Worker's Compensation Manager

Covenant Logistics•Chattanooga, TN

About The Position

The Worker’s Compensation Manager is responsible for managing all worker’s compensation claims and exposures. The role will work with and oversee CLG’s outside TPA to ensure all claims are worked within Covenant’s best practices. The Worker’s Compensation Examiner will also conduct investigations on applicable claims, ensure reserve accuracy on all claims, determine compensability, and manage the light duty program.

Requirements

Excellent oral and written communication skills
Proficient in Microsoft Office
Knowledge of medical and insurance terminology
Attention to detail
Strong organizational skills
Strong interpersonal skills
Ability to work in a fast pace environment with competing priorities
Ability to work independently and as a team when needed
Knowledge of worker’s compensation laws and practices
Strong problem-solving skills
Bachelor’s degree in business, risk management, or related field, or equivalent work experience required

Nice To Haves

AIC and/or AIM certification preferred
3+ years' experience in worker’s compensation, risk management, or claims adjusting preferred

Responsibilities

Review all claims and develop strategy for claim handling
Oversee TPA to ensure claim handling aligns with CLG’s claim handling best practices
Approve reserve requests from TPA within approval limit
Approve settlements with injured workers and/or attorneys within approval limit
Serve as primary contact for outside vendors and attorneys
Assist injured worker with understanding of claim practices and requirements
Ensure claims are paid accurately and timely
Attend regular meetings with TPA, nurse case managers, and/or other vendors as needed to ensure program efficiency
Set up/assign light duty work for injured workers approved to work with restrictions
Facilitate and manage injured workers return to work once release from worker’s comp
Ensure all information is documented correctly and accurately in internal claim system and TPA claim system
Coordinate transportation for injured workers
Create and submit first report of injury forms and wage statements to adjusters
Gives final approval for compensability
Maintain high level of confidentiality and HIPAA compliance
Act as liaison between injured worker and TPA as needed
Ensure documentation and information is submitted to adjuster for claims that may involve subrogation