Senior Cost Containment Manager

At Safety National, we don’t just offer jobs – we build careers with purpose! Since 1942, we’ve been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success—both personally and professionally. Ready to grow with us? Apply today!

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This opportunity is in the Claims department

Our Claims Department oversees both high-exposure workers’ compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess carrier, the catastrophic claims we handle keep our group challenged, but the uniqueness provides plenty of growth opportunities.

Role Description:

As a Senior Cost Containment Manager, you will play a critical role in driving effective medical cost management strategies across complex workers’ compensation claims. In this position, you’ll partner closely with Claims Managers, TPAs, and internal stakeholders to analyze, negotiate, and resolve high-exposure medical bills while ensuring accuracy, compliance, and cost efficiency.

You will take ownership of complex medical bill reviews, including prospective negotiations for large procedures and retrospective audits of hospitalization charges. Your ability to interpret detailed billing information and translate it into actionable insights will directly impact claim outcomes and overall cost containment efforts. You’ll also serve as a trusted advisor—educating claims teams, supporting reserve strategies, and developing plans of action for challenging cases.

This role offers the opportunity to influence both individual claim outcomes and broader organizational practices. From conducting TPA audits to identifying training opportunities and partnering with industry vendors, you’ll help shape best practices while delivering measurable value. If you enjoy problem-solving, negotiation, and collaborating across teams in a fast-paced environment, this role will allow you to make a meaningful impact.

Qualifications:

Education:

Bachelor’s degree is preferred.

Required Qualifications:

• 3 or more years of workers’ compensation bill review experience or related experience
• Strong knowledge of medical billing, review processes, and cost containment strategies
• Excellent written and verbal communication skills, with the ability to explain technical information to non-medical audiences
• Proven ability to manage multiple priorities in a fast-paced environment while maintaining organization and attention to detail
• Strong negotiation and analytical skills
• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Must be presently authorized to work in the U.S. without a requirement for work authorization sponsorship by our company for this position now or in the future
• This position allows for a hybrid work schedule which includes a minimum of 3 days per week in our St. Louis Corporate Office, located at 1832 Schuetz Rd. Saint Louis, MO. All employees are required to submit work from home requests and follow our Work From Home policy, which will be provided to all candidates selected to interview.

Preferred Qualifications:

• Experience negotiating large medical bills, including catastrophic claims and rehabilitation services
• Familiarity with TPA operations and medical bill review vendor management
• Experience conducting audits and delivering training to claims or operational teams
• Background in evaluating medical bill review programs and identifying cost-saving opportunities
• Experience supporting reserve analysis through medical cost projections

Protect the confidentiality, integrity and availability of information and technology assets against unauthorized disclosure, destruction and/or alteration, in accordance with Safety National policies, standards, and procedures.

Safety National is a leading specialty insurance and reinsurance provider. Our culture is built upon relationships, which allow us to demonstrate our expertise gained through our rich 80-year history. As a wholly-owned subsidiary of Tokio Marine, Inc., we appreciate the benefits and support provided by our affiliation with one of the top 10 insurance companies in the world.

Total Rewards That Put Employees First

In our vision to be First with Co-Workers, compensation that includes base salary, holiday bonus, and incentive awards is only a small portion of the comprehensive total rewards package we offer. Our total rewards approach recognizes and rewards the time, talents, efforts, and results of our valued employees. Highlights of our exceptional benefits include generous health, dental, and vision coverage, health savings accounts, a 401(k)-retirement savings match and an annual profit sharing contribution. We proudly offer family forming benefits for adoption, fertility, and surrogacy, generous paid time off and paid holidays, paid parental and caregiver leave, a hybrid work environment, and company-paid life insurance and disability. To support employees in their career journeys, we provide professional growth and development opportunities in addition to employee recognition and well-being programs. Apply today to learn more.

Safety National is committed to fair, transparent pay and we strive to provide competitive, market-based compensation. In our vision to be First with Co-Workers, compensation is only one piece of the comprehensive total rewards package we offer. The target base salary range for this position is $101,500 to $131,000. Compensation for the successful candidate will consider the candidate’s particular combination of knowledge, skills, competencies, experience and geographic location.

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Salary : $101,500 - $131,000