Job Description
Hybrid Environment - On site Tuesday, Wednesday and Thursday - Remote Monday and Friday
RESPONSIBILITIES AND DUTIES
75%) Manage Workers’ Compensation claim program.
- Manage the workers’ compensation claim program, including the Third-Party Administrator managed care provider and other vendors.
- Work directly with the legal and safety departments to reduce company exposure.
- Develop and maintain strong working relationships with Supply Chain Leaders and TUSA HR Partners
- Responsible for advising the finance leadership team and other division of claim status and development.
- Obtain and grant claim settlement authority on all claims including litigated claims.
- Provide 24 hour on call claim support.
- Conduct quarterly WC claim reviews focusing on proper investigation, appropriate reserves and resolution plans.
25%) Oversee reporting & analysis for risk management function.
- Analyze & provide data for actuarial studies, contract renewals and special projects.
- Complete Annual True-Up of TPA’s workers’ compensation service charges.
- Reconcile funded deposit accounts monthly.
- Respond to adhoc request for claim data.
- Keep up to date on new hardware / software for risk management as well as maintain working relationship with current RMIS vendor.
- Review all incidents and report claims to TPA via Origami
- Assist with franchise certificate tracking process.
Qualifications
- Bachelor’s degree in insurance, risk management, finance or related degree.
- 5 years multi-state workers’ compensation claims experience
- Supervisory experience.
- Ability to analyze data, using various statistical methods necessary.
- Must be proficient with Microsoft Excel.
- Excellent written and verbal communication skills.
- Experience with a RMIS preferred.
Additional Information
All your information will be kept confidential according to EEO guidelines.
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