Position OverviewAs a Reginal Manager, WC Claims, you will preserve Company assets via management of Workers Compensation claims. Involves design and implementation of procedures, processes, relationships, controls, systems required for managing Workers Compensation claims for assigned C&S facilities. Additional responsibility involving development of effective relationships with Third Party Administrator and Operations Management regarding implementation of program/client service instructions and final resolution of claims.
Job DescriptionDescription- Manage workers' compensation claims from date of loss through final resolution including involvement in accident investigation, primary TPA adjuster interface, reserve review, monitoring of effective medical care, coordination of transitional modified duty, attendance at legal proceedings and involvement in litigation resolution strategies.
- Support the partnership with Operations and Safety to identify trends and opportunities for improvements in tools, training or processes and procedures. Educate, train and provide support to Operations in the development and execution of consistent Workers Compensation claim management programs.
- Evaluates Workers Compensation risk mitigation in conjunction with external and internal relationships; develops, seeks approval for implementations, monitors and modifies programs to achieve desired objectives.
- Responsible for the TAD program to ensure timely and successful return to work in partnership with the physician, local safety and operations teams, and claim cost mitigation with the TPA.
- Builds, maintains and manages relationships with third party administrators, legal counsel and other claim related parties including occupational medical groups and investigators.
- Improve the quality of and ensure the effective execution of post loss claim management processes following agreed claim handling standards and best practices
- Proactive identification of operational claim strategies that potentially help to mitigate the cost of claims including program development, implementation, communication and training to effectively implementation, communication and training to effectively achieve defined goals.
- Travel Required:No
Environment- Office : Office Temperature (65F to 75F)
Skills- Specialized Knowledge : In depth knowledge of litigation principles and legal procedural guidelines. Strong negotiation skills. Relationship management skills to encourage cooperative effort and aggressively pursue claim resolutions and recoveries, strong project management and communication skills. Ability to plan, communicate and execute in a complex company. Requires a high level of multi-tasking and organizational skills.
- Special Skills :
- Physical abilities: :
- Other: :
Years Of Experience- 5-7 : progressively responsible experience in an equivalent position for a large corporation or from practical experiences in a relevant broker/underwriting/claims capacity.
QualificationsBachelor's Degree - Risk Management
ShiftCompanyC&S Wholesale Grocers, LLC
