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Worker's Compensation Program Manager
3 months ago
Foster Farms has been serving families since 1939. Since the founding days, Foster Farms has always been committed to providing consumers with the highest-quality, best-tasting poultry products available. Our commitment to excellence, honesty, quality, service, and our valued TEAM Members will shine through in everything we do.
Foster Farms is always looking for talented individuals to join the Foster Farms TEAM. We offer the experience of a large organization, however, we operate like a family business. More than half of our job openings are filled by internal promotion, and we encourage TEAM Members to gain a variety of experiences across different functional groups.
Job DescriptionPay Range: $91,075 to $113,850 per year.
Purpose of Position:
Responsible for the management of Foster Farms’ third-party administrator (“TPA”) for the worker's compensation program. Responsible for claim management strategies critical to the organization's success. This position will liaise with our third-party claims administrator, Legal Defense Counsel, employees, medical providers, counsel, supervisors, human resources and leave of absence coordinator(s) with a focus on resolving complex claims, ensure claim payments by the TPA, and effectively manage claims resolution. Will be a strategic partner to Operational and Functional leadership in successfully managing claims and recovery outcomes with our TPA. This position serves as an advocate for injured employees while ensuring that the quality of workers' compensation claims handling practices is consistent for all claims. Responsible for developing support procedures and programs that facilitate a strong culture of caring for injured employees at every organizational level. Will seek to minimize the potential risk and liability to the Company associated with workers' compensation and provides leadership, expertise, and training to reduce the cost of employee injuries overall. Track injury trends in the Company and develop action plans to prevent and address identified accident trends proactively. Responsible for reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information. Manages litigated and moderately complex claims and is entrusted with significant settlement authority.
Essential Job Functions:
- Manage Workers’ Compensation claims having oversight of TPA’s and insurance companies to assure compliance with its policies and procedures.
- Work closely with the legal counsel on litigated claims and claims with a high potential of litigation. Extensive oversight and management including Mediations, Deposition, Settlement negotiations and authorized authority on settlement types and amounts.
- Work with TPA, local HR leaders and operations management to establish effective return to work programs, while assessing level and duration of any restrictions.
- Collaborate with Safety teams in the proactive mitigation of workplace injuries, accidents, incident investigations and management reporting.
- Conduct quarterly claim reviews with TPA and participate in annual claim audits with the corporate claims team.
- Build partnership with TPA and develop a strong team to effect positive results.
- Manage and lead TPA in aggressively managing open claims to a satisfactory conclusion.
- Ensure TPA compliance with best claim practices, manages claims diligently and ensure compliance with WC Regulatory Reporting and Postings.
- Ensure TPA compliance with contract, service level agreements and manage spending on services to ensure appropriateness.
- Working with TPA to drive workers’ compensation results through various cost control initiatives and litigation management. Develop key metrics to measure results.
- Will serve as an advocate for injured employees while ensuring that the quality of Workers' compensation claims handling practices with TPA are consistent for all claims.
- Provide field education and support, development and implementation of programs to assist in managing incidents and claims.
- Keep abreast to changes in laws and state regulations related to claims.
- Ensure adequate and timely reserving practices. Provide timely and effective communications to internal constituents of increased exposure or material reserve changes.
- Review and as appropriate, approve Adjuster settlement requests and/or reserve increase up to authorized amount.
- Maintain effective work comp fraud mitigation program working with the TPA, service providers, local district attorney’s offices and company managers.
- Effectively interface and collaborate with internal operational and functional leadership, human resources, legal, risk management; external with TPA, insurers, medical providers, consultants, legal counsel, claims systems and technologies, experts and related professionals.
- Assist work comp actuary annually to establish appropriate IBNR reserve and reporting requirements for state and insurance purposes.
Additional Functions:
Performs other duties and responsibilities as assigned.
Qualifications- Education: Bachelor’s degree from an accredited college or university with major coursework in risk management, law, claims or related technical field preferred.
- Experience: Minimum of 5-7 years of casualty claims experience working for an Attorney, insurance carrier, TPA or risk management department.
- Certifications/Designations: AIC, ARM, CPCU or equivalent certification(s) preferred.
- Proficient with Insurer Claims systems and Risk Management Information Systems (RMIS).
- Strong Computer skills including Excel, Word, PowerPoint, Gmail, Google Suite.
- Excellent verbal and written communication skills.
- Empathetic and caring demeanor with a strong focus on customer service.
- Demonstrated ability to effectively build, develop and collaboratively work within cross- functional teams.
- Strong analytical, influential, interpersonal, and organizational skills.
- Must be results-oriented with the ability to drive continuous improvement within the organization.
- Ability to travel for business 5-10% as needed, and work hours as required based on business demands.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Foster Farms is an Equal Opportunity Employer – Minorities, Females, Veterans and individuals with disabilities are encouraged to apply.
Foster Farms participates in E-Verify during the hire process at all locations for all new TEAM Members.
