Claims Manager

13 hours ago


Norristown, Pennsylvania, United States JP Mascaro Full time
Job Title: Manager, Worker's Compensation Claims

JP Mascaro & Sons, a locally owned and operated private family-owned company, is seeking a highly skilled Manager, Worker's Compensation Claims to join our team. As a key member of our risk management team, you will be responsible for overseeing the administration of worker's compensation claims and ensuring compliance with regulatory requirements.

Key Responsibilities:
  • Direct the overall management of worker's compensation programs and oversee the administration of claims.
  • Perform specialized duties in the oversight and administration of worker's compensation programs and activities, including reviewing, analyzing, and responding to a wide variety of worker's compensation and related issues.
  • Develop plans and recommendations for risk mitigation and implement approved mitigation efforts.
  • Conduct research and assessments on worker's compensation claims and prepare reports and responses related to discovery requests and informational subpoenas.
  • Coordinate with injured employees, their managers, medical care providers, witnesses, and others to obtain information, testimony, and evidence.
  • Collaborate with worker's compensation stakeholders, including the claims administrator TPA, attorneys, and providers, to determine the compensability and strategy for handling and/or resolving claims of injuries to employees and the appropriate issuance of worker's compensation benefits.
  • Review policies, programs, and benefits for cost effectiveness and make program modifications as needed for regulatory compliance.
  • Confer with departments individually and in team discussions regarding injuries/illnesses/risk exposure and recommend methods to minimize and avoid future potential injuries and illnesses.
  • Develop and recommend policies and claim procedures regarding the worker's compensation processes and administer the day-to-day operations.
  • Engage with and assess the placement and monitoring of injured employees in permanent and temporary modified and alternate work assignments.
  • Manage all aspects of the return-to-work process, including collaboration with related departments, medical providers, etc.
  • Provide training for managers regarding worker's compensation procedures and policies, and any other applicable program and/or federal and state laws covering injured workers.
  • Communicate claims costs and reserve information as required per the annual report to the state and to financial auditors, as necessary as a self-insured employer.
  • Advises executives, department managers, and supervisors about the status of claims, loss experience trends, and program costs on a monthly basis.
  • Oversee and monitor the activities and performance of the worker's compensation third-party claims administrator and company worker's compensation attorneys.
  • Stay abreast of the latest trends and innovations in the field of worker's compensation and self-insurance administration.
  • Monitor changes in laws, regulations, and technology that may affect operations and implement policy and procedural changes as required.
Requirements:
  • Five (5) to seven (7) years' experience with the administration or management of worker's compensation claims and self-insured claims administration.
  • Any combination of training and experience equivalent to completion of a BA Degree from an accredited college or university in business administration, insurance, or a related field.
  • Strong skills related to Microsoft Office software products.
  • Insurance carrier, legal, or TPA experience a plus.
  • Excellent organization and verbal/written communication skills.
  • Ability to recognize and meet deadlines.
  • Experience with WCAIS Software a plus.
  • Strong work ethic with the ability to work independently in a fast-paced environment.
  • Excellent verbal and written communications skills and strong interpersonal skills.
  • Must be organized and motivated to succeed with the ability to prioritize multiple tasks.
What We Offer:
  • Competitive Salary
  • Health Insurance
  • Life Insurance
  • 401K with Company match
  • Gifts every holiday
  • A fun, family environment
  • and much more

JP Mascaro & Sons is an equal opportunity employer and prohibits discrimination and harassment of any kind based on age, race, color, sex, gender, gender preference, sexual orientation, national origin, religion, disability, genetic information, pregnancy, or any other protected characteristic as outlined by local, state, and federal laws.


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