Claims Manager Jobs

About The Position

Requirements

• WCP, CWCP, CWC, and/or ARM certifications preferred. Bachelor’s degree or relevant work experience in lieu.
• 5+ years (preferably 10 years) of Workers’ Compensation claims handling experience with a strong focus in the blue-collar industries such as the industrial, oilfield or construction sectors.
• Demonstrated ability to work independently and manage high workloads with tight deadlines.
• Exceptional organizational skills.
• Strong written and verbal communication skills; ability to document complex cases clearly.
• Demonstrated ability to leverage technology (Microsoft Office Suite, advanced skills in Excel) and legal documentation systems.
• Experience and expertise in supporting multi-state operations.
• Strong interpersonal and communication skills.
• Demonstrated ability to build trust and credibility with employees at all levels.

Responsibilities

• Reporting directly to the General Counsel and maintaining organized, detailed reports regarding all insurance claims.
• Providing periodic reports to the General Counsel, executives and relevant department heads on all active claims according to defined schedule.
• Working collaboratively with Risk, Legal, Safety, Finance and Human Resources teams.
• Serving as the interface between Company department heads and external Company resources such as defense counsel, Broker, carriers and Third Party Administrator/adjusters regarding Workers’ Compensation, insured automobile and general liability claims.
• Submitting claims to the Broker and/or carrier, detailed follow up with relevant operations team members and tracking the same, including medical care, work status, defense counsel reports, reserves, files and adjuster activity from inception through claim resolution.
• Monitoring Safety-incident documentation with the Safety department and coordinating with the General Counsel on serious incidents.
• Managing Certificates of Insurance during insurance renewal, including maintaining a list of priority requests, communicating with the Broker and distributing same to the Operations team.
• Coordinating with the Broker, operations team and customers to handle insurance endorsements and maintaining a detailed list of same.
• Supporting General Counsel with invoicing and tracking. Responding to General Counsel’s information requests and perform such additional job duties as requested by the General Counsel.
• Advising on coverage and claims processes, maintaining familiarity with all insurance coverage.
• Coding and submitting monthly insurance deductible invoices.
• Reviewing loss-runs from the Third-Party Administrator for open and closed claims in each case while maintaining a claims listing and ensuring consistency of the loss runs with our records.
• Supporting the General Counsel on complex claims, lawsuits, document discovery, Subpoenas, general requests and claims documentation in connection with claims, lawsuits and coverage issues.
• Coordinating with Safety, Human Resources and Operations on return-to-work, light-duty placement and claim resolution status.
• Coordinating with Broker on customer and vendor agreements to confirm compliance with insurance requirements.
• Serving as a trusted advisor to senior management to develop and execute Risk & Claim strategies that support business objectives.
• Maintaining in-depth knowledge of Risk & Claims trends and compliance requirements of applicable federal, state and local statutes and regulations.