JBP - Risk Manager - Claims
About The Position
Reporting to the JB Poindexter & Co's Director of Risk and Counsel, the Risk Manager - Claims will be responsible for driving optimum claims outcomes, supporting operational goals and business objectives and providing customer service to our stakeholders. This position will oversee the third-party administrator (TPA) and work with adjusters on claims evaluations, strategy, reserves, legal, and review; ensure compliance with claims handling practices, statutes; lead claims reviews; interface with business units’ EHS, nurses, and HR to obtain investigation reports and other information needed for the claims handling; communicate with attorneys on claims strategies and provide appropriate authority for claims settlements; oversees allocated claims expenses.
Requirements
- Bachelor’s degree in related discipline
- 10+ years experience adjusting and/or managing workers’ compensation claims.
- Familiarity with multi-jurisdictional adjusting and legal requirements
- Experience with RMIS systems and general Microsoft software
- Superior communication, strategic thinking and problem-solving skills
Nice To Haves
- Experience with auto and general liability claims a plus.
Responsibilities
- Manage claims filed against the assigned business units and insurance lines.
- Follow standardized procedures for filing, tracking, and resolving claims.
- Participate in mediations as appropriate to provide expert representation and negotiation on behalf of the organization.
- Work closely with legal to develop strategies for effective claim resolution.
- Monitor and analyze financial data to identify cost-saving opportunities and appropriateness of costs.
- Oversee and manage all workers' compensation claims, ensuring timely processing and resolution.
- Oversee return-to-work programs to facilitate the prompt and safe return of injured team members.
- Coordinate with healthcare providers, team members, and supervisors to manage recovery plans and accommodations.
- Implement best practices to resolve claims efficiently and effectively.
- Manage metrics and KPIs to measure performance and improvement in claims management.
- Ensure claims are managed in compliance with relevant statutes and regulations.
- Maintain up-to-date knowledge of changes in claims management legislation.
- Ensure compliance with claims handling practices, statutes and laws.
- Participate in claims reviews.
- Interface with business units’ EHS, nurses, and HR functions to obtain investigation reports and other information needed for the claims handling.
- Oversee and provide assistance with claims.
- Communicate with attorneys on claims strategies and provide appropriate authority for claims settlements.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
