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Senior Legal Specialist

Santa Ana, California Position Type Full Time Req ID: 2021-662269

At Allied Universal®, we continue to build an inclusive, Be Phenomenal® culture that encourages, supports, and celebrates a diverse workplace. It fuels our innovation and connects us closer to our customers and the communities in which we serve. Allied Universal offers so much more than just a job. We offer careers. We take great pride in our promote-from-within culture. There are countless examples of individuals who began their career as Security Professionals and today hold positions on our senior leadership team. We offer medical, dental and vision coverage, life insurance, 401K, employee assistance programs, company discounts, perks and more for all full-time positions! Start your phenomenal career with Allied Universal® today!

The Senior Legal Specialist is responsible for the management and oversight of workers’ compensation claims (reportable and first aid) from report through claim closure, in conjunction with the third party administrator, while minimizing overall insurance costs. This includes return to work management, related leave of absence files and requests, self-insurance and state monopolistic programs and other duties as directed.

THE POSITION IS GENERALLY REMOTE BUT ABILITY TO TRAVEL TO CORPORATE OFFICE IN SANTA ANA, CA WHEN NEEDED, IS REQUIRED.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES: Those duties necessary to meet the minimum requirements of the position. Other duties may be assigned:

  • Manage portfolio of multi-state workers’ compensation claims (current and run-off programs)
  • Responsible for reviewing workers’ compensation claims, collecting relevant facts surrounding the circumstances of the claim, and assisting with making the initial determination of claim type (reportable or first aid)
  • Manage return-to-work program; work with branches, medical providers and employees regarding work restrictions, documentation, and ability to accommodate according to company guidelines to proactively return injured employees to work as quickly as medically possible
  • Assist with promptly processing workers’ compensation claims received, ensuring all documentation and investigations are completed and submitted
  • Work with assigned claims administrator on claim status throughout the “life” of the claim. Maintain effective management of files with regular follow up
  • Review and approve workers’ compensation reserves and settlements proposed by the third-party administrator and strategizes on claims management approaches
  • Provide written analysis and recommendations for workers’ compensation reserves and settlements to supervisor
  • Manage first aid claims processing, including proactive communications
  • Maintain proactive communication with injured employees through local contacts throughout the life of the claim; priority is to maintain positive communication with employees to return to work and reduce likelihood of litigation
  • Manage the workers’ compensation inbox
  • Maintain regular contact with insurance carrier/claims adjusters/third-party administrator on claim status, proactively driving responses and reviewing reports with supervisor; make recommendations on claims handling and seek direction from supervisor on open issues
  • Meet regularly with supervisors to provide updates on claims and open/unresolved issues, with the objective of driving for claims closure and regular status updates
  • Maintain claim service instructions for third-party administrator
  • Prepare monthly/quarterly/annual summary reports from insurance carrier/broker/ third-party administrator for distribution
  • Assist in the preparation of reports and presentations on an as needed basis
  • Communicate workers’ compensation leaves with the Leave of Absence department
  • Coordinate workers’ compensation settlements with Employment department
  • Organize and complete workers’ compensation claim reviews and audits helping to assist with the resolution of the claims
  • Assist with the processing of wage statements as requested from the workers’ compensation process
  • Manage the processing of workers’ compensation subpoenas and provide direction on subrogation with carriers/TPA
  • Develops and provides workers’ compensation training programs to support current and ongoing initiatives
  • Assist with other workers’ compensation duties as directed by supervisor on an as needed basis

QUALIFICATIONS:To perform this job successfully, the individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or experience required in order to be hired. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Formal Education, Licenses, and Certifications Required:

  • Must possess a high school diploma or equivalent or a minimum of 5 years of verifiable work experience
  • College degree with emphasis in Business, Human Relations, or related field of study is a plus

Type and Length of Specific Experience Required:

  • Must possess a minimum of 5 years of related experience in human resource, workers compensation, or other related field of administration and processing of paperwork and materials
  • Experience directing working with workers compensation claims administration in a corporate, carrier, legal or third-party administrator environment

Knowledge and Skills Required:

  • Must be able to work independently and be self-directed, but also have ability and understanding of areas that require authorization and direction from supervisor, and when/how to provide regular updates
  • Energetic, driven personality with a demonstrated ability to take initiative, successfully handle and prioritize multiple competing assignments and effectively manage deadlines and meet objectives
  • High level of customer service and ability to effectively interact with all levels within the organization as well as outside with various vendors and providers
  • Highly organized, with ability to process a very high volume of paper and information in an effective manner, including ensuring that information and its impact on the organization is absorbed and understood
  • Must be proficient in all Microsoft Office applications, Word, Excel and PowerPoint; good comfort level with integrating multiple applications to streamline operations through technology solutions
  • Able to use technology effectively to create meaningful reports and measurements
  • Professional, articulate and able to use good independent judgment and discretion
  • Outstanding verbal and written communication skills required with the ability to successfully interact at all levels of the organization while functioning as a team player

Allied Universal® provides unparalleled service, systems and solutions to people and businesses within our local communities, and is North America’s leading security services provider. Allied Universal delivers high-quality, tailored solutions, which allows clients to focus on their core business. For more information: www.AUS.com. We proudly support the Veteran Jobs Mission, a group of over 200 companies that have committed to collectively hiring a total of one million military veterans. EOE/Minorities/Females/Vet/Disability/Sexual Orientation/Gender Identity Allied Universal Services is an Equal Opportunity Employer committed to hiring a diverse workforce.