City of Boston

Medical Indemnification Case Manager (Worker's Compensation Case Manager)

Req ID
2023-26079
Dept
Boston Police Department
Position
Regular Full-Time
Location
BPD Police Headquarters
Salary Min
70,331.83
Salary Max
98,149.24
Union
SU4
Openings
1
Posting End Date
6/13/2024
Contact Email
clarence.thompson@pd.boston.gov

Overview:

This is a provisional appointment.

 

Under the general direction of the Director of the Occupational Health Services Unit, the Case Manager performs work of considerable difficulty managing claims of work-related injuries and processing medical bills in accordance with M.G.L. c.41, section 100 including the medical indemnification program for all medical expenses incurred as a result of on-duty injuries.

Responsibilities:

  • Responsible for injured on-duty cases in their entirety including, but not limited to, before, during, and after litigation in accordance with policy, procedures and deadlines pursuant to M.G.L. c.41, section 100.
  • Analyzes, verifies, and investigates accident reports for completeness and accuracy
  • Reviews, researches, and manages the claims for benefits. Contacts employees, witnesses, departments, medical providers, and remains in communication with all parties as required.
  • Informs employees of Rule 111F policies and procedures; obtains signed documentation and does appropriate follow-up
  • Obtains required medical documentation.
  • Coordinates independent medical exams, utilization review, and additional vendor support services.
  • Enters all case activity into case management software and other applications.
  • Works with the departments to facilitate employee’s return to work in a timely fashion on regular duty and/or modified duty
  • Schedules meetings with supervisors to discuss, review, and make decisions on cases.
  • Responds to all inquiries and processes payment regarding medical bills, vendor bills, and reimbursements for payment
  • Works closely with all staff as well as medical providers, attorneys, and departments to ensure effective and efficient management of cases and medical bills.
  • Prepares reports and statistics as needed.
  • Filing and maintenance of confidential records.
  • Performs drug testing in accordance with Department Rule 111.
  • Performs related work as required.

Minimum Entrance Qualifications:

  • At least (4) years of full-time or equivalent part-time, professional experience in the field of workers’ compensation, insurance or a related field. A bachelor’s degree may be substituted for two (2) years of the required experience.
  • Working knowledge of Massachusetts Laws as they pertain to workers’ compensation, specifically M.G.L. Chapter 41, sections 100 and 111F preferred.
  • Ability to exercise good judgment and focus on detail as required by the job.
  • Ability to work independently under deadlines.
  • Ability to exercise discretion with confidential matters.
  • Ability to document work in progress.
  • Proficiency with Microsoft Office and working knowledge of Google platform preferred.
  • Ability to apply laws, rules, regulations, specifications and standards in compliance with documented policies and procedures.
  • Working ability to prepare clear and concise reports, to communicate effectively both orally and in writing, to maintain harmonious working relationships with co-workers, departmental personnel, outside agencies, and members of the public.

CRIMINAL RECORD CHECK REQUIRED

PRE-EMPLOYMENT DRUG TEST REQUIRED

BOSTON RESIDENCY REQUIRED

 

Terms:

Union/Salary Plan/Grade: SEIU/RL – 18

Hours per week: 35

 

Options:

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed