We’re looking for motivated, engaged people to help make everyone’s journeys better.

Main Duties and Responsibilities:

·       Analyze reported On the Job Injuries prior to submission to the Workers’ Compensation insurer to identify cases that require medical investigation and complex case management 

·       Create and implement investigation and case management plans for complex Workers’ Compensation claims 

·       Provides guidance and claims management strategy to Managers, Workers’ Compensation 

·       Provides guidance and legal strategy for litigated WC claims to Managers, Workers’ Compensation

·       Review and manage medically complex cases, such as requests for modified duties or FMLA Leaves, referred by HR and managers

·       Partners with insurance, healthcare providers, EHS, unit management, and HR to establish good working relationships and manage complex claims 

·       Provides oversight to insurance, healthcare providers, and outside counsel to ensure adherence to applicable laws, company policy, and ethical standards

·       Oversees return to work program as a tool to promote injured workers’ recovery and manage costs

·       Counsels managers in dealing with challenging situations and employees as they pertain to medical or return to work issues 

·       Works with HR to ensure FMLA and LOA tracking is accurate and up to date 

·       Fields questions from around region, occasionally during off hours

·       Monitors and reviews investigation reports and workers’ compensation folder paperwork for region 

·       Establishes and maintains systematic approach to manage transitional duty, lost time, and open claims

·       Actively seeks cost-saving measures by ensuring injured workers are treated with respect, compassion, and consistency and through timely and aggressive claims management

·       Collects and analyzes data for use in safety and incentive programs to assist in injury reduction

·       Ensures consistent unit compliance with company policies and procedures 

·       Monitors, reviews, and provides recommendations to Corporate Risk Manager concerning reserves for claims

·       Reviews the allocation charges monthly with unit mangers and regional controller to explain charges, discuss potential charges for forecasting purposes, and identify possible appeals 

·       Investigates and pursues denials on claims with questionable compensability

·       Reviews region’s OSHA logs monthly to ensure compliance 

·       Ensures BLS surveys and yearly OHSA Logs are posted as required 

·       Ensures records are retained in compliance with local, state, and federal laws

·       Participates in required meetings, including: Incident Review Boards, Claims Reviews, Regional Meetings, PRIDE, and others upon request

·       Participates in on-going education to ensure current information on applicable laws, industry trends, and innovative approaches

·       Trains and assists Workers Compensation Supervisors and manage the daily work of direct reports

Qualifications

Education:

·       Medical background such as registered nurse, registered practical nurse, kinesiologist, physiotherapist, etc.

Work Experience: 

·       5 years of experience in Workers’ Compensation, Short-Term Disability or Long-term Disability claims management

·       Experience working with diverse populations

·       Experience working in high stress, time sensitive environments

·       At least 3 years supervisory or management experience

Technical Skills: (Certification, Licenses and Registration)

·       Medical certification, license or registration in good standing with the appropriate governing body 

·       Strong medical and appeal claims management skills

·       Solid decision making and creative problem-solving skills

·       Ability to work calmly with individuals in highly emotional states

·       Strong interpersonal skills and ability to work in a team 

·       Self-starter requiring little supervision

·       Strong analytical, organizational, and investigative skills

·       Strong verbal and written skills

·       Flexibility and responsiveness

·       Good follow-through and sense of accountability

·       Detail oriented 

·       Solid computer skills, including advanced MS Office knowledge and ability to learn claims management program

·       OSHA 10 hours certification a plus

Language / Communication Skills:

·       Excellent verbal and written communication skills

·       Strong ability to create detailed and argumentative written reports and appeal responses  

·       Effective presenting and teaching abilities

·       Multilingual a plus

Job Dimensions

Geographic Responsibility: na

Type of Employment: Full-time

Travel %: 30%

Exemption Classification: Exempt

Internal Relationships: Unit management, safety team and HR 

External Relationships: Insurance, healthcare providers, EHS

Work Environment / Requirements of the Job: Normal office, industrial kitchen, logistics, and airport/aviation industry environment; must be able to work flexible schedules to include occasional nights, holidays and weekends 

Budget / Revenue Responsibility: na

Organization Structure

Direct Line Manager (Title):  Dir, Dir, Workers’ Compensation & Medical Case Management, NA

Dotted Line Manager (Title, if applicable):  na

Number of Direct Reports: 0

Number of Dotted Line Reports: 0

Estimated Total Size of Team: 1

gategroup Competencies Required to be Successful in the Job:

·       Thinking – Information Search and analysis & problem resolution skills

·       Engaging – Understanding others, Team Leadership and Developing People

·       Inspiring – Influencing and building relationships, Motivating and Inspiring, Communicating effectively

·       Achieving – Delivering business results under pressure, Championing Performance Improvement and Customer Focus

Demonstrated Values to be Successful in the Position

Employees at gategroup are expected to live our Values of Excellence, Integrity, Passion and Accountability. To demonstrate these Values, we expect to observe the following from everyone:

·       We treat each other with respect and we act with integrity

·       We communicate and keep each other informed

·       We put our heads together to problem solve and deliver excellence as a team

·       We have passion for our work and we pay attention to the little details

·       We foster an environment of accountability, take responsibility for our actions and learn from our mistakes

·       We do what we say we will do, when we say we are going to do it

·       We care about our coworkers, always taking an opportunity to make someone’s day better

The above statements are intended to describe the general nature and level of work being performed by the individual(s) assigned to this position.  They are not intended to be an exhaustive list of all duties, responsibilities, and skills required.  Management reserves the right to modify, add, or remove duties and to assign other duties as necessary.  In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

gategroup is an equal opportunity employer committed to workforce diversity.  All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status or other category under applicable law.

For further information regarding Equal Employment Opportunity, copy and paste the following URL into your web browser: http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

If you want to be part of a team that helps make travel and culinary memories, join us!