Workers Compensation Claims Manager

Overview

Manage workers' comp claims, carriers, TPAs, and mitigation strategies.

Key Responsibilities

• data analysis
• claims review
• vendor management
• mitigation strategies
• claim reporting
• system documentation

Tasks

-Assist with claim data analysis and claim performance reports. -Collaborate with HR and Payroll departments for completion of required Workers’ Compensation Jurisdictional Forms. -Evaluate and respond to Reserve and Settlement Consultations within given authority, escalate consultations above scope authority to appropriate leadership. -Participate in claims review process and monitor claims handling process by carriers and TPAs; provide direction to ensure compliance with best practices and special handling instructions. -Oversee and hold vendors and defense firms accountable for adherence to standard protocols, agreed to service instructions, and litigation management guidelines. Update instructions and guidelines and provide recommendations to appropriate leadership. -Collaborate closely with Risk Management leadership on workers’ compensation claims, process, and procedures to ensure integrated program. -Remain current on Workers’ Compensation laws and regulations, industry trends, and case law within assigned jurisdictions. -Work with carriers, TPAs, and Defense Counsel to develop mitigation strategies for Owner Controlled Insurance Program (OCIP) that result in cost savings to the claim, ensure aggressive strategy is developed on litigated claims, and bring claims to timely resolution. -Collaborate with General Liability team to develop mitigation strategies and facilitate most economic global resolution of Contractor Controlled Insurance Program (CCIP) claims. -Report workers’ compensation claims to carriers and Third-Party Administrators (TPAs), including notification of questionable claims. -Maintain diary for open claims and document specific claim related activities in Risk Management information system. -Partner with Safety team and onsite medics on initiatives that support worker wellness and post-injury care. -Maintain and foster relationships with carriers and TPAs claims teams. -Facilitate proactive identification of claims with opportunities for early Return to Work and light duty Return to Work program, as needed. -Serve as resource for injured employees and inform of workers’ compensation process and procedures. -Participate in CCIP kickoff meetings and jobsite walkthroughs, attend Claims, Safety and Operations meetings to monitor current and anticipated project risks and report on claims status for specific projects. -Ensure avenues for potential claim recovery are identified and pursued and manage lien recovery on case-by-case basis. -Attend hearings and mediations on as needed basis. -Oversee assigned workers’ compensation case portfolio of minor to complex claims in assigned geographic region. -Support audits related to workers’ compensation claims.

Requirements

• cris
• workers' comp
• project management
• microsoft office
• 8+ years
• osha 30

What You Bring

-CRIS, ARM or similar insurance designation, desired -In-depth knowledge of workers’ compensation claims, medical management procedures, medical cost containment programs and applicable laws and regulations -Analytical and adept at processing and breaking down data into actionable information -Demonstrate strong interpersonal and teamwork skills with ability to work with individuals across organizational levels, both internal and external -Bachelor Degree in Insurance, Risk Management, Finance, Business Administration or related program; with minimum of 8 years of workers’ compensation claims administration experience; or equivalent combination of education, training, and/or experience -Self-starter with strong project management skills and capable of managing concurrent complex projects and tasks successfully to completion -Leverage knowledge of workers’ compensation policy and manage incidents, and dispatch nurse case managers as necessary. -Experience with workers’ compensation claims in a construction environment, desired -Proficient computer skills, Microsoft Office suite of applications, and insurance-based risk management information systems -Professional written and verbal communication, and effective presentation skills -Knowledge of jurisdictional laws and regulations for assigned territory -OSHA (Occupational Safety and Health Act) knowledge and experience desired; OSHA 30-hour certification, a plus -Demonstrate process thinking and sound decision-making skills

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Benefits

-Limited travel

About Turner Construction Company

-With a rich legacy, the company has delivered iconic projects such as the Burj Khalifa and New York’s One World Trade Center. -The company specializes in a wide range of sectors, including commercial, residential, industrial, and infrastructure construction. -The company has earned a reputation for executing complex, large-scale projects on time and within budget. -The company’s expertise extends to diverse civil works, including heavy civil projects like bridges, roads, and utilities. -The company is also known for its innovative approach, integrating advanced construction techniques and sustainability in its projects. -The company has consistently ranked among the top global contractors.

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