Consultative Analytics Data Specialist II

Responsible for acquiring and analyzing workers’ compensation, claim information to manage data within scope of responsibility.

• Gather, analyze, and manage workers' compensation claim data, including medical records and work status updates, to ensure accurate and timely entry.


• Communicate with healthcare providers and stakeholders to collect and verify missing or unclear claim information.


• Collaborate with claim teams and escalate issues to internal or client contacts per SOPs to resolve RTW or job offer concerns.


• Partner with cross-functional teams to validate data, update internal guidelines, and maintain consistency with evolving client protocols.


• Research and improve processes, participate in ad hoc projects, and provide operational support to optimize efficiency and effectiveness.


• Conduct quality assurance reviews and evaluate final claim determinations to ensure compliance with regulatory standards.


• Test tools and workflows, document issues, and provide feedback to support continuous system and process improvement.


• Support year-end OSHA log creation, including reviewing client changes, preparing hours/headcount, and implementing required log updates.

• Bachelor's degree or equivalent.


• At least two (2) years working experience in a claims or insurance management services.


• Excellent oral and written communication skills.


• Highly organized thinking, writing and presenting so that key points are delivered powerfully and clearly to the intended audience.


• Capable of quickly learning new tools and programs.


• Able to manage multiple competing priorities.


• Proficient in MS Excel and PowerPoint.


• Skilled at simplifying complex concepts for a non-technical audience.


• Strives to establish and systematize best practices within team.