Sr Analyst-Workers Compensation

Lowe's Companies, Inc.•Mooresville, NC

1d•Onsite

About The Position

The WC Senior Claims Analyst supports the Workers’ Compensation program by providing technical claim oversight, litigation coordination, claim quality review, and performance insight across a complex, multi-state claims environment. This role partners closely with the Sr. Manager – Workers’ Compensation Program Operations, Sedgwick, Legal, defense counsel, HR, Safety, Operations, Managed Care, and other internal stakeholders to ensure complex, high-exposure, litigated, and escalated claims are actively monitored and progressing toward timely resolution. The role is responsible for maintaining visibility into claim and litigation activity, tracking action plans, identifying claim handling gaps, supporting claim reviews and roundtables, and providing practical insights that improve outcomes, reduce exposure, and strengthen vendor accountability.

Requirements

Bachelor’s degree Business, Accounting, Finance, Risk Management or related field or equivalent years of experience in lieu of education requirement, if applicable
5-7 Years of Multi State Experience in Workers Compensation
Excellent analytical, problem-solving, and decision-making skills
Strong knowledge of workers compensation laws, claims processes and best practices
Proficiency in Data Analytics, Excel pivot tables and PowerPoint

Nice To Haves

2+ years’ experience working in corporate risk management or with brokerage firm

Responsibilities

Conducts focused quarterly quality (QA) reviews on complex, high-exposure, aged, litigated or escalated claims to evaluate claim strategy, action plans, documentation, reserving and timely progression.
Identify claim handling gaps, stalled activity, opportunities and escalate findings to Sr Manager – Workers Compensation.
Analyze and report on key program metrics (KPIs/OKRs), identifying trends, risks, and opportunities.
Translate data into actionable insights to inform leadership decisions.
Evaluate vendor and TPA performance through cost, quality, and outcome analysis.
Leverage dashboards and reporting tools to enhance visibility into claims performance.
Support and influence litigation strategy through analysis of outcomes, costs, and key performance indicators.
Participate in claim roundtables and recommend strategies for early and optimal resolution.
Maintain visibility into the litigated claim inventory, including claim status, legal strategy, exposure, key dates, settlement posture, mediation activity, and next steps.
Evaluate defense counsel performance and support RFP, benchmarking, and panel optimization efforts.
Support evaluation of defense counsel performance by tracking Defense counsel responsiveness, cost trends, and adherence to litigation management guidelines.
Provide consultation on complex claims, including settlements, reserves, and risk mitigation strategies.
Partner with HR, Safety, Legal, and TPAs to resolve complex claim issues.
Provide guidance to TPA on subrogation, surveillance, and claims best practices.
Partner with Legal, Risk to manage subcontractor and 3PL matters.
Serve as a technical claims resource for escalated workers’ compensation matters requiring additional review, coordination, or follow-up.
Support regulatory compliance and monitor developments impacting workers’ compensation.
Analyze Return-to-Work (RTW) outcomes and identify opportunities to improve transitional duty utilization.
Collaborate cross-functionally to address gaps and enhance program performance.
Support process improvement initiatives aligned to best practices and business needs.
Support communication strategies including leadership updates, program insights, and key initiatives.
Assist in planning and execution of forums (e.g., summits, committees) to drive alignment and engagement.
Present findings, trends, and recommendations to leadership.
Support business case development and strategic initiatives, including vendor sourcing.