Primary Responsibilities
- Workers’ Compensation Management:
- Oversee the entire Workers’ Compensation claims process, from reporting incidents to closing claims.
- Collaborate with third-party administrators (TPAs), insurance carriers, and medical providers to ensure timely and fair claims handling.
- Monitor claims to control costs, assess injury trends, and recommend corrective actions to reduce future claims.
- Ensure compliance with federal and state Workers' Compensation laws and regulations.
- Loss Control & Safety:
- Develop and implement proactive loss control strategies to prevent workplace injuries and accidents in partnership with the safety team.
- Work with HR, safety committees, and department heads to promote a culture of safety and minimize claims.
- Partner with safety support training programs for employees on workplace safety and accident prevention.
- Organize process with carrier and safety to ensure all OSHA designations and reporting is completed and done in a timely manner.
- Claims Management:
- Manage claims for all types of incidents, including Workers' Compensation, general liability, and property damage.
- While the primary function of this role is the management of the Workers Compensation program, the successful incumbent will also be responsible for helping the benefits team analyze medical claims and work with carriers and TPAs to manage medical claims as well.
- Analyze claims data and trends to identify areas of improvement and risk reduction for Workers Comp and medical plans.
- Partner with legal teams on claims disputes, settlements, and litigation management.
- Cost Control & Financial Management:
- Analyze Workers' Compensation costs and prepare budgets and forecasts related to claims expenses.
- Negotiate terms and manage relationships with insurers, brokers, and TPAs.
- Monitor return-to-work programs and coordinate modified duty assignments to reduce claims duration.
- Reporting & Compliance:
- Maintain accurate records and generate regular reports on claims status, costs, and risk mitigation activities.
- Ensure compliance with OSHA regulations, workplace safety standards, and internal policies.
- Serve as the primary contact for audits and investigations related to Workers' Compensation and risk management.
Skills and Qualifications
- Bachelor’s degree in Risk Management, Business Administration, or a related field.
- Minimum 5 years of experience in Workers’ Compensation and/or loss control management.
- Knowledge of Workers' Compensation laws, OSHA regulations, and safety practices.
- Experience working with third-party administrators, insurers, and legal teams.
- Strong analytical and negotiation skills.
- Excellent communication and leadership abilities.
Preferred Qualifications
- Certifications such as Associate in Risk Management (ARM) or Certified Safety Professional (CSP) are a plus.
- Experience in return-to-work programs and developing safety training modules.
