Senior Workers Compensation Specialist

Eversource EnergyWestwood, MA
Hybrid

About The Position

The Senior Workers Compensation Specialist is responsible for the strategic oversight and day-to-day management of the organization’s workers’ compensation program. This role ensures compliance with federal and state regulations, manages complex and high-exposure claims, partners with vendors and insurers, and provides expert guidance to stakeholders to minimize risk, control costs, and support. HYBRID WORK POLICY Eversource supports work-life balance by offering hybrid schedules for certain roles. Eligibility is based on job responsibilities, operational needs, nature of work and team dynamics. Current guidelines require employees to work at least three days in the office, including Tuesdays and Wednesdays, with the third day set by the employee and supervisor based on department needs. These guidelines apply to roles approved for remote work and are subject to change, based on managerial discretion and work performance. All applicants must be able to work up to five days in the office if needed (for example: emergencies, training, or other business needs) or should the policy change.

Requirements

  • Knowledge: Workers’ Compensation laws, lien statutes and other statutes
  • Working knowledge of the Law of Torts with emphasis on Law of Negligence
  • Knowledge of case interpretations which may affect the handling of Workers’ Compensation matters in Connecticut, Massachusetts, and New Hampshire
  • Working knowledge of medical terminology
  • Skills: Strong knowledge of Workers’ Compensation statutes and regulatory requirements appropriately
  • Proficient skill with MS Office applications including Word and Excel
  • Ability to apply policies and procedures and union contracts to Workers’ Compensation
  • Problem solving
  • Qualitative and quantitative analyses
  • Financial acumen including a basic understanding of financial concepts
  • Ability to act as a key liaison and to work effectively with various levels within and outside of the organization
  • Ability and willingness to handle confidential and/or sensitive matters
  • Strong oral and written communications
  • Ability to use and apply sound judgment
  • Strong decision-making skills
  • Ability to multi-task and shift among multiple priorities simultaneously
  • Bachelor's degree in Business or the equivalent in work-related experience required
  • Minimum of five (5) or more years of workers’ compensation case management or related experience preferably in Connecticut, Massachusetts and/or New Hampshire
  • Valid motor vehicle driver's license must be held and maintained
  • Must be available to work emergency restoration assignment as required.
  • Must be available to travel between MA/CT/NH as necessary.

Nice To Haves

  • Knowledge of Workday/Workforce systems preferable but not required

Responsibilities

  • Manage complex, litigated and high-cost claims; collaborate closely with defense counsel, TPA’s, and Insurance Carriers.
  • Review of claim reserves, settlements, and medical treatment plans for accuracy and cost effectiveness.
  • Oversee lifecycle of claims, including investigation, medical management, return to work, closure.
  • Ensures regulatory compliance by remaining informed of any law changes relating to workers’ compensation regulations in the states of CT, NH and MA.
  • Manage excess policy and second injury fund recoupment.
  • Act as a liaison with the TPA, employee, management, legal, HR.
  • Ensure timely and proper payment and coding of Workers’ Compensation benefits.
  • Maintains confidentiality of records and evidence.

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What This Job Offers

Job Type

Full-time

Career Level

Senior

Number of Employees

5,001-10,000 employees

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