Workers Compensation Risk Specialist

1 month ago

Framingham, United States Staples Full time

Staples is business to business. You’re what binds us together.


Work location: Framingham, MA hybrid requires 3 days onsite per week


Join a team of legal and risk professionals that work collaboratively with clients in providing practical solutions to grow businesses in multiple industries and different jurisdictions. We help our varied businesses assess risk, drive results and mitigate problems. With diverse projects and a transformative culture, you’ll grow and learn with our businesses. Work with appreciative clients and supportive peers in a flexible environment that helps you gain the experience you want to develop your career.

As a Workers Comp Risk Specialist, you will drive workers' compensation claim outcomes for delivery, e-commerce, retail, and wholesale sectors. Utilizing a variety of skills and tools, you will perform initial triage on all claims, ensure proper claims administrators' attention and investigation, provide strategic oversight and guidance, and clarify processes for the business team, claims administrators, vendors, and internal stakeholders.

  • Triage all newly reported workers' compensation claims
  • Ensure proper intake by the claims administrator on each claim
  • Ensure claims administrator conducts timely and thorough claims investigation
  • Review and approve all reserve changes, settlement requests, compensability determinations, vendor engagements, and legal assignments within designated authority
  • Provide strategic oversight and guidance of the litigation management program
  • Implement and manage the return-to-work program
  • Design, deploy, and maintain all workers' compensation-related training documents
  • Perform periodic claim audits of TPA and communicate the results to management and external stakeholders
  • Utilize internal RMIS system to help manage claims and document internal steps taken
  • Provide authority and approval to TPA for the use of outside vendors or defense counsel
  • Collaborate with business partners to educate and train all relevant stakeholders on the workers' compensation process
  • Communicate with the business regarding the status of open workers' compensation claims
  • Develop improvements to existing processes and procedures with the larger Risk Management team


What You Bring to the Table:

  • A collaborative approach to claims management with a desire to learn and create change
  • Willingness to assist the department in other areas of claim’s management as needed
  • Comprehensive knowledge of workers' compensation claims within various jurisdictions
  • Exceptional written communication and organizational skills
  • Ability to review financial and claims data and present to various audience
  • Strong customer service and incident resolution experience


What’s needed- Basic Qualifications:

  • Bachelor's Degree or equivalent work experience
  • 2 years of relevant experience
  • Previous claims adjusting experience
  • Experience working as a Workers' Compensation Adjuster, Specialist, or similar role
  • Familiarity with RMIS systems and basic computer skills (Microsoft Teams, Outlook, Excel)


What’s needed- Preferred Qualifications:

  • Experience with TPA oversight strongly preferred
  • Professional Insurance Designations such as ARM or AIC are recommended but not required


We Offer:

  • Inclusive culture with associate-led Business Resource Groups
  • Flexible PTO (22 days) and Holiday Schedule (7 observed paid holidays)
  • Online and Retail Discounts, Company Match 401(k), Physical and Mental Health Wellness programs, and more perks and benefits


At Staples, “inclusion” is an action word. It represents what we do to ensure that all employees feel valued and supported to contribute to their fullest potential. When we operate inclusively, diversity naturally follows. This is why we work hard to foster an inclusive culture, as we seek employees with unique and varied perspectives and areas of expertise. The result is a better workplace and innovative thinking that helps us exceed our customers’ expectations -- through the power of the people behind our iconic brand.


Staples is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other basis protected by federal, state, or local law.


It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

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