Workers Compensation Manager

Advocate Aurora Health • Milwaukee, WI

295d • $43 - $64 • Onsite

About The Position

The Workers' Compensation Manager position at Advocate Health is a full-time role that requires a strong understanding of workers' compensation claims administration. The manager will be responsible for establishing standards and procedures for claims functions, ensuring timely claims resolution, and acting as a resource for injured teammates and leadership. The role involves monitoring claims data, recommending reserves and settlements, and participating in educational programs related to claims documentation and settlement. The position is remote but has specific restrictions on remote work based on location.

Requirements

• Bachelor's degree in a related field.
• Typically requires 5 years of experience with Workers Compensation claims administration.
• 10+ years of experience with Workers' Compensation claims administration will be considered in lieu of possessing a bachelor's degree.
• Excellent oral and written communication skills.
• Strong organizational skills and attention to detail.
• Proficiency in Microsoft Excel, Access, and PowerPoint.
• Experience with RMIS Systems preferred.
• Adjusters license required for area of responsibility as required by specific jurisdiction.

Responsibilities

• Possess analytical skills and work with a sense of urgency and accuracy.
• Adhere to multiple state workers' compensation rules, regulations, and laws.
• Establish standards and procedures for all matters relating to the claims functions.
• Develop, maintain, and modify effective procedures to ensure timely claims resolution.
• Function as a resource to injured teammates, leaders, and others with an interest in the claim.
• Act as a resource to the Workers Compensation team on audit work, processes, and complex issues.
• Recommend reserves, settlements, or other actions ensuring they meet company standards.
• Provide proper and timely analysis of coverage including MMSEA Reporting.
• Communicate with injured teammates and other parties as necessary.
• Monitor reserves and settlements associated with claims and provide reports to leadership.
• Maintain claims data for monthly reports on loss forecasting and trend analysis.
• Assist leadership in evaluating excess policies for favorable terms and conditions.
• Assist in the development and implementation of loss prevention activities.
• Participate in educational programs to ensure awareness of claims procedures.
• Provide additional support for all other duties as assigned.

Benefits

• Base compensation within the position's pay range based on qualifications and experience.
• Premium pay for shift, on call, and more.
• Incentive pay for select positions.
• Opportunity for annual increases based on performance.
• Paid Time Off programs.
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Family benefits such as adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match.
• Educational Assistance Program.

What This Job Offers

• Job Type: Full-time
• Industry: Hospitals
• Education Level: Bachelor's degree