Specialist, Workers

How you'll help us Keep Climbing (overview & key responsibilities)

This Specialist role will manage the day-to-day administration of the workers' compensation program. This position will serve as a professional subject matter expert in the area of workers’ compensation benefits to all divisions and ensure compliance with relevant laws and regulations while minimizing financial risk to the organization.

This position will be based in the Atlanta General Office and report to the Manager, Workers’ Compensation under the Global Health & Wellbeing (GHW) organization.

• Manage the day-to-day administration of the workers' compensation programs.

• Responsible for the oversight of claims management and communication with employees, managers, attorneys, and Third-Party Administrator (TPA).

• Serve as workers' compensation professional subject matter expert for assigned jurisdictions tosupport all divisions, departments and business partners across Delta. Internalbusiness partners include but are not limited to Human Resources, Corporate Safety,Corporate Security, Labor Relations, Legal, and Operational/Station Management,IFS, ACS, CGO and FOP.

• Proactively provide guidance and ongoing education to internal and external customers on Delta Air Lines and/or State-specific workers' compensation policies and procedures.
  
  Assist in the education of internal business partners of the importance of early claim reporting, early return to work programs and other appropriate cost containment measures that will providepositive outcomes for all parties involved.

• Identify trends in service concerns,recommend the appropriate course of action for improvement and development ofvendor performance standards and adherence to contractual requirements. Ensure that claims handling is conducted in compliance with applicable state regulations, work comp laws, corporate policies and other legal requirements.
  
  Ensure compliance with relevant laws and regulations while minimizing financial risk to the organization.

• Work closely with TPA and Delta HR to identify,de-escalate and document current or potential escalation situations, reachingout to employees when issues arise in order to provide high levels of customer service and employee advocacy.

• Help to identify areas of opportunity in thehighly integrated workers' compensation programs and work with management and operations to streamline processes.

• Primary contact for Delta, TPA, Defense Counsel;responsible for monitoring claims handling for quality purposes and monitoring/participating in litigation processes with a goal of bringinglitigated files to claims resolution.

• 3 to 5 years of workers’ compensation claims management and/or TPA vendor oversight experience with a large employer-based company.

• Abilityto meet deadlines and work under pressure with minimal supervision and respond quickly to high priority requests.

• Experience in Access, Excel, MS Office suite of products, and SAP.

• Ability to use Insurance Carrier/TPA data and claims management systems to analyze claimdata.

• Understanding of technical claims procedures, medical protocols and Insurance Industry Best Practices.

• Ability to practicegood judgment in interpreting medical facts presented by a physician and applying these facts while reviewing workers compensation files.

• Excellent critical,logical-thinking, analytical, and research skills.

• Must demonstrateclear, concise, and effective oral and written communication skills. Conveymoderately complex information (claim decisions, outcomes, etc.) to all appropriate parties, while maintaining a professional demeanor in allsituations.

• Ability to anticipate and identify problems and suggest opportunities/solutions.

• Must possess the abilityto effectively interact with a variety of individuals within the company,clients, carriers, and third-party vendor organizations.

• Must be versatile,resilient, responsive to change, and adapt to unexpected demands based on business needs.

• Should possess anoverall knowledge of company policies and procedures.

• Good time management, multi-tasking, project management and organizational skills with great attention to detail.

• Must be able totravel…