Pittsburgh Regional Transit is seeking a Workers Compensation Specialist to investigate work-related injuries/disabilities by collecting and compiling information gathered from internal and external sources.  Review factual evidence and prepare information necessary to determine the acceptance, denial, termination, modification or suspension of workers’ compensation benefits; provide case management from the initial filing of a claim through return to gainful employment or settlement.

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Essential Functions:  

• Investigates facts and information regarding employee work-related injuries and disabilities by interviewing employees through a telephone conversation, at the employee’s home, or in the Workers’ Compensation office; interviewing witnesses, medical providers, attorneys and others to determine nature and degree of injury and/or disability; completes required forms and investigation reports. (Such work requires operation of company vehicle and qualification on Port Authority of Allegheny County Right-of-Way.)

• Reviews claim information to identify compliance conditions for acceptance, denial, termination, modification or suspension of workers’ compensation benefits; corresponds with employee to explain determination and claim status.

• Provides case management services; assumes responsibility for managing the claims to closure, including determining the need for medical management, vocational rehabilitation, surveillance, etc., as needed, and tracking cases on a timely basis.

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