Workers’ Compensation Claims Manager

Clemens Food Group LLC•Hatfield Township, PA

1d•Onsite

About The Position

Clemens Food Group is seeking an experienced Workers’ Compensation Claims Manager to own its workers’ compensation claims program and strengthen management of complex claims, medical issues, and overall program performance. The role is based on-site in Hatfield, Pennsylvania, with approximately 10% travel. The Claims Manager will provide hands-on oversight of a high-volume program, with particular emphasis on Pennsylvania and Michigan claims and exposure across multiple jurisdictions. The position works closely with the third-party administrator (TPA), outside counsel, Safety, Occupational Health, Finance, and business partners. It also has access to on-site occupational health resources and the opportunity to influence the continued evolution of an established program. The successful candidate will make thorough, consistent, evidence-based decisions on complex and disputed claims; hold the TPA accountable for proactive handling and timely execution; turn claims data into actionable insights; and build partnerships that improve investigations, return-to-work coordination, and claim outcomes. A planned transition with the incumbent will provide an opportunity to learn the existing program before taking ownership of its future direction.

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.
Ability to use evidence, investigation, and sound judgment to make difficult claims decisions.
Ability to take ownership of claims and follow through to appropriate resolution.
Ability to use claims data to identify trends, risks, and improvement opportunities.
Clear communication skills and ability to build productive 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, emphasizing Pennsylvania and Michigan claims and covering multiple jurisdictions.
Evaluate complex, disputed, and high-exposure claims, including compensability, investigation, medical strategy, reserves, litigation, and settlement recommendations.
Direct and challenge the third-party administrator to ensure proactive claims handling, appropriate action plans, and timely progression 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 to establish 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 the business 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.
Hold the TPA accountable for proactive claims management, clear action plans, and timely execution.
Identify and implement practical improvements to strengthen the workers’ compensation program.