Return-to-Work
Return-to-Work Coordinator
These positions provide expert assistance to policyholders for returning injured workers back to the workplace. Serves as a resource to team claims representatives, nurses, and legal staff in regard to vocational issues, with emphasis on SB218 claims. Develop and provide educational programs to policyholders regarding the benefits of early return-to-work. Working with assigned policyholders in conjunction with claims representatives and team nurses, position facilitates early return-to-work for injured workers. May assist in obtaining physical restrictions from physicians. Assists policyholders in defining and documenting modified work duties for injured workers. Assists policyholders in completing Rule 9 paperwork and supporting documentation. Educates policyholders on the benefits of modified work duty programs; assists in program implementation. Monitors injured workers who have returned to restricted duty to assure progression to full duty or MMI. Maintains a documentation system for claim files; submits monthly cost savings reports. Works with claims representatives and team nurses on catastrophic claims to assess the vocational potential of severely injured workers to avoid permanent total disability. Upon receipt of application for hearing with PT as an issue, contacts policyholder to determine whether re-employment is an option. Communicates results to Pinnacol Assurance attorney and/or hired vocational expert. Monitors vended early return-to-work services. Works with claims team, legal and medical staff to resolve/strategize vocational issues. May review files, vendor bills, and evaluate the cost effectiveness of offering vocational services.
Develops and implements educational programs, seminars and/or workshops for policyholders regarding the importance of providing modified duty for injured workers. Upon initial screening and referral by Loss Prevention, works with individual policyholders on the pre-planned return-to-work portion of the Pinnacol Assurance Advanced Loss Control program. Works with Loss Prevention to assess progress and completion of documentation requirements.
Builds a working knowledge of major policyholders, associations, brokers, key accounts, resistant policyholders and medical providers to be targeted for future intervention. Provides support for customer retention and new business efforts by attending policyholder and broker meetings; providing early return-to-work presentations, on-site ergonomic evaluations and job site evaluations, as requested. Must possess valid Colorado driver’s license and provide automobile insurance.
Education or Formal Training:
Bachelor’s Degree from an accredited college or university, masters degree directly related to vocational rehabilitation preferred. Must be qualified to obtain one or more of the following certifications: Certified Insurance Rehabilitation Specialist (CIRS), Certified Rehabilitation Counselor (CRC), Certified Case Manager (CCM), or Certified Vocational Evaluator (CVE).
Experience:
Five years of experience in vocational and rehabilitation counseling. Experience required in the development and implementation of modified duty work programs and/or experience with claimants/employers regarding return to the work place.
