health and safety regulations
• Knowledge of Florida Bureau of Compliance, Division of Workers’ Compensation rules and regulations
• Working knowledge of Family Medical Leave Act (FMLA), Americans with Disabilities Act (ADA), Health Insurance Portability and Accountability Act (HIPPA), Equal Employment Opportunity (EEO), and Return-to-Work programs
• Working knowledge of investigative techniques and Root Cause Analysis (RCA) for Workers’ Compensation claims
• Effective communication (oral and written) skills
• Ability to work with confidential materials
• Effective time management, organizational and interpersonal skills

Minimum Requirements:

• Bachelor’s degree, preferably in Business or a related field, from an accredited college or university OR AA/AS degree with 1 year of experience in Worker’s Compensation or related field OR 3 years of experience in Worker’s Compensation or a related field
• 3-5 years of experience in Worker’s Compensation role
• Valid Florida Driver’s License.
• Must be legally authorized to work in the United States.
• Must be able to read, write, speak, and understand English.

Physical Requirements:

• Sims Crane & Equipment maintains a firm commitment to providing a safe and healthy work environment for its employees and quality services to its clients. Sims Crane & Equipment is a drug-free workplace. Must be able to pass a post-offer / pre-placement drug screen. Must also submit to a post-offer / pre-employment background report & motor vehicle check.
• Work is performed in a standard office environment with prolonged periods of sitting at a desk and working on a computer. Subject to standing, walking, bending, reaching, stooping, and lifting objects up to 25 pounds at times.