Senior Workers Compensation Manager
1 week ago
Job Summary:
The Senior Workers Compensation Manager will oversee the management of complex workers' compensation claims and high-level strategic projects to reduce costs and improve outcomes. This role requires strong analytical skills, critical thinking, and problem-solving abilities to arrive at meaningful solutions.
Key Responsibilities:
- Manage complex workers' compensation claims and high-level strategic projects simultaneously.
- Conduct financial analyses of program metrics to evaluate trends in program costs, losses, and the effectiveness of process improvement initiatives.
- Develop and manage workers compensation/risk strategies and processes to support corporate and claims management strategic objectives.
- Develop and manage workers' compensation-related performance metrics and benchmarks.
- Direct Third-Party Administrator (TPA) to ensure proactive and aggressive management of all workers' compensation claims from initial loss to closure.
- Oversee WC Return to Work (RTW) Program.
- Regularly obtain and review WC loss runs to ensure data accuracy and opportunities to close cases, reduce costs etc.
- Take lead role at quarterly WC claim review meetings.
- Monitor and evaluate the performance of selected defense attorneys.
- Stay current with key changes in the legal and regulatory environment impacting workers compensation.
- Manage workers' compensation litigation budgets, evaluate adequacy of case reserves and advise on adjustments where necessary.
- Establish managed care procedures.
- Authorize reserve and settlements on higher severity workers' compensation claims.
- Conduct analysis of claims data to facilitate decisions on workers compensation claims program structure and TPA staffing, direction of program to achieve maximum results, and use of additional resources to augment TPA capabilities.
- Ensure that insurance coverage positions are consistent with our policy language and contracts.
- Coordinate the assembly and execution of the discovery required by internal and external stakeholders.
- Coordinate reporting and investigation of work injuries with Operations and Safety.
- OSHA reporting, state-level compliance, and other government reporting and legal compliance as required and needed.
- Other duties as required.
Requirements:
- 10+ years of multi-state workers compensation (complex, litigated cases) experience with insurance carrier, third-party administrator or insurance broker.
- Experience with transportation-related claims preferred.
- Extensive experience in CA workers' compensation claims is strongly preferred.
- CPCU, ARM, or other claims designation(s) preferred.
- Bachelor's Degree.
Salary: $91,000-115,000.00/year salary
This is an estimated range based on the circumstances at the time of posting, however it may change based on a combination of factors, including but not limited to skills, experience, education, market factors, geographical location, budget, and demand.
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