[Remote] Workers Compensation Risk Consultant

Note: The job is a remote job and is open to candidates in USA. EPIC Insurance Brokers & Consultants is one of the fastest-growing firms in the insurance industry, specializing in risk management and insuring clients in the sports and entertainment sectors. They are seeking a detail-focused Workers Compensation Risk Consultant to partner with clients to identify and reduce workers’ compensation risk while providing strategic claim oversight and guidance through complex risk management issues.

Responsibilities

• Deeply understand the client’s business and challenges and recommend intuitive, relevant interventions and actions aimed at cost reduction
• Identify and provide evaluation of a client’s risks and recommend action to minimize or eliminate those risks
• Provide consultative support to the client regarding WC jurisdictional compliance
• Work closely with WC claim adjusters or at times directly provide similar service as some clients may handle claims internally rather than through a third-party administrator
• Conduct video/telephonic claim reviews to identify and proactively initiate actions for favorable outcomes and claim to resolution
• Analyze reserve increase requests and ensure accuracy of exposure assessments
• Review litigation correspondence and interface with Legal Counsel on litigation strategy and up to date jurisdictional law
• Review medical provider billing and repricing from bill review vendors for accuracy and opportunities for price negotiation
• Enter first reports of injury, medical bills, and notes into the electronic claim management system
• Review incident reports with third party involvement for subrogation potential
• Oversee third party vendor programs including Managed Care, Bill Review, Nurse Case Management, Field Case Management, Surveillance, Subrogation and Medicare Set Aside services
• Attend in-person meetings with clients and vendors
• Review and/or create reports, scorecards and loss-runs and complete analysis of loss data, claim reviews and communicate trends

Skills

• Obtain and maintain required State Risk Management license, such as Property & Casualty Agent, Risk Manager, or Adjuster
• Strong administrative skills and exceptional attention to detail/accuracy
• Professional, intuitive communication skills, both written and verbal. Ideal candidates can successfully pivot between written and verbal communication, providing detailed and accurate information in all
• Candidates who adapt well to priority changes, deadlines, and consistently are quick to respond to/or acknowledge communications (both from internal and external sources)
• Positive and outgoing disposition, eager to work as a team while also functioning well working independently
• Minimum of 2 to 5 years of professional experience working Risk Management/claims adjusting
• Excellent organizational, interpersonal and communication skills
• Good problem-solving and critical thinking skills
• Ability to work in a fast-paced environment and deliver results to meet timelines
• Ability to be discreet and maintain the security of customer information
• Proficient in Microsoft Office Suite, in particular Outlook, Excel, Word and PowerPoint
• Experience working with California Workers' Compensation claims is highly preferred but not required
• Bachelor's degree preferred but not required

Benefits

• Generous Paid Time off
• Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days
• Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave
• Generous employee referral bonus program of $1,500 per hired referral
• Employee recognition programs for demonstrating EPIC’s values plus additional employee recognition awards and programs (and trips!)
• Employee Resource Groups: Women’s Coalition, EPIC Veterans Group
• Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development
• Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support
• Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs
• 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC!
• EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation

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