Claims Manager

Job Overview

The Claims Manager will oversee the claims process by ensuring compliance with regulations and best practices. This role will manage our return-to-work programs (TRTW/VRTW) in addition to medical provider panels, wage requests, teammate status updates, and administrative claim duties (WC/Auto/GL). This position provides supporting analysis to the Sr. Managers of Workers’ Compensation and Liability Claims.

Duties & Responsibilities

• Manages the Workers’ Compensation and Liability claims, including claim investigations, settlement reviews, and oversight of our Third-Party Administrator, while applying respective statutes as tools for claim resolutions and state compliance.
• Manages the Return-To- Work program, tracking and analyzing teammates’ light duty assignments, lost workdays, and LOA returns to promptly inform HR and Benefits departments.
• Completes administrative duties for casualty claims handling and data entry to Origami necessary for reporting to field safety team.
• Reviews and approves reserves or the amount of money set aside to pay out our anticipated financial obligation for Workers’ Compensation claims that are greater than $25,000.
• Collaborates with legal counsel and claim handlers on complicated claims as it relates to State and Federal regulatory issues for claims administration.
• Direction of medical programs specific to our preferred providers organization (PPO), pharmacy, diagnostic, physical therapy networks and ancillary administrators.
• Direction and financial oversight of subrogation, liens, and loss recovery programs.

Knowledge, Skills, & Abilities

• Experience in management of casualty claims

Minimum Qualifications

• Associates Degree or up 3 years of college or technical school
• 3 to up to 5 years of work experience

Preferred Qualifications

• A claims adjuster license

Work Environment

Office environment