Sr. Workers Compensation Specialist

Job Title: Sr. Worker's Compensation SpecialistLocation: Hauppauge, NY Reports To: Sr. Director of Human ResourcesEmployment Status: Full-TimeFLSA Classification: ExemptCompensation Range: $100,000 - $125,000 (Based on Experience)Role OverviewOwn workers' compensation outcomes end-to-end. Serve as the central point between injured employees, external claims partners, and internal teams. Balance employee care, cost control, and compliance while providing visibility into claim costs and trends. This is a hands-on role-not administrative or intake-only-requiring active claim management, strategic influence, and direct employee engagement.Position SummaryThe Worker's Compensation Specialist is responsible for managing the entire workers' compensation claims process, ensuring timely, accurate, and cost-effective resolution. This role acts as the primary liaison between the organization, Third-Party Administrators (TPAs), insurance carriers, and internal stakeholders to monitor claim progression, control costs, and ensure compliance with regulatory requirements. Additionally, the position plays a critical employee-facing role by providing outreach and support to injured team members, ensuring appropriate care, clear communication, and timely return-to-work whenever possible.Key ResponsibilitiesClaims Management & AdministrationServe as the primary point of contact with TPAs for all workers' compensation claims.Manage the full life cycle of each claim, from incident reporting through closure.Ensure timely and accurate submission of all required documentation.Monitor claim activity, medical treatment, indemnity payments, and return-to-work status.Proactively identify claims requiring escalation or additional review.Cost Control & Risk MitigationActively manage reserves, settlements, and claim strategies to minimize financial exposure.Review and challenge inappropriate charges, treatment plans, or reserve levels with the TPA.Identify opportunities for return-to-work, light duty, or modified assignments.Support litigation management and coordinate with legal counsel as needed.Employee Outreach & SupportContact injured employees promptly to explain the process and ensure proper care.Maintain ongoing communication throughout the claim to support recovery and engagement.Serve as a resource for questions about benefits, medical treatment, and return-to-work expectations.Partner with HR and Operations to ensure smooth reintegration of employees returning from injury.Reporting, Analytics & ComplianceTrack and report on claim metrics including new, open, and closed claims, reserves, and costs.Prepare dashboards and reports for HR, Safety, Finance, and leadership.Monitor claims data to identify patterns, risk drivers, and opportunities for loss prevention.Ensure compliance with federal, state, and insurance reporting requirements.Collaboration & Process ImprovementPartner with Safety, HR, and Operations to improve injury prevention and reporting accuracy.Participate in incident reviews and root-cause analysis to reduce future claims.Support training and awareness initiatives related to injury reporting and workers' compensation procedures.Recommend and implement process improvements to strengthen claim handling and cost control.Special ProjectsSupport insurance renewals, audits, and claims reviews.Participate in system upgrades or reporting enhancements related to workers' compensation and risk management.Perform other related duties as assigned.ProfileHands-on workers' compensation professional who actively manages claims, influences strategy and timelines, engages directly with employees, and is accountable for outcomes.Mid- to senior-level experience preferred.QualificationsEducation:Bachelor's degree in Human Resources, Business Administration, Risk Management, or related field preferred.Experience:Minimum of 3-5 years in workers' compensation, claims management, or risk management.Experience working directly with TPAs, insurance carriers, and medical providers.Strong understanding of workers' compensation laws, claim life cycles, and cost-containment strategies.Skills & Competencies:Strong analytical and organizational skills with attention to detail.Excellent interpersonal and communication skills; ability to manage sensitive information with discretion.Ability to handle multiple claims and deadlines effectively.Proficiency in Microsoft Office 365 (Excel, Word, Outlook); experience with claims management systems preferred.If you are interested in this position and fit the minimum requirements, please submit your resume ASAP and we will be in contact to discuss this role further with you!Pay Details: $100,000.00 to $125,000.00 per yearSearch managed by: Cara Kelly Equal Opportunity Employer/Veterans/DisabledMilitary connected talent encouraged to applyTo read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www-uat.lhh.com/us/en/candidate-privacyThe Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:The California Fair Chance ActLos Angeles City Fair Chance OrdinanceLos Angeles County Fair Chance Ordinance for EmployersSan Francisco Fair Chance OrdinanceMassachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Salary : $100,000 - $125,000