Regional WC Claims Manager

C&S Wholesale Grocers • Keene, NH

23h

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. It also develops effective relationships with the Third Party Administrator (TPA) and Operations Management concerning program and client-service instructions and final claim resolution.

The manager oversees claims from the date of loss through final resolution, supporting accident investigations, adjuster coordination, reserve review, effective medical care, transitional modified duty, legal proceedings, and litigation resolution strategies. In partnership with Operations and Safety, the role identifies trends and improvement opportunities, educates and supports operations teams, and develops and monitors risk mitigation programs. The manager is responsible for the TAD program and works with physicians, local safety and operations teams, and the TPA to support timely return to work and claim cost mitigation. The position also manages relationships with TPAs, legal counsel, occupational medical groups, investigators, and other claim-related parties, and improves post-loss claim management processes in line with agreed handling standards and best practices.

Travel is not required. The work environment is an office with a temperature of 65°F to 75°F. Working safely is a condition of employment.

Requirements

• 5–7 years of progressively responsible experience in an equivalent position for a large corporation, or practical experience in a relevant broker, underwriting, or claims capacity.
• Bachelor’s degree in Risk Management.
• In-depth knowledge of litigation principles and legal procedural guidelines.
• Strong negotiation skills.
• Relationship management skills to encourage cooperative effort and pursue claim resolutions and recoveries.
• Strong project management and communication skills.
• Ability to plan, communicate, and execute in a complex company.
• High level of 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, medical-care monitoring, transitional modified-duty coordination, attendance at legal proceedings, and 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, obtain approval for implementations, and monitor and modify programs to achieve objectives.
• Manage the TAD program to support timely and successful return to work in partnership with physicians, local safety and operations teams, and the TPA.
• 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 handling standards and best practices.
• Identify operational claim strategies to help mitigate claim costs, including program development, implementation, communication, and training to achieve defined goals.

What This Job Offers

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