Catastrophic Medical Specialist (Hybrid)

About us

Our goal is to ensure the availability of long-term reinsurance protection for serious Minnesota workers' compensation claims. As a nonprofit association, our staff of innovative professionals is dedicated to achieving the highest standard of excellence through stable and reasonable rates, expert claims administrations, financial stability, and informational services.

Location: Hybrid (Two days in the St. Paul office and three days telecommuting)

Qualifications

· RN License or another relevant medical background

· Five years of injury management expertise

· Ten+ years of combined experience in clinical care, emergency room, managed care or workers’ comp

· Strong expertise in catastrophic claims cost drivers

· Workers’ Comp claims management or related experience (preferred)

· Ability to research and document clearly

· Excellent written and verbal communication skills

· Strong interpersonal skills

· Ability to set priorities and work independently

· Ability to effectively present and conduct training sessions (virtually and in-person)

Responsibilities

As a Catastrophic Medical Specialist, you will:

· Review, interpret, and analyze medical aspects of complex/catastrophic workers’ compensation claim files.

· Provide consultation to claims staff on effective medical and rehabilitation management of serious injury claims.

· Make recommendations on projected medical and rehabilitation treatment options, outcomes, and anticipated future medical costs.

· Research and identify programs aimed at cost-effective medical and rehabilitation management.

· Provide guidance to claims staff on the appropriate application of established medical treatment parameters and other standards of care.

· Collaborate and network with industry representatives to stay abreast of new strategies, medical treatments, and rehabilitation programs to optimize injury recovery.

· Develop as well as deliver training and education to claims professionals via one-on-one, online, or in classroom type setting on various medical and rehabilitation topics.

· Lead and participate in in-person account meetings.

· Participate in and represent the WCRA at claims or medical management-specific industry meetings/conferences.

· Some travel required.

Equal Opportunity Employer