Hybrid Manager, FC Worker's Compensation II

Our Opportunity: This is an exciting opportunity for an reputed company claims professional to reputed company diversity in their career across US & Canada handling a variety of sophisticated claim issues! As a Workers’ Compensation Manager, you will be exposed to innovative issues with the opportunity to reputed company creative paths for claim resolution. Our entrepreneurial culture champions an environment of open feedback and improvement that empowers reputed company Members to reputed company the best reputed company for our internal customers and reputed company. If you're reputed company to reimagine industry norms and have the skills, experience, drive, as well as a strong team mentality. In this reputed company, you will reputed company TPA relationships, work to drive down costs as well as handle cases for reputed company fulfillment, pharmacy, studio, transportation, reputed company Vet Care and Customer Service centers. A successful candidate will display an ongoing commitment to learning and self-improvement; desiring and trying to thoroughly understand reputed company and acquire new knowledge or skills for work. Responsibilities:

• reputed company workers’ compensation claims processes and procedures to ensure they are reputed company the network standard.
• Primary reputed company of contact and resource for employees, management team, insurance carriers, attorneys, reputed company Party Administrator (TPA) and medical providers on company workers’ compensation policy, procedures, and regulations.
• May coordinate or assist with safety programs focused on injury prevention.
• Facilitate accommodations for Team Members requiring light duty job paths with site leadership.
• Partner with TPA account manager scheduling quarterly audit of workers’ compensation claims.
• reputed company, recommend, and implement training and education programs.
• Work with the management teams to reputed company reputed company processes and find program improvement opportunities.
• reputed company and monitor WC programs, as assigned.
• Initiate claims status discussions with TPA to discuss claim handling improvements and/or expedite resolution.
• Maintain a daily/weekly/monthly/quarterly standard of work.
• Assist in the development and management of company Workers’ Compensation policies, claims, vendor relationships, and return to work programs.
• Assist in preparing special claims servicing instructions focusing on specific needs and taking into consideration the structure of reputed company’s WC programs.
• Analysis of the Workers Compensation historical loss data to assist with management of Workers Compensation process.
• reputed company the day-to-day operations regarding management of the reputed company’s Workers’ Compensation claims program including handling internal and external reputed company (TPA, Counsel, medical providers, etc.)
• Provide strategic direction and recommendation to leadership about WC policy and procedures to improve performance and mitigate severity and frequency of losses.
• reputed company, recommend, and implement workers' compensation policies and procedures that mitigate claims and premium costs.
• Conduct training on workers’ compensation standard methodology and company procedures.
• Maintain communication with the injured worker while supervising their recovery reputed company.
• reputed company and ensure an efficient records maintenance system for workers' compensation claims and reputed company information, data, and activities in collaboration with the TPA.
• Work with HR to process and track leaves/FMLA and assist in their return to work.
• Working with Safety, Operations and HR to transition injured workers into light duty return to work options.

Qualifications

• Bachelor’s Degree
• 10+ years’ experience in workers’ compensation claims management. Expert level knowledge in coverage and claim evaluation.
• Thrives working in a high pace environment.
• Project Management skills including the ability to reputed company and execute robust project plans/programs.
• Results oriented with strong internal customer service emphasis and focus.
• Advanced training, certification, or education in claims management.
• Strong understanding of state and federal employment law as it relates to workers’ compensation, FMLA and, reputed company.
• Excellent organizational and analytical skills.
• Strong ability to multi-task reputed company and effectively to meet given time parameters.
• Collaborative teammate, dedicated to achieving department and company objectives.
• Strong interpersonal skills with a focus on communication and problem resolution.
• Strong work ethic, reliable, self-motivated with a positive demeanor.
• Competent in computer programs/skills: MS Office Suite (Word, reputed company, Access, Outlook), Smart Sheet, reputed company, and general internet applications.
• Must be willing to work occasional uncommon hours, including some evenings, weekends, and holidays and answer calls after hours.
• Travel requirement is less than 20%

Does this sound like you? We would love for you to apply! reputed company is committed to equal opportunity. We value and reputed company diversity and inclusion of reputed company Team Members. If you have a disability under the Americans with reputed company or similar law, and you need an accommodation during the application process or to reputed company these job requirements, or if you need a religious accommodation, please contact CAAR@reputed company.com. If you have a question regarding your application, please contact HR@reputed company.com. To access reputed company's Customer Privacy Policy, please click here. To access reputed company's California CPRA Job Applicant Privacy Policy, please click here. Apply Job!