Workers' Compensation Manager

See's Candies, Inc. • South San Francisco, CA

51d

About The Position

The Workers' Compensation Manager is responsible for designing, administering, and overseeing the workers' compensation program to ensure compliance, employee satisfaction, and cost-effectiveness.

Requirements

• Bachelor's degree in human resources, business administration, finance, or a related field
• 5 + years of experience developing standard operating procedures and leading, implementing training efforts for internal cross functional teams.
• Relevant experience includes 5+ years in workers' compensation, claims management, or compensation administration
• Strong analytical and problem-solving skills for reviewing claims data, forecasting costs, and identifying trends or risks in compensation programs
• Excellent communication and interpersonal skills to collaborate with employees, legal counsel, vendors, and senior management, and to explain complex compensation and benefits programs clearly
• Knowledge of workers' compensation laws and regulations, claim handling procedures, medical and legal terminology, and relevant state and federal compliance requirements
• Experience with claims administration, including negotiation and settlement of claims, coordinating with third-party administrators, and managing medical screening and return-to-work programs
• Competency in vendor and stakeholder management, including coordination with attorneys, medical providers, and insurance carriers
• Technology proficiency, including knowledge of claims management software and data analysis tools to track and report program performance
• Ethical judgment and the ability to uphold company policies and legal standards
• Ability to manage confidential and sensitive information with discretion

Responsibilities

• Managing the reporting, review, investigation, and processing of workers' compensation claims.
• Approving medical services and costs related to worker injuries.
• Ensuring compliance with state and federal workers' compensation laws and regulations.
• Supervising staff involved in claims processing and medical screening programs, including return-to-work initiatives.
• Participating in claim settlement discussions.
• Coordinating with legal counsel on litigated cases and acting as a liaison in hearings.
• Analyzing claims data to identify trends, fraud, or noncompliance.
• Educating stakeholders, such as employers, employees, healthcare providers, and insurers, on best practices and program compliance.
• Preparing reports on claims, settlements, and program performance.
• Overseeing third-party claims administrators.
• Collaborating with safety teams to develop and implement injury prevention programs.
• Staying informed about changes in workers' compensation laws and regulations.
• Continuously review and improve claims programs to enhance outcomes and reduce costs.
• Special Projects as required.

Benefits

• full range of generous medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave)

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Food Manufacturing
• Number of Employees: 1,001-5,000 employees