Human Resources - Workers' Compensation Specialist

The Human Resources - Workers’ Compensation Specialist oversees the full lifecycle of workers’ compensation claims, ensuring timely, accurate, and cost-effective resolution. This role serves as the primary liaison between the organization, Third-Party Administrators (TPAs), insurance carriers, and internal stakeholders to monitor claim progress, manage costs, and ensure compliance with all regulatory requirements.In addition, this position plays a critical employee-facing role by providing outreach, guidance, and support to injured team members. The Specialist ensures appropriate medical care, clear communication, and a safe, timely return-to-work whenever possible. Using data, analytics, and proactive claim management strategies, this role helps reduce financial exposure while supporting employee well-being.Essential Functions, Responsibilities, and DutiesClaims Management & AdministrationServe as the primary point of contact for all workers’ compensation claims with the Third-Party Administrator (TPA).Manage the complete claim lifecycle, from incident reporting through claim closure.Ensure timely, accurate submission of all required documentation and reports.Monitor claim activity, including medical treatment, indemnity payments, reserves, and return-to-work status.Identify claims requiring escalation, intervention, or additional medical or legal review.Cost Control & Risk MitigationActively manage claim reserves, settlements, and overall claim strategy to minimize financial exposure.Review and challenge inappropriate charges, treatment plans, or reserve levels in coordination with the TPA.Identify and promote early return-to-work opportunities, including light duty or modified assignments.Support litigation management and coordinate with legal counsel as needed.Employee Outreach & SupportContact injured employees promptly following claim submission to express concern, explain the process, and confirm appropriate care.Maintain ongoing communication throughout the claim to support recovery and employee engagement.Serve as a trusted resource for questions related to benefits, medical treatment, and return-to-work expectations.Partner with Human Resources and Operations to facilitate smooth reintegration of employees returning from injury.Reporting, Analytics & ComplianceTrack and report key claim metrics, including new, open, and closed claims; reserves; medical and indemnity costs; and trends.Prepare dashboards and regular reports for HR, Safety, Finance, and executive leadership.Analyze claims data to identify patterns, risk drivers, and opportunities for loss prevention.Ensure compliance with all federal, state, and insurance reporting requirements.Collaboration & Process ImprovementPartner with Safety, HR, and Operations to improve injury prevention efforts, reporting accuracy, and claim outcomes.Participate in incident reviews and root-cause analyses to reduce future claims.Support training and awareness initiatives related to injury reporting and workers’ compensation procedures.Recommend and implement process improvements to enhance claim handling and cost control.Special ProjectsSupport evolving business needs by taking on special projects and interim responsibilities as assigned.Assist with 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.

Salary : $110,000 - $129,990