Workers’ Compensation Claims Manager

The Clemens Food Group•Hatfield, PA

7d•Onsite

About The Position

Clemens Food Group is seeking an experienced Workers’ Compensation Claims Manager to own its workers’ compensation claims program and improve the management of complex claims, medical issues, and overall program performance. The position provides hands-on oversight of a high-volume program, with an emphasis on Pennsylvania and Michigan claims and exposure across multiple jurisdictions. The manager works closely with the third-party administrator (TPA), outside counsel, Safety, Occupational Health, Finance, and other business partners. The role has access to on-site occupational health resources and includes a planned transition with the incumbent to learn the existing program and prepare to lead its future direction. The successful candidate will make thorough, consistent, evidence-based decisions on complex and disputed claims; hold the TPA accountable for proactive management and timely execution; use claims data to identify trends and improvement opportunities; and build partnerships that support better investigations, return-to-work coordination, and claim outcomes. The position is based on-site in Hatfield, Pennsylvania, with approximately 10% travel.

Requirements

10+ years of substantive workers’ compensation claims-management experience.
Strong Pennsylvania workers’ compensation claims expertise and experience managing claims across multiple jurisdictions.
Demonstrated experience managing complex, disputed, litigated, and high-exposure claims.
Strong medical claims-management and investigation experience.
Experience directing claims professionals or overseeing a third-party administrator.
Experience collaborating with outside counsel on contested and litigated workers’ compensation claims.
Ability to independently evaluate claim strategy, medical information, investigation findings, and resolution options.
Uses evidence, investigation, and sound judgment to make difficult claims decisions.
Takes ownership of claims and follows through until appropriate resolution.
Uses claims data to identify trends, risks, and improvement opportunities.
Communicates clearly and builds productive working relationships across business, medical, financial, claims, and legal stakeholders.

Nice To Haves

Michigan workers’ compensation claims exposure.
Workers’ compensation experience supporting manufacturing, agriculture, or similarly complex occupational environments.
Experience in a self-insured, high-deductible, or significant retained-risk environment.
Subrogation experience.

Responsibilities

Provide hands-on oversight of a high-volume workers’ compensation claims program, particularly Pennsylvania and Michigan claims, across multiple jurisdictions.
Evaluate complex, disputed, and high-exposure claims, including compensability, investigation, medical strategy, reserves, litigation, and settlement recommendations.
Direct and challenge the TPA to ensure proactive claims handling, appropriate action plans, and timely progress toward resolution.
Review medical information and coordinate with occupational health professionals to evaluate causation, treatment, work status, and appropriate medical resources.
Evaluate recommendations from and collaborate with outside counsel on strategies for contested and litigated claims.
Analyze claims data to identify frequency, severity, duration, and cost drivers, and recommend program improvements.
Partner with Safety, Occupational Health, and business teams on investigations, injury trends, return-to-work opportunities, and claim-related improvements.
Communicate claims insights, emerging risks, and improvement recommendations to internal stakeholders and leadership.
Identify and implement practical improvements to strengthen the workers’ compensation program.