Workers Compensation Claims Manager

Modern HR • Burbank, CA

1d

About The Position

The Claims Team Manager leads a team of internal claims representatives reporting and overseeing workers’ compensation insurance claims within a fast-paced PEO, ASO and brokerage environment. You will oversee day-to-day claims operations, ensure timely and accurate claims processing, and function as a key liaison between client business owners, injured workers, internal HR/legal teams, and external carrier partners and TPA’s. The role will also be assigned and manage an inventory of litigated claims to oversee and manage closely with senior department leadership.

Requirements

• Bachelor’s degree in Business Administration, Risk Management, Insurance, or a related field or equivalent related industry experience will be considered.
• 5+ years of progressive claims management experience, with a strong emphasis on workers’ compensation; prior PEO or staffing industry experience strongly preferred.
• Proven track record of managing and motivating professional teams to achieve high performance and accuracy standards.
• Thorough understanding of insurance principles, medical-only and indemnity claims handling, reserve setting, and state-specific workers' comp statutes.
• Exceptional verbal, written, negotiation, and conflict resolution skills when dealing with distressed or litigious claimants.

Nice To Haves

• This is an opportunity to contribute to a team-oriented environment where your communication skills, organization, and customer service mindset can make a meaningful impact. If you enjoy helping people, solving problems, and supporting a vibrant community, we encourage you to apply.

Responsibilities

• Manage, mentor, and evaluate a team of claims representatives and coordinators, setting clear performance, productivity, and quality metrics.
• Oversee the lifecycle of workers' compensation claims, ensuring prompt reporting, aggressive case management, appropriate reserving, strategic return-to-work and involving internal HR when appropriate.
• Will be responsible for scheduling/attending claim reviews, client meetings and/or training which may be in person or via a Teams meeting.
• Serve as an escalation point for complex or disputed claims, guiding client companies and worksite employees through the claims and recovery process.
• Maintain deep knowledge of multi-state workers' compensation laws, OSHA regulations, and insurance guidelines to ensure full departmental and legal compliance.
• Partner closely with our brokerage team, third-party administrators (TPAs), insurance carriers, and legal counsel to strategize on litigated files, settlement authority and key dates related to workers’ compensation renewals and unit statistical filing dates.
• Monitor claims data, loss runs, and departmental reporting to identify workplace injury trends, recommend risk mitigation strategies, and present metrics to executive leadership.

What This Job Offers

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