Workers' Compensation Claims Manager

Company: Petra Risk Solutions
Location: Orange
Posted on: November 15, 2024

Job Description:

We are a the Nation's largest independent insurance brokerage, specializing in hospitality. Our mission is to be a customer-focused organization dedicated to providing exceptional service as leaders in the hospitality industry. We are seeking a new Workers' Compensation Claims Manager to join our team. Your role will be to maintain regular contact with customers, and adjusters to discuss claims status, identify trends, and build solutions to close claims.. As a member of the Risk Management department, you will work with Workers' Compensation Specialists and report to our Director of Risk Management. What You Will Do: Maintain current knowledge of Workers' Compensation system, issues, and processes Oversee, develop, and maintain company Workers' Compensation Management Program policies and practices. Manage complex Workers' Compensation cases in coordination with the Workers' Compensation Specialist, the employer, the employee, health care providers, and insurance carriers. Offer claims management and communication guidance and direction to Workers' Compensation Specialists on complex Workers' Compensation cases. Review, analyze, and monitor Workers' Compensation claim data, on behalf of company and clients. Attend, participate, and advocate for client employers in claim review meetings. Prepare and provide in-person client claim review presentations, as needed. Maintain and prepare OSHA-required injury and illness records for client employers in our Workers' Compensation Management program. Assist client employers with coordination and implementation of Medical Provider Networks. Conduct Workers' Compensation Best Practices and Injury Report training workshops for clients. In the claims database system, maintain and update daily Workers' Compensation activities, such as the claims activity diary. Provide clients employers support and guidance investigating injuries, settlement negotiations, developing interactive processes, and return to work strategies. Prepare and maintain client employer Workers' Compensation injury report packets. Help with receiving, reviewing, and processing new injury reports, as needed. Monitor and report the appropriate usage of leave relative to Workers' Compensation benefits (i.e., track and report lost workdays). Forward new injury reports and claims to senior Risk Management personnel as necessary for evaluation of loss control involvement. In the claims database system, maintain and prepare relevant Workers' Compensation documentation (e.g., injury report forms, doctors' notes, claim acknowledgments). In the claims database system, maintain and update daily Workers' Compensation activities, such as the claims activity diary. Maintain company Workers' Compensation insurance carriers' reporting information in the company's shared environment. Prepare estimated experience mod worksheets, as needed. Assume other job responsibilities as assigned What You Will Bring: Our ideal candidate will have 5-10 years of relevant experience and the following credentials/skills: Bachelor's degree or an equivalent combination of education and insurance experience. Minimum eight (8) years' of Workers' Compensation insurance claims experience. Workers' Compensation Claims Administration (WCCA) and/or Workers' Compensation Claims Professional (WCCP) designation Claims Handling Workers' Compensation Law Employment Law Time Management Organization Leave of absence coordination Excellent written and oral communication skills Why You'll Love Us: Petra Risk Solutions is an education leader in the hospitality industry. We unite around a common cause that brings the team together and ensures everyone is working toward the same goal. Salary range for this position is $95,000 - $125,000 per year. We offer the following benefits: Health Insurance Continuing education and licensing reimbursement Life Insurance Dental Insurance Vision Insurance 401(k) Medical Flexible Spending Account Dependent Care Flexible Spending Account Flexible Schedules Work From Home Holiday Pay Paid Time Off DEI Statement: We are committed to providing an inclusive environment that ensures the happiness and success of each of our associates. We pride ourselves on hiring, training, and retaining a community of employees from various backgrounds, perspectives, and experiences. EOE Statement: We are an equal opportunity employer that does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. Employment Type: Full Time Years Experience: 5 - 10 years Salary: $95,000 - $125,000 Annual Bonus/Commission: No

Keywords: Petra Risk Solutions, Thousand Oaks , Workers' Compensation Claims Manager, Executive , Orange, California