Workers Compensation Claims Manager
44131 - Onsite
The Workers' Compensation Claims Manager will partner closely with Safety, Legal, Human Resources, and other internal stakeholders to ensure effective claims resolution, compliance with regulatory requirements, and cost-efficient program outcomes. The ideal candidate brings strong technical expertise in workers' compensation, proven leadership skills, and the ability to translate complex claims data into actionable insights for the business.
What We Will Accomplish Together - Lead workers' compensation claims program, including oversight of Analysts, Supervisor(s), TPAs, and defense counsel.
- Manage litigated and complex claims, including settlement authority and strategy development.
- Monitor and evaluate TPA performance, ensuring compliance with service standards and KPIs.
- Collaborate with internal stakeholders to identify claim trends, mitigate risk exposures, and support workplace safety initiatives.
- Develop, analyze, and present executive-ready reports on program performance, claim trends, and cost-containment results.
- Ensure compliance with federal and state regulatory requirements, including Medicare reporting.
- Oversee vendor partnerships (e.g., defense firms, nurse case management, pharmacy benefit managers) to optimize outcomes and cost savings.
- Provide leadership, coaching, and performance management for Workers' Compensation Analysts, including annual reviews and professional development.
- Represent the company at mediations, hearings, and settlement conferences as needed.
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