Workers Compensation Manager

4 weeks ago

Frankfort, United States Environmental Resources Management Full time

Workers Compensation Manager (Senior Level) Apply to locations: Houston, Texas; Minneapolis, Minnesota; Atlanta, Georgia; Tampa, Florida; Dallas, Texas Time Type: Full time Posted on: Posted Yesterday Job Requisition ID: R00023967 As a member of our internal Health & Safety team, utilize your knowledge of Workers Compensation to independently investigate, evaluate, and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position, you will administer and resolve high-risk claims in a timely manner in accordance with legal statutes, policy provisions, and company guidelines. Works independently and may collaborate with subject-matter experts (SMEs) as needed. Empowered to progress claims through vendor management and influence others involved with claims processing. RESPONSIBILITIES: Manage Workers' Compensation Case intake, which may include: File incident reports and/or claims with TPA (Travelers) and accurately document investigations to ensure faster settlements and resolution (HR to H&S). Connect employees to WorkCare (when necessary). Transfer information from Event Communication System (ECS) to WC TPA (Travelers) as necessary. Work with North America (NA) H&S team, employee line managers, and project managers to gather additional case information as needed. Protect personal information needed by vendor for processing claim as data is entered upon intake (HR). Facilitate safe and timely return to work, which may include: Liaise with employees, line managers, project managers, North America (NA) H&S team, insurance representatives, medical staff, and attorneys involved with a case. Ensure clarity regarding work restrictions for every workers’ compensation case by consulting with medical treatment providers and HRBPs. Participate in Integrated Disability Committee (IDC), which may include: Monitor Experience Modification Rating (EMR) and work to reduce liabilities with the goal of achieving an EMR under 1.0. Review, monitor, and evaluate current claims and claim status. Work with leadership and vendor partners to determine potential claim settlement recommendations (must be approved through legal). Communicate case status details and necessary information to involved parties. This may include notifications of hearings, outcomes, return to work status, or restrictions. Prepare coverage analysis and reporting for leadership. Report potential fraud that affects critical claim decisions, suggest Independent Medical Examinations (IMEs) or surveillance in questionable areas, and ensure corporate risk is aware and tracking subrogation opportunities. Suggest more timely actioning or follow-up when medical visits don't appear timely. Maintain subrogation records for workers compensation claims. Program implementation, which may include: Implement a consistent process for recording, investigating, and reporting workers' compensation claims complying with laws and regulations. Educate employees about workers' compensation procedures and policies. Evaluate insurance coding to ensure data provided to insurance carrier is correct in regard to ERM workforce makeup. Work independently and collaborate with subject-matter experts (SMEs) as needed. Empowered to progress claims through vendor management and influence others involved with claims processing. *Other duties as assigned. QUALIFICATIONS & DESIRABLE SKILLS: Bachelor’s degree (4 yrs.) in occupational health & safety, HR, Business Administration, Finance, Accounting or related field or equivalent experience. Minimum 5 years of direct or equivalent experience. Prior experience in planning, organizing, administering, and implementing workers’ compensation programs. Strong understanding of the Workers’ Compensation Act and other state/federal laws. Familiarity with workers' compensation analytics. Proficiency with HR and payroll software like ADP and Workday would be an asset. Excellent Excel skills (pivot tables, v-lookups, filtering, and sorting, etc.). Excellent communication skills — written and verbal/presentation with ability to communicate clearly and concisely with all levels of employees. Ability to take complex issues or situations and present them in a simple and easy to follow manner. Detail-oriented working style with a strong business focus. Outstanding organization and multi-tasking skills. Service-oriented attitude (flexible, personable, approachable). Ability to provide and receive feedback in a constructive manner. Ability to prioritize workload. Assertive, willing to ask questions, and appropriately challenge as needed. Medical background would be an asset. Who We Are: As the largest global pure play sustainability consultancy, we partner with the world’s leading organizations, creating innovative solutions to sustainability challenges and unlocking commercial opportunities that meet the needs of today while preserving opportunity for future generations. At ERM we know that creating a diverse, equitable and inclusive work environment is an essential part of making our company a great place to build a career. We also see our diversity as a strength that helps us create better solutions for our clients. Our diverse team of world-class experts supports clients across the breadth of their organizations to operationalize sustainability, underpinned by our deep technical expertise in addressing their environmental, health, safety, risk, and social issues. We call this capability our “boots to boardroom” approach for its comprehensive service model that allows ERM to develop strategic and technical solutions that advance objectives on the ground or at the executive level. Please submit your resume and brief cover letter. ERM does not accept recruiting agency resumes. Please do not forward resumes to our jobs alias, ERM employees or any other company location. ERM is not responsible for any fees related to unsolicited resumes. ERM is proud to be an Equal Employment Opportunity employer. We do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Thank you for your interest in ERM #J-18808-Ljbffr

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