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Benefits Specialist Workers Comp

Costa Mesa, United States

We are seeking a detail-oriented and compassionate Human Resources Benefits Specialist to manage and administer employee benefits programs with a specialized focus on workers’ compensation. This role is pivotal in ensuring compliance with federal and state regulations, supporting injured employees through the claims process, and collaborating with internal and external stakeholders to promote workplace safety and recovery.

Responsibilities

Track claim status, reserves, payments, and medical updates.

Coordinate with adjusters on disputed claims, delays, or settlement issues.

Identify and escalate potential fraud cases.

Working closely with the employees and management on processing the WC claim paperwork.

Monitor and analyze claim trends to identify opportunities for risk mitigation and cost containment

Assists with claims administration, audits, report preparation, and compilation of statistics.

Educate employees and managers on workers’ compensation policies, procedures, and return-to-work programs

Maintain compliance with all applicable laws and regulations, including OSHA and state-specific workers’ compensation statutes

Qualifications

Bachelor’s or Equivalent combination of education and experience preferred

4-6 years Significant knowledge in worker's compensation.

Professional written, verbal, and interpersonal skills to effectively communicate policies and procedures to all levels of staff and management preferred.

Advanced understanding of federal and state legislation regarding human resource management programs and practices preferred.

Experience with Workday a plus

Professional Human Resources - Human Resource Certification Institute preferred

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The starting pay range for this position is:
$84,100.00 - $111,900.00
Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
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Remarkable benefits:
  • Health coverage for medical, dental, vision
  • 401(K) saving plan with company match AND Pension
  • Tuition assistance
  • PTO for community volunteer programs
  • Wellness program
  • Employee discounts
Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity – we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.

“Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”

AAA is an Equal Opportunity Employer

The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA).

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