WC Claims Specialist at UFP Industries

Grand Rapids, Michigan, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Insurance, Human Resources, ManufacturingIndustries

Requirements

Bachelor’s degree or equivalent experience in a related field
Formal, working knowledge of claims management protocol and related employment law
Some knowledge and understanding of medical terminology
Ability to solve problems and apply knowledge and education in complex situations
Ability to maintain and safeguard confidential information
Verbal and written skills with the ability to communicate at all levels within the organization
Interpersonal and problem-solving skills
Demonstrated ability to use computers and related business software and experience with advanced Excel or other report writing programs
Ability to understand, analyze, and communicate financial information as a management tool
Ability to coordinate and prioritize case load
Ability to travel as required
Team player and goal oriented
Leads by example

Responsibilities

Serves as primary contact for the field operations on WC related claim procedures and claims management issues
May serve as a back-up for FMLA, ADA, and disability related claim procedures and claims management issues
Assists with updating documentation and communication associated with related leaves of absences
Trains new plant HR/safety personnel, including acquisitions, on related leave of absence procedures
Produces quarterly trend reports and other related reports as requested
Assists with monitoring federal and state leave regulations and with working with vendors and plants to implement any necessary updates to existing procedures
Monitors claim activity to ensure timely and accurate delivery of benefits
Provides assistance to the field regarding medical management and return to work
Reviews claim data to ensure that claims are managed, paid, and resolved according to service criteria
Ensures that all claims are reviewed for appropriateness of acceptance or denial
Advises the field in identifying and maintaining quality medical providers
Assists in the identification of legal counsel with assistance from the claim managers/TPA
Assists in developing legal strategy for each litigated case
Advises the field in transitional and long-term return-to-work strategies
Ensures that the claim managers/TPA pay medical bills and other related invoices promptly
Provides guidance and related training to plant personnel with work comp responsibilities
Helps maintain documentation, legal evidence, and other related file administration
Maintains updated knowledge of state comp laws or other legal changes impacting areas of responsibility
Advises the field and claim managers/TPA in investigating aspects of serious or questionable claims
Acts as a liaison between injured worker and TPA/carrier
Prepares and participates in strategic claim resolution meetings
Assists with providing information to TPA/legal counsel in response to subpoena requests
May assist with training for other related areas of responsibility
May assist with policy updates for related areas of responsibility
May serve as backup for Substance Abuse policy administration
May serve as backup for other various safety related program administration
Performs other duties as required

Skills

Workers Compensation Claims Management

FMLA

ADA

Disability Claims

Medical Management

Return to Work Programs

Trend Reporting

Regulatory Compliance

Leave of Absence Procedures

TPA Management

Legal Strategy

State Comp Laws

UFP Industries

Manufactures and distributes construction and packaging products

About UFP Industries

UFP Industries operates as a diversified holding company with several subsidiaries, including UFP Packaging, UFP Construction, and UFP Retail Solutions. The company manufactures, distributes, and sells a wide range of products for various markets, including residential and commercial construction, packaging, and industrial sectors. Its products are tailored to meet the specific needs of clients across North America, Europe, Asia, and Australia. UFP Industries stands out from its competitors by leveraging its extensive operational footprint and expertise to serve a diverse clientele, ensuring consistent revenue from multiple geographic regions and industry segments. The company's goal is to effectively meet the diverse needs of its customers while maintaining a steady income stream.

Muscle Shoals, AlabamaHeadquarters

1955Year Founded

IPOCompany Stage

Industrial & Manufacturing, Consumer GoodsIndustries

1,001-5,000Employees

Risks

Rising lumber costs could impact UFP's profit margins.

Construction slowdown due to high interest rates may reduce UFP's revenue.

Stricter European environmental regulations could increase UFP's compliance costs.

Differentiation

UFP Industries operates globally, serving diverse sectors like construction and packaging.

The company leverages a broad operational footprint to meet varied client needs.

Recent acquisitions, like C&L Wood Products, expand UFP's market reach and capabilities.

Upsides

Growing demand for sustainable packaging boosts UFP's eco-friendly product development.

E-commerce growth increases demand for UFP's packaging solutions.

Urbanization trends drive demand for UFP's residential and commercial construction products.

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