Regional WC Claims Manager

C&S Wholesale Grocers • Keene, NH

3d

About The Position

The Regional WC Claims Manager preserves company assets by managing Workers’ Compensation claims for assigned C&S facilities. The role designs and implements the procedures, processes, relationships, controls, and systems needed to manage claims, and develops effective relationships with the Third Party Administrator (TPA) and Operations Management to implement program and client-service instructions and resolve claims.

Requirements

• Bachelor’s degree in Risk Management.
• Five to seven years of progressively responsible experience in an equivalent position for a large corporation, or practical experience in a relevant broker, underwriting, or claims capacity.
• In-depth knowledge of litigation principles and legal procedural guidelines.
• Strong negotiation skills.
• Relationship-management skills to encourage cooperation and pursue claim resolutions and recoveries.
• Strong project-management and communication skills.
• Ability to plan, communicate, and execute in a complex company.
• Strong multitasking and organizational skills.

Responsibilities

• Manage Workers’ Compensation claims from date of loss through final resolution, including accident investigation, primary TPA adjuster interface, reserve review, monitoring medical care, coordinating transitional modified duty, attending legal proceedings, and contributing to litigation-resolution strategies.
• Partner with Operations and Safety to identify trends and opportunities to improve tools, training, processes, and procedures.
• Educate, train, and support Operations in developing and executing consistent Workers’ Compensation claim-management programs.
• Evaluate Workers’ Compensation risk mitigation with internal and external partners; develop programs, seek approval for implementation, and monitor and modify programs to achieve objectives.
• Oversee the TAD program to support timely and successful return to work in partnership with physicians, local Safety and Operations teams, and the TPA, while mitigating claim costs.
• Build, maintain, and manage relationships with third-party administrators, legal counsel, occupational medical groups, investigators, and other claim-related parties.
• Improve the quality and effective execution of post-loss claim-management processes in accordance with agreed claim-handling standards and best practices.
• Proactively identify operational claim strategies to mitigate claim costs, including developing, implementing, communicating, and training on programs to achieve defined goals.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager