Pittsburgh Regional Transit is seeking a Workers’ Compensation Specialist to investigates work-related injuries/disabilities by collecting and compiling information gathered from internal and external sources for Port Authority of Allegheny County d/b/a Pittsburgh Regional Transit (PRT). 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. 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.
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 PRT 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.
