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Workforce Risk and Compliance Specialist

3 weeks ago

Angeles City, Central Luzon, Philippines MCI Full time

At MCI, we are a leading Business Process Outsourcing (BPO) company specializing in delivering tailored solutions to meet the diverse needs of our clients. Our commitment to excellence and focus on innovation have established us as a trusted partner in the industry.

Job Summary

We are seeking a Workers' Compensation Coordinator who will be responsible for managing and coordinating the administration of workers' compensation claims and programs within the organization. The ideal candidate will ensure compliance with Workers' Compensation Board (WCB) regulations, facilitate the claims process, and provide support to employees who have been injured on the job.

The successful candidate will serve as a liaison between employees, healthcare providers, insurance carriers, and internal stakeholders to facilitate timely and effective resolution of workers' compensation matters. To be considered for this role, you must complete a full application on our careers page, including all screening questions and a brief pre-employment test.

Main Responsibilities
  • Receive, review, and process workers' compensation claims filed by employees, ensuring accuracy and completeness of documentation.
  • Submit initial and ongoing claims reports to the Workers' Compensation Board (WCB) and insurance carriers as required by regulations.
  • Maintain detailed and up-to-date records of workers' compensation claims, including incident reports, medical records, and correspondence.
  • Ensure compliance with recordkeeping requirements and facilitate access to documentation for audits and reviews.
  • Serve as the primary point of contact for employees, supervisors, healthcare providers, and insurance representatives regarding workers' compensation matters.
  • Facilitate communication and collaboration between stakeholders to expedite claims processing and resolution.
  • Develop and implement return-to-work programs and accommodations for employees recovering from work-related injuries or illnesses.
  • Coordinate with supervisors and departments to identify suitable transitional duties and facilitate the return of employees to productive work activities.
  • Coordinate benefits administration for employees on workers' compensation leave, including continuation of wages, medical benefits, and disability accommodations.
  • Ensure compliance with company policies, collective bargaining agreements, and legal requirements related to workers' compensation benefits.
  • Identify trends, patterns, and root causes of workplace injuries and accidents to inform proactive risk mitigation strategies.
  • Collaborate with safety committees and departments to implement safety programs, training initiatives, and ergonomic solutions.
  • Stay informed about updates and changes to workers' compensation laws, regulations, and reporting requirements.
Required Skills and Qualifications
  • Bachelor's degree in Human Resources, Occupational Health and Safety, Business Administration, or related field preferred.
  • Proven experience in workers' compensation administration, claims management, or related roles.
  • Knowledge of Workers' Compensation Board (WCB) regulations, procedures, and best practices.
  • Strong analytical skills and attention to detail, with the ability to interpret and analyze complex medical and legal documents.
  • Excellent communication and interpersonal skills, with the ability to interact professionally with employees, healthcare providers, and insurance representatives.
  • Proficiency in Microsoft Office Suite and familiarity with workers' compensation software systems.
  • Ability to maintain confidentiality and handle sensitive employee information with discretion.
  • Strong organizational skills and the ability to prioritize tasks and meet deadlines in a fast-paced environment.