Now Hiring - Workers Compensation Claim Manager

NOW HIRING: WORKERS' COMPENSATION CLAIM MANAGER

True PEO is growing and is looking to enhance our team with a qualified Workers’ Compensation Claim Manager. The WC Claim Manager is responsible for overseeing and managing all aspects of workers' compensation claims for our clients, ensuring timely and cost-effective claim resolution while adhering to legal and regulatory compliance, by investigating incidents, coordinating medical treatment, facilitating return-to-work strategies, maintaining communication clients, employers, and insurance carriers throughout the life of the claim. 

Key Responsibilities

  • Promptly investigate new workers' compensation claims by contacting the client and reviewing relevant documentation to understand the incident and determine claim validity. 
  • Verify policy coverage and report claims to the appropriate insurance carrier.
  • Review and monitor claims for subrogation
  • Monitor medical treatment plans and review medical records to assess claim severity and potential for cost containment. 
  • Evaluate claim reserves  and settlement authority requests and collaborate with the TPA/Carrier as necessary based on claim developments. 
  • Manage claim litigation by collaborating with defense counsel if necessary. 
  • Regularly update clients on the status of their workers' compensation claims and provide loss runs as well as conduct claim reviews.
  • Provide risk management advice to clients to help prevent future work-related injuries. 
  • Stay informed about changes in workers' compensation laws and industry best practices. 
  • Preform other duties as assigned

Required Skills and Qualifications:

  • 10+ years of WC claims experience 
  • 5+ years of PEO experience
  • 3+ years of PRISM HR experience
  • Candidate must be a self starter, detail orientated and able to meet deadlines
  • Strong understanding of workers' compensation laws and regulations
  • Experience managing a caseload of workers' compensation claims
  • Excellent communication and interpersonal skills
  • Ability to work independently and as part of a team
  • Proficiency in claims management software, Microsoft Office and PRISM HR 

Please send resume to careers@truepeo.com and include salary requirements.