Risk & Claims Manager

Fessler & Bowman
  • Holly, MI
    5 days ago

    Job Description

    Founded in 1963 by Don Fessler & George Bowman, Fessler & Bowman, Inc. has grown from a residential flatwork & basement wall contractor to a top 100 Commercial Concrete Contractor recognized across the nation. Keeping customer satisfaction as our fundamental core value has allowed Fessler & Bowman, Inc. to prosper for more than six decades.

    Our Culture & Philosophy:

    Fessler & Bowman is a fast-paced and culture-focused industry leader in specialty concrete and civil earthwork. When we talk about culture at F&B, it is not just a plaque hanging in our lobby. Our values are our driving force and have allowed us to build a phenomenal team delivering best in class products to our customers.

    • Open & Constructive
    • Take Pride in Our Product
    • Relentless Commitment
    • Care About Our Customers
    • Team Success

    Summary:

    The Risk & Claims Manager is the person who ensures that every F&B team member with an active workers' compensation claim or a work restriction is managed with care, consistency, and the discipline that protects both the individual and the organization. Every injured team member who has a clear point of contact throughout their claim, every modified duty placement that gets a crew member back to contributing before full medical release, every claim that closes at the right outcome because someone was actively managing it from day one - this role is accountable for those outcomes. The descriptions below are representative of, but not limited to, the duties and responsibilities for this position.

    Key Roles of the Risk & Claims Manager:

    Active Claim Management & Team Member Advocacy

    Manages all active workers' compensation claims from intake through closure.

    • Serves as the primary point of contact for injured team members - ensures they understand the claims process, have access to appropriate medical care, and are treated with the dignity F&B's values require.
    • Monitors claim status, treatment progress, and work status updates; communicates proactively with injured team members throughout their recovery rather than waiting for them to initiate contact.
    • An injured team member who feels uninformed or unsupported is not an acceptable outcome regardless of the financial status of the claim.

    Return-to-Work & Modified Duty Coordination

    Leads F&B's return-to-work program with disciplined placement discipline.

    • Identifies modified duty opportunities for team members with work restrictions; coordinates placement with field supervisors and operational leaders and communicates restriction parameters clearly to all parties.
    • Develops and maintains modified duty job offerings across F&B's operational functions; follows up regularly to ensure placements are working and restrictions are being honored.
    • A team member who is medically able to perform modified duty and is sitting at home is a return-to-work failure - this role closes that gap proactively.

    Work Restriction & Accommodation Tracking

    Maintains accurate, current records of all team members with active work restrictions.

    • Tracks restriction parameters, expiration dates, treating physician instructions, and accommodation status across all regions; communicates restriction changes to supervisors and HR promptly when medical status updates are received.
    • Coordinates with HR on ADA and FMLA intersections with workers' compensation leaves.
    • A supervisor who allows a restricted team member to perform work outside their restriction because this role did not communicate a change is a documentation and communication failure.

    Claims Documentation & Carrier Coordination

    Maintains complete and accurate claim files and coordinates with carriers and TPAs.

    • Ensures incident reports, medical records, treatment authorizations, work status notes, and correspondence are organized and current in the claims management system.
    • Coordinates with the workers' compensation carrier or TPA on claim status, treatment authorizations, medical management, and adjuster communications.
    • Provides the Director of Risk Management with regular claim status summaries, emerging exposure flags, and documentation needed for reserve reviews and carrier meetings.

    Incident Response Coordination

    Coordinates F&B's response to workplace injuries from the moment of report.

    • Ensures the incident is documented accurately, the injured team member accesses appropriate medical care promptly, and the workers' compensation carrier is notified within required timeframes.
    • Partners with the Safety team on incident investigation so the cause of injury informs both the claim and the prevention response.
    • First-report-of-injury quality sets the trajectory of every claim - this role ensures that trajectory starts well.

    Leave & Absence Coordination

    Coordinates workers' compensation leave with HR-administered leave programs.

    • Ensures FMLA is designated concurrently when applicable; communicates leave status and return dates to HR and payroll; flags situations where leave intersection requires HR or legal guidance.
    • Maintains clear records of leave periods, return-to-work dates, and accommodation status; ensures payroll has accurate information on leave pay status for workers' compensation benefit coordination.

    Supervisor & Field Leadership Support

    Serves as the primary resource for field supervisors managing team members with active claims or restrictions.

    • Provides clear, timely guidance on what a restricted team member can and cannot do, how to document accommodation compliance, and how to respond when a team member's condition changes.
    • Builds the operational awareness among field leaders that early reporting, modified duty engagement, and consistent communication produce better outcomes for team members and for F&B.

    Program Reporting & Director Support

    Provides the Director of Risk Management with regular reporting on the active claims portfolio.

    • Delivers active claim counts, claim status summaries, return-to-work metrics, restricted team member population data, and emerging trends requiring Director attention.
    • Supports the Director's carrier meetings, reserve reviews, and program stewardship activities with accurate, organized claim data.
    • Identifies patterns in claim frequency, duration, or injury type that suggest operational or safety interventions and escalates them to the Director and Safety team.

    Education, Experience & Qualifications:

    • 5+ years of workers' compensation claims management experience with active caseload across multiple states
    • Demonstrated return-to-work and modified duty program coordination in a field-intensive environment;
    • Working knowledge of the FMLA, ADA, and workers' compensation intersection
    • Advanced experience with WC carrier or TPA coordination including treatment authorization and adjuster communication
    • Advanced proficiency with claims management systems and case file documentation standards
    • Ability to communicate clearly and compassionately with injured team members while maintaining documentation discipline.
    • Strong knowledge of employment laws, compensation structures, and benefits administration.
    • Bilingual (Spanish-speaking) preferred.

    Travel:

    Travel is required for this position- this could include but is not limited to professional development and regional office visits. F&B will compensate for travel when applicable.

    Work Environment:

    As a Risk & Claims Manager, you will be subject to various work environments. These environments include office and field settings. Team Member must be comfortable with sitting for an extended period.

    Benefits:

    Fessler & Bowman is proud to provide eligible Team Members with the following benefits:

    • Medical, dental and vision insurance
    • 401k with company contributions
    • Paid Holidays and Paid Time Off

    Recruitment Process:

    The recruitment process will include a phone screen, in-person meeting, and a pre-employment background check and drug test.

    Fessler & Bowman is an Equal Opportunity Employer

    Numbers & Facts

    LocationHolly, MI

    Skills

    • Americans with Disabilities Act (ADA)unmatched
    • Claims Managementunmatched
    • Claims Processingunmatched
    • Communication Skillsunmatched
    • Compensation and Benefitsunmatched
    • Concreteunmatched
    • Customer Satisfactionunmatched
    • Dental Insuranceunmatched
    • Documentationunmatched
    • Documentation Standardsunmatched
    • Earthmoving/Earthworksunmatched
    • Employment Lawunmatched
    • FMLA (Family and Medical Leave Act of 1993)unmatched
    • File Systemsunmatched
    • Leadershipunmatched
    • Legalunmatched
    • Managed Careunmatched
    • Medical Recordsunmatched
    • Metricsunmatched
    • Multilingualunmatched
    • On Site Supportunmatched
    • Operational Communicationsunmatched
    • Operations Managementunmatched
    • Organizational Skillsunmatched
    • Patient Careunmatched
    • Patient Care Authorizationsunmatched
    • People Managementunmatched
    • Philosophyunmatched
    • Project/Program Coordinationunmatched
    • Resource Managementunmatched
    • Risk Managementunmatched
    • Spanish Languageunmatched
    • Stewardshipunmatched
    • Team Buildingunmatched
    • Team Lead/Managerunmatched
    • Time Managementunmatched
    • Trend Analysisunmatched
    • Vision Planunmatched
    • Willing to Travelunmatched
    • Worker's Compensationunmatched

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