Worker's Compensation Claims Manager
About The Position
This remote role requires candidates to be onsite 1-2 times a month at our Rosemont, IL Headquarters. The Worker's Compensation Claims Manager will oversee and strategize the investigation, evaluation, and resolution of claims to ensure timely, accurate outcomes. This role involves partnering with the TPA and key stakeholders to ensure effective claim management, regulatory compliance, and timely care. Financial oversight, including reserve management, settlement evaluation, and development of settlement strategies, is a key component. The manager will lead TPA oversight through claim reviews, audits, and performance management, and will identify and resolve complex claim issues through cross-functional collaboration. Evaluation and enhancement of return-to-work programs across locations are also responsibilities. Occasional travel may be required, along with other projects or duties as assigned.
Requirements
- Bachelor's Degree with 6 plus years of related experience or High School Diploma/General Education Diploma with 9 plus years of specific experience
Responsibilities
- Oversee and strategize the investigation, evaluation, and resolution of claims to ensure timely, accurate outcomes
- Partner with the TPA and key stakeholders (HR, Risk Management, Legal, Operations, Safety, Corporate Nurses, Medical Providers, Excess Carriers) to ensure effective claim management, regulatory compliance, and timely care
- Provide financial oversight, including reserve management, settlement evaluation and authority, escalation to excess carriers, and development of settlement strategies (e.g., annuities, MSAs)
- Lead TPA oversight through claim reviews, audits, and claims examiner performance management to ensure adherence to service expectations, best practices, and customer experience
- Identify and resolve complex claim issues through cross-functional collaboration
- Evaluate and enhance return-to-work programs across locations
- Occasional travel as needed
- Other projects or duties as assigned
Benefits
- Medical
- Dental
- Vision coverage
- Paid Time Off
- Retirement Benefits
- complimentary Health Screenings
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What This Job Offers
Job Type
Full-time
Career Level
Manager
