Workers Compensation Claims Manager

Job Description

Workers' Compensation Claims Manager

Job Summary

Seeking a highly experienced Workers' Compensation Claims Manager to join a team. This role involves managing the full lifecycle of Workers' Compensation claims, ensuring compliance with regulatory requirements, and delivering exceptional service to internal and external stakeholders. The position offers the flexibility of a hybrid work schedule (3 days in-office) or fully remote work. This is an excellent opportunity for a seasoned professional to lead a team and contribute to the growth of a well-established organization.

Compensation Package

• Salary Range: $120,000 - $170,000 per year
• Paid Time Off: 28 days of PTO to start
• Work Hours: 37.5-hour workweek with a daily two-hour flexible start and end time
• Health Benefits: Comprehensive health, dental, and vision insurance
• Life Insurance: Company-paid life insurance (2x annual earnings)
• Additional Perks:
• Yearly performance reviews for salary increases
• Discretionary performance incentive bonus
• Education and training opportunities with financial assistance for insurance designations
• Employee fitness program
• Benefits start on the 1st of the month following your start date
  

Responsibilities

• Manage Workers' Compensation claims from inception to resolution, including coverage and compensability determinations, investigation, reserving, evaluation, and settlement.
• Review and evaluate claim reserves to ensure accurate reflection of potential exposure.
• Conduct thorough investigations, including obtaining statements, records, and other evidentiary materials.
• Provide clear and comprehensive documentation and reporting of claims handling activities.
• Maintain up-to-date knowledge of regulatory and jurisdictional requirements.
• Oversee and provide direction to defense counsel, independent adjusters, and other third-party vendors.
• Lead and mentor a team of claims professionals, fostering a collaborative and high-performing work environment.
• Ensure compliance with company standards and regulatory guidelines.
• Perform other duties as assigned.
  
  

Qualifications/Requirements

• Experience:
• Minimum of 10 years handling Workers' Compensation Lost Time/Indemnity claims, including Med-Pay and subrogation.
• At least 5 years of experience leading a team in Workers' Compensation claims.
• Industry Knowledge:
• Experience in construction, forestry, logging, or oil and gas industries is a plus.
• Strong understanding of coverage, reserving principles, investigation, and negotiation techniques.
• Licensing:
• Must be licensed or hold a Self-Insurance Plan (SIP) certification in California.
• Ability to handle claims in West Coast states (CA, OR, WA, AZ, ID, NV).
• Ability to obtain and maintain state adjusting licenses as needed.
• Skills:
• Excellent judgment, negotiation, and decision-making abilities.
• Strong organizational skills with the ability to manage multiple tasks simultaneously.
• Exceptional communication skills to interact effectively with clients, claimants, legal counsel, and other stakeholders.
• Other Requirements:
• Service-oriented mindset with a commitment to providing prompt and effective claims resolution.
• Willingness to travel, including potential overnight stays.