Remote Workers' Compensation Program Lead

Jobgether; United States; Remote; USD 115,000 - 135,000; Full time

Benefits offered by this job

Remote working arrangement

401(k) retirement plan

Employee stock purchase plan

Health, dental, and vision insurance

Paid time off and holidays

Tuition assistance

Job summary

Jobgether is seeking a Program Consultant, Workers' Compensation based in the United States. This remote role leads the management and continuous improvement of multi-state workers' compensation programs, focusing on regulatory compliance, cost control, and optimized claims management.

The successful candidate will collaborate with internal stakeholders, TPAs, insurers, and vendors, applying expertise in claims oversight, litigation management, and data analytics to drive measurable improvements.

Qualifications

• 7+ years in workers' compensation program management, consulting, or claims administration.
• In-depth knowledge of state and federal workers' comp laws and program requirements.
• Experience managing complex claims, litigation processes, and relationships with TPAs, vendors, and medical providers.
• Strong understanding of claims oversight, litigation management, subrogation, reserve changes, and cost-containment strategies.
• Experience analyzing claims data, identifying loss trends, benchmarking, and recommending program improvements.
• Familiarity with monopolistic state programs, especially Ohio BWC, and multi-state oversight preferred.
• Proven ability to coordinate claims reviews, audits, and provider performance assessments.
• Excellent communication and cross-functional collaboration skills.

Responsibilities

• Design, implement, and oversee comprehensive workers' compensation programs.
• Coordinate and lead regular claims reviews and ensure follow-up actions.
• Monitor new claims, subrogation opportunities, denials, and reserve adjustments; recommend actions.
• Collaborate with local operations and TPAs to resolve issues and maintain service quality.
• Oversee monopolistic state programs (e.g., Ohio BWC) and premium payment coordination.
• Coordinate litigation activities, defense attorney panels, and performance monitoring.
• Analyze claims data and loss trends to identify cost-saving opportunities.
• Develop training materials and coordinate program governance and updates.

Skills

Workers' comp knowledge

Claims oversight

Litigation management

Data analytics

Regulatory compliance

Vendor management

Stakeholder collaboration

Project management

Education

Bachelor's degree in Risk Management/Insurance/Business Admin

ARM/CPCU certifications (advantage)

Job description

Jobgether is seeking a Program Consultant, Workers' Compensation based in the United States. This remote role leads the management and continuous improvement of multi-state workers' compensation programs, focusing on regulatory compliance, cost control, and optimized claims management.

The successful candidate will collaborate with internal stakeholders, TPAs, insurers, and vendors, applying expertise in claims oversight, litigation management, and data analytics to drive measurable improvements.