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Superior Grocers · 2 months ago

Workers Compensation Care and Concern Advocate

Santa Fe Springs, CA

Full-time

Onsite

New Grad, Entry Level

$26/hr - $29/hr

Superior Grocers is seeking a Workers Compensation Care and Concern Advocate to guide injured employees through the workers’ compensation lifecycle. This role involves serving as an employee advocate, ensuring that injured employees understand their benefits and receive timely care while facilitating their transition back to work.

Food DeliveryGrocery

Responsibilities

Initiate the first contact with injured employees (within 24 hours of a reported workplace injury) to check in on their status and wellbeing. Initiate 'get well' messages from store leadership to injured employee as appropriate

Explain benefits, rights and procedures in a clear and caring manner. Provide an overview of the roles and responsibilities of the injured employee, the TPA, and the employee's physician if applicable

Verify accuracy of all submitted forms and help answer any questions the injured employee may have

Maintain regular check-ins with injured employees and Dept. Mgr. to monitor recovery progress, return to work, accommodation compliance and to address questions and concerns

Assist in tracking and documenting return to work progress and helping to resolve any barriers

Advocate for injured employees to ensure they receive timely medical care, timely RFA process, appropriate accommodations and modified duties when needed

Assist the claims adjuster with obtaining additional information such as schedules, missed time, wage statements and personnel files

When claims are classified as first aid, remain in contact with the injured employees until they are discharged from care

Promptly escalate medical only and indemnity claims to WC Analyst and potential legal issues to supervisor

Identify potential claim disputes early and intervene to prevent escalation and litigation

Maintain communication with the TPA

At weekly review, present claims reported in the prior week; update status of injured employees, potential red flags and concerns regarding the reporting and/or injury

Answer calls and questions from injured employees and direct employees to the best resource to address their questions

Incident Reviews: Visit stores post-injury to meet with injured employee and Dept. Mgr, fostering root cause analysis, accountability, and preventative actions

Qualification

Workers Compensation knowledgeEmployee advocacyEmpathyCommunication skillsProblem-solving skills

Required

Guides injured employees through the entire workers' compensation lifecycle with empathy, clarity and efficiency

Serves as an important employee advocate, ensuring every injured employee understands their benefits, receives timely care, and smoothly transitions back to work

Serves as a compassionate liaison between injured employees, insurance adjusters, medical providers, and internal departments

Initiates the first contact with injured employees (within 24 hours of a reported workplace injury) to check in on their status and wellbeing

Initiates 'get well' messages from store leadership to injured employee as appropriate

Explains benefits, rights and procedures in a clear and caring manner

Provides an overview of the roles and responsibilities of the injured employee, the TPA, and the employee's physician if applicable

Verifies accuracy of all submitted forms and helps answer any questions the injured employee may have

Maintains regular check-ins with injured employees and Dept. Mgr. to monitor recovery progress, return to work, accommodation compliance and to address questions and concerns

Assists in tracking and documenting return to work progress and helping to resolve any barriers

Advocates for injured employees to ensure they receive timely medical care, timely RFA process, appropriate accommodations and modified duties when needed

Assists the claims adjuster with obtaining additional information such as schedules, missed time, wage statements and personnel files

When claims are classified as first aid, remains in contact with the injured employees until they are discharged from care

Promptly escalates medical only and indemnity claims to WC Analyst and potential legal issues to supervisor

Identifies potential claim disputes early and intervenes to prevent escalation and litigation

Maintains communication with the TPA

At weekly review, presents claims reported in the prior week; updates status of injured employees, potential red flags and concerns regarding the reporting and/or injury

Answers calls and questions from injured employees and directs employees to the best resource to address their questions

Visits stores post-injury to meet with injured employee and Dept. Mgr, fostering root cause analysis, accountability, and preventative actions