Worker's Compensation Manager

The Worker's Compensation Manager is responsible for managing all worker's compensation claims and exposures. The role will work with and oversee CLG's outside TPA to ensure all claims are worked within Covenant's best practices. The Worker's Compensation Examiner will also conduct investigationson applicable claims, ensure reserve accuracy on all claims, determine compensability, and manage the light duty program.

Responsibilities

• Review all claims and develop strategy for claim handling
• Oversee TPA to ensure claim handling aligns with CLG's claim handling best practices
• Approve reserve requests from TPA within approval limit
• Approve settlements with injured workers and/or attorneys within approval limit
• Serve as primary contact for outside vendors and attorneys
• Assist injured worker with understanding of claim practices and requirements
• Ensure claims are paid accurately and timely
• Attend regular meetings with TPA, nurse case managers, and/or other vendors as needed to ensure program efficiency
• Set up/assign light duty work for injured workers approved to work with restrictions
• Facilitate and manage injured workers return to work once release from worker's comp
• Ensure all information is documented correctly and accurately in internal claim system and TPA claim system
• Coordinate transportation for injured workers
• Create and submit first report of injury forms and wage statements to adjusters
• Gives final approval for compensability
• Maintain high level of confidentiality and HIPAA compliance
• Act as liaison between injured worker and TPA as needed
• Ensure documentation and information is submitted to adjuster for claims that may involve subrogation

• Excellent oral and written communication skills
• Proficient in Microsoft Office
• Knowledge of medical and insurance terminology
• Attention to detail
• Strong organizational skills
• Strong interpersonal skills
• Ability to work in a fast pace environment with competing priorities
• Ability to work independently and as a team when needed
• Knowledge of worker's compensation laws and practices
• Strong problem-solving skills

• Bachelor's degree in business, risk management, or related field, or equivalent work experience required
• AIC and/or AIM certification preferred
• 3+ years experience in worker's compensation, risk management, or claims adjusting preferred

• Expected Pay Range: $64,535.00-$73,408.16
• Full Pay Range: $64,535.00-$101,270.00
• Pay Grade: 10
• 401(k) Match: Build your future with our generous company match.
• Serious Health Condition Pay: Financial protection when it matters most.

• Medical, Dental & Vision Insurance
• Telemedicine Access
• Company-Paid Short & Long-Term Disability Coverage
• Health Savings Account (HSA)
• Company-Paid Life Insurance

• Generous Paid Time Off (PTO)
• Paid Company Holidays
• Time off to Volunteer

• Casual Dress Code: Dress for your day.
• Tuition Reimbursement: Advance your education with financial support.
• Employee Discount Program: Exclusive savings on everyday essentials and more.
• Dependent Care Flexible Spending Account (DFSA)
• Adoption Assistance: Meaningful support for growing families.
• Employee Assistance Program (EAP): Confidential, 24/7 support for life's challenges.
• Pet Insurance: To protect your furry family members