Spec III - Workers Compensation and Risk

PODS • Clearwater, FL

2d

About The Position

The Workers’ Compensation and Risk Specialist III is responsible for managing complex workers’ compensation claims and serving as a subject matter expert for the organization’s workers’ compensation program. This role leads high-exposure claim strategies, partners cross-functionally to reduce risk, and drives continuous improvement in claim outcomes, cost containment, and employee experience. The Specialist III also plays a key role in enterprise risk management initiatives and mentors junior team members.

Requirements

• Advanced knowledge of workers’ compensation laws, claims handling, and injury management
• Strong analytical and problem-solving skills with ability to interpret complex data
• Demonstrated negotiation and influencing skills in high-stakes situations
• Ability to manage ambiguity and lead through complex claim scenarios
• Strong communication and stakeholder management skills
• Advanced proficiency in claims systems, RMIS, and Microsoft Office tools
• Bachelor’s degree or equivalent experience required
• 5–8 years of workers’ compensation or risk management experience required
• Experience handling high-volume and high-complexity claims environments required

Nice To Haves

• Professional certification (e.g., CPCU, ARM, AIC, or Workers’ Compensation certification) preferred

Responsibilities

• Manage the full lifecycle of workers’ compensation claims, including complex, high-exposure, litigated, and multi-jurisdictional cases
• Serve as escalation point for challenging claims, providing guidance on compensability, reserves, and settlement strategy
• Develop and implement claim strategies to optimize outcomes, minimize risk exposure, and control total cost of risk
• Lead regular claim reviews with TPAs, carriers, and internal stakeholders to ensure proactive claim handling
• Establish appropriate reserves and approve settlements within expanded authority guidelines
• Identify trends, root causes, and opportunities for systemic improvements in claim handling
• Act as a trusted advisor to HR, Operations, Safety, and Leadership on workers’ compensation matters
• Partner with safety teams to identify injury trends and implement prevention strategies
• Lead return-to-work program effectiveness, including modified duty strategy and vendor optimization
• Ensure compliance with all state workers’ compensation laws and OSHA requirements
• Provide guidance during audits, litigation, and regulatory inquiries
• Support and influence enterprise risk management initiatives related to occupational risk
• Analyze claim data and produce insights to inform leadership decision-making
• Recommend process improvements, automation opportunities, and policy enhancements
• Participate in insurance renewal strategy, including providing loss data analysis and insights
• Mentor and provide guidance to Specialist I and II roles
• Support onboarding and training of new team members
• Lead or contribute to cross-functional projects and initiatives

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level