Workers Compensation Administrator

Work is Sweet!

'Quality without Compromise' is not just a motto at See’s Candies. It is the most important ingredient in our recipe for success. See’s Candies has been in business since 1921 and maintains a reputation for producing the highest quality candy and providing superior customer service.

See’s is a leader in the confectionery industry with over 250 retail shops across the USA, a growing e-commerce business, and expanding opportunities internationally. We are seeking friendly, enthusiastic individuals who are passionate about helping us grow and thrive in our second century.

Job Description Summary:

Job Description:

POSITION RESPONSIBILITIES:

Completes all State and company-required reports and paperwork pertaining to Workers Compensation claims, including:

• Ensuring all reports (First Alert, Supervisor’s Report of Injury, and Incident Investigation Report) are completed to file the claim and submit to the carrier in a timely basis.  Mailing and/or providing employees with required claim forms and reports.  Assisting in accident investigations, when needed
• Communicates with insurance carrier and medical clinics regarding employee status updates and modified duties requirements.  Keeps Human Resources Managers and Department Managers informed.
• Completes 24- hour Questionnaire sent from carrier for claims with loss of work time or medical treatment is beyond 3 months.
• Completes Weekly Safety Log.
• Maintains the filing for all records received pertaining to Workers Compensation files and reports.
• Updates all necessary internal company dashboards.
• Prepares all records and reports for the Workers Compensation insurance carriers' File Review Meetings.
• Maintains all OSHA required logs, reports, and annual postings.  Completes all required surveys when received from the Bureau of Labor & Statistics.
• Review and respond to associate injury reports. Stays current on requests via workers compensation inbox per service level agreements.
• Set up workers’ compensation claims and provide correspondence to associates per jurisdiction
• Review medical reports and update work status; follow up with stores to confirm status.
• Respond to associate inquiries regarding open workers’ compensation issues and assist with resolution
• Respond to inquiries from managers, district managers, risk management, and HR
• Assists in completing department responsibilities when needed, including employee verifications, seasonal recruiting for holiday staffing, and answering telephones.
• Completes other duties and special projects as assigned by management.

MINIMUM QUALIFICATIONS:

• High school diploma or GED required.
• Bachelor’s degree preferred.
• 5–8 years of claims adjusting experience in multiple jurisdictions, with emphasis on California.
• Strong verbal and written communication skills; ability to interpret injury, medical, and legal reports.
• Knowledge of multi-jurisdictional workers’ compensation processes and procedures, especially California.
• Ability to evaluate and analyze claims, exercise judgment, and resolve files in collaboration with TPA adjusters.
• Compliance knowledge of state, legal, statutory, and regulatory claims handling requirements.
• Proficiency with Microsoft Office (advanced), Workday, Monday.com, and e-Carma. Bilingual English/Spanish preferred

Certifications:

WCCP or SIP preferred

The total compensation package for this position may also include other elements, in addition to a full range of generous medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

See's is an EOE
See’s will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable local, state or federal law (including San Francisco Ordinance #131192 and Los Angeles Municipal Code 189.00).