Manager, Worker's Compensation

CVS Health

6d

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health Workers’ Compensation team needs a dedicated people leader to drive consistent production, prioritization, and follow-through across the claim portfolio. Reporting to the Director of Claims in Risk Management, this role manages a team of 6 and is accountable for overseeing the third-party administrator (TPA) program, including performance oversight, rapid issue resolution, contract/guideline alignment, and continuous improvement.

Requirements

• 5+ years of workers’ compensation claims experience (technical claims knowledge + program oversight).
• 5+ years of prior experience working with a Third Party Administrator.
• 5+ years of advanced computer proficiency, including strong working knowledge of operating systems, databases/reporting tools, and common hardware/software applications used to support claims operations.

Nice To Haves

• People leadership experience (coaching, delegation, performance management).
• Strong analytical, organizational, and communication skills; able to produce clear senior-leader reporting.
• Demonstrated ability to resolve conflict, handle sensitive issues, and drive business outcomes.

Responsibilities

• Manage all aspects of the workers’ compensation program, including open claims handled by insurance carriers and third-party administrators
• Oversee TPA program operations and performance (scorecards, regular performance reviews, issue escalation and resolution)
• Manage defense counsel and vendor partners to drive timely claim resolution, reserving discipline, and high-quality claim handling
• Partner with other stake holders to remove barriers, maintain visibility into claim status and trends, to help streamline business improvements, and mitigate damages.
• Review contracts, establish/maintain program guidelines, and direct claims-handling expectations
• Conduct claim reviews and audits; review action plans to ensure appropriate strategy, reserving, and timely next steps
• Prepare high-level reporting on financial exposure and critical claim trends for senior leaders
• Responsible for insurance invoice processing as it relates to claims handled by various carriers. Submit and process North Dakota payroll and insurance premiums.; resolve exceptions and ensure on-time payment controls
• Lead, coach, and evaluate team performance (performance appraisals, development, accountability)
• Responsible for self-insurance renewals and related assessments/bonds in 8 states.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees