Claims Manager

Overview

• Lead and manage the organization's claims program, focusing on workers' compensation and other coverage lines.
• Collaborate with internal teams and external vendors to ensure efficient claims handling.
• Develop strategies to mitigate risks and reduce overall claim costs effectively.
• Ensure compliance with regulatory requirements and implement industry best practices.
• Provide leadership and mentorship to claims staff and external administrators.
• Analyze claims data and prepare detailed reports on financial impacts and performance metrics.
• Engage in complex claims management, including litigation and return-to-work strategies.
• Stay updated on evolving regulations and adapt processes accordingly.

Key Responsibilities & Duties

• Oversee claims programs across workers' compensation, general liability, auto, and property lines.
• Collaborate with HR, Safety, and Legal teams to mitigate risks and prevent claims.
• Manage relationships with TPAs, insurers, adjusters, attorneys, and medical providers.
• Ensure proper financial reserving and efficient claims handling practices.
• Develop and implement performance metrics and dashboards for claims activity.
• Provide leadership and mentorship to claims staff and external administrators.
• Analyze data to negotiate settlements and reduce claim costs effectively.
• Implement best practices and ensure compliance with workers' compensation statutes.

Job Requirements

• Bachelor’s degree in Business, Risk Management, or related field preferred.
• Minimum of 7 years of claims management experience across multiple coverage lines.
• Strong knowledge of workers' compensation statutes and claims handling processes.
• Experience managing TPAs, claims staff, and external vendors.
• Proven ability to analyze data, negotiate settlements, and reduce claim costs.
• Industry designations such as ARM, AIC, CPCU, or WCCP are preferred.
• Excellent communication and leadership skills.
• Ability to adapt to regulatory changes and implement best practices.