Workers Compensation (WC) Generalist

Job Description

Job Description

Position Description: The WC Generalist is responsible for performing duties on a professional level focusing on workers compensation functions. The position is responsible for completing WC related duties and working closely with the WC team. They will act as the communication between our clients and carriers, reviewing claim-related documents within the pre-determined time limits. Position Responsibilities: Responsibilities may include but are not limited to:
\tProvide support to employees within the WC Department.
\tReceive, review, and report First Report of Injury (FROI), and enter the applicable system (within 24 hours).
\tCommunicate with employees, clients, treating facilities and applicable WC carriers regarding employees incident details, work status, medical status and indemnity eligibility.
\tReview and process invoices received regarding claim, ensuring all are processed accordingly with the applicable WC carrier.
\tCommunicate with medical billing providers regarding outstanding costs, pending costs, WC claim and billing information.
\tMaintain OSHA logs in to payroll software and provides reports to clients when applicable.
\tProcess WC Certificates of Insurance. Communicate with clients and WC carrier regarding additional endorsements, job specific information.
\tParticipate in quarterly claims reviews with all applicable carriers.
\tPerform any additional functions needed to meet the goals of the department (i.e. filing, scanning, copying and mail management and distribution of pertinent WC documents.
\tReview and manage Salesforce Cases daily, ensuring cases are reviewed and responded to timely (within 24 hours of receipt).
\tAssist with employee relations and/or conflict resolution in response to client inquiries.
Knowledge, Skills and Abilities: WC Generalist - Requirements include but are not limited to:
\tAssociates and/or Bachelor's degree in HR, Communication, Business or related fields preferred
\t1-3 years of HR/Workers Comp/Customer Service Experience
\tExperience in PEO (Professional Employer Organization) preferred
\tPRISM software experience preferred (but not required)\tFluent in English and Spanish preferred (bilingual not required)
\tEffective communication, both verbal and written
\tAttention to detail
\tHighly organized
\tAnalytical, problem solving, and decision-making skills
\tTime management
\tAbility to effectively multi-task
\tInterpersonal skills
\tKnowledge of federal and state payroll regulation and requirements.
\tMaintain a high level of confidentiality and professionalism.
\tGeneral knowledge of Internet navigation and research, email, fax transmissions, phone communication, and copy equipment.
\tProficient in Microsoft Office programs including Word, Excel, PowerPoint, Teams, and Outlook.
Job Advertisement: Take your career to the next level with Trion Solutions
Trion Solutions is a leader in the HR industry and among the top 10 Professional Employer Organizations (PEO) in the United States. As a Certified Minority-Owned Business, Trion has consistently grown a diverse workforce to support the ever-growing needs of our 600+ clients spanning all 50 states.
Trion has been named a national and regional winner in the Best and Brightest Companies to Work For Awards for ten consecutive years. It was a national finalist in the Ernst & Young Entrepreneur of the Year Awards and annual wins Top Workplaces.
Work hard, play hard
Trion values its team members, and it shows. Monthly all-staff meetings feature catered breakfasts and open communication to hear the latest about the company first-hand from our top executives. Twice a week, team members receive further information about the company in the Trion Update newsletter. At our corporate headquarters, employees can enjoy 20-minute massages in our designated Massage Room.
Our team members stretch the boundaries of creativity during our annual in-office Halloween-costume contest, ugly-sweater contest, gingerbread-house decorating contest, and other company events. Employees also are able to enter staff drawings to win tickets to sporting events, concerts and stage shows.
The majority of our team members come to us from employee referrals, through a sense of pride and loyalty as well as receiving financial rewards for referring others to Trion.
Trion provides employees with a competitive-benefits package, 401(k) with a company match, paid time off, tuition reimbursement, flexible scheduling and so much more!
Wed love to meet you!
If Trion sounds like the place for you, please apply today!