Workers Compensation Manager

Kellermeyer Bergensons Services•Oceanside, CA

1d•$70 - $80•Remote

About The Position

Kellermeyer Bergensons Services (KBS) is the largest privately held provider of facility services in North America, servicing over 2 billion square feet of space daily. We help industry leaders across a wide range of key verticals—including retail, industrial and logistics, healthcare, education, manufacturing, and more—maintain clean, efficient and welcoming spaces that support their operations. As we continue to grow, we’re looking for team members who are dedicated, reliable, and ready to contribute to a culture built on respect, opportunity, and pride in service. Manages severe loss claims within company standards and best practices. Processes workers compensation claims, conducting investigations and coordinating with carrier and internal legal team as appropriate. Reviews compensable issues and determines dispositions including continuance or denial of cases within scope of authority. Tracks and monitors claims occurrences. Identifies opportunities to address safety issues and provides recommendations based on supporting analysis of claims activity. Works to oversee claims across multiple verticals within the business.

Requirements

Must be bilingual Spanish (able to read and write)
Proficiency in OSHA General Industry standards, state safety statutes and local municipal regulations
Claim process management
Loss prevention strategy
Safety program(s) development and delivery (training and communications)
TPA and other insurance program coordination
Data review and analyses
Ability to anticipate and mitigate potential issues
Accurate and clear communications (oral and written) including phone demeanor and presentation skills
Ability to work with and communicate with all areas of the business and levels of management
Training and education delivery (communication and safety program development and delivery skills)
Strong analysis and assessment skills
Investigation and documentation skills
5-10 years direct experience managing workers compensation claims across for large companies managing claims associated with severe loss
Claims management experience in industrial and or chemical cleaning, building and or landscaping where operation of equipment and proper handling of tools and chemicals is essential
Microsoft Office programs to include, but not limited to Word, Excel, PowerPoint and Outlook
Bachelor’s degree in Business or Risk Management-related field or equivalent experience

Nice To Haves

OSHA certification preferred, but not required

Responsibilities

Provide Senior level claims management of severe claims arising from a defined region of the business
Conduct and oversee workers compensation claims management for the East or West division of the company
Receive and manage referred serious or time loss cases from analysts and complete Initial Claim intake
Work with supervisor/employee to address modified duty and document RAP in Sales Force
Conduct and document employer Level Investigation and determine compensability and safety assessment
Refer identified safety violations to Safety based on policy or Corrective/Preventative (CAP) Measures
Prepare letters, forms and authorization of treatment
Process and coordinate with Benefits LOA for FMLA and ADA for time loss claims
Run FMLA Eligibility
Send letters and track for 12 weeks
Provide ADA Leave (6 months)
Determine wage statements and conduct initial discovery
Full litigation and claim resolution authority
Complete Interactive Process if assignment of permanent work restrictions
Claim handling of Medical Only claims with Total Incurred in excess of $20,000
Handle Indemnity Claims and dispositions (Accepted/Delayed/Denied)
Approve reserve recommendations, settlements up to $100k; consult with Director for settlement concurrence in excess of authority
Track and conduct analysis of claims data and assess and recommend safety training opportunities
Review claims processes to determine and recommend changes to process, including technology integration to streamline and increase efficiencies
Comply with federal, state and local legal requirements by being knowledgeable of existing and new legislation, ensuring adherence to requirements and advising management on needed action
Execute and maintain OSHA-related regulatory programs and documentation
Review accident investigations, injuries, and OSHA logs; analyze and determine trends
Identify opportunities to bring greater awareness and/or training to the safety team and work with team to track effectiveness of safety training
Work with insurance administrators to ensure effective coordination, along with efficient and full use of applicable resources
Work with insurance carriers, legal and Risk management team to continuously improve on processes to bring greater efficiencies
Support Director of Risk management in reviewing and updating the overall claim management and safety training strategy
Effectively handle information and reports while maintaining the strictest confidentiality
Manage regular preparation of relevant management reports, including weekly, monthly, quarterly and year-end reports
Respond to worker’s compensation questions from company leadership, former employees, insurance carrier, claims administration vendors, representatives and government agencies in a timely manner
Properly document and maintain worker’s compensation claims activities, documents, interactions and related materials in designated applications
Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, or participating in professional societies

Benefits

medical
dental
vision
prescription drugs
Paid Time Off
Paid Holidays
Sick Time
Life Insurance
Short Term Disability – Employer paid
Long Term Disability
Supplemental Health Insurance (E.G., Accident)
401k plan with a match or Non-qualified Deferred Compensation Plan
Pet Insurance
PerkSpot Discount Program – discounts on travel, gyms, cell phones, restaurants, auto, apparel & electronics