Self-Insured Claims Manager

Minutemen HR; Cleveland (OH); In loco; USD 70.000 - 90.000; Tempo pieno

Descrizione del lavoro

Minutemen HR Management Services seeks a Self-Insured Claims Manager to own workers' compensation claims from start to finish and to support the VP of Self Insurance on internal employment matters. You will educate clients, advise on best practices, and help contain costs through effective claims management.

You'll review new injuries, treatment requests, and hearings, and coordinate settlements, subrogation, and client meetings to set claim strategy with the CRM.

Competenze

• Proficiency in MS Office; strong organizational and time-management skills.
• Educational background: high school diploma or equivalent, Associate's degree preferred.
• Experience in workers' compensation or claims management is a plus.

Mansioni

• Owns workers' compensation claims from start to finish.
• Educate, advise, and recommend best practices for claims management and cost containment.
• Review injuries, treatment requests, and hearing files; prepare settlements and subrogation actions.
• Coordinate with clients and internal teams on claim strategy and outcomes.

Conoscenze

MS Office proficiency

Organizational skills

Time management

Communication

Formazione

Associate's degree preferred

High school diploma or equivalent

Strumenti

Excel

Access

Word

Descrizione del lavoro

Minutemen HR Management Services | Workers' Compensation

Full-Time | Exempt

Reports to: VP of Self Insurance

ABOUT THE ROLE

The Self-Insured Claims Manager owns workers' compensation claims from start to finish and supports the Vice President of Self Insurance on internal employment matters. You'll work directly with clients to educate, advise, and recommend best practices for claims management and cost containment.

WHAT YOU'LL DO

Claims Management

• Review new injuries, including certification/rejection and return-to-work information
• Review and approve/deny C-9 treatment requests
• Review all BWC/IC letters, notices, and orders; recommend and file appeals and responses
• Determine, review, and submit IMEs
• Review and prepare hearing files
• Calculate and enter compensation payments; obtain claim-related wages and set AWW/FWW
• Set and evaluate claim reserves
• Audit all SI TPA payments weekly

Settlements & Recovery

• Identify, negotiate, and file lump sum settlements
• Coordinate SSN checks and MSAs for all potential settlements
• Identify, notify, and collect subrogation liens
• Identify, notify, and submit reimbursement requests to excess carriers

Client Relations

• Meet with current customers in person and by phone
• Advise employers on return-to-work practices and cost containment strategies
• Analyze new clients' losses and attend initial meetings with the assigned CRM to set claim strategy

Team & Internal Support

• Train and oversee new and current employees as needed
• Assist the VP of Self Insurance with annual reviews, internal employment matters, and implementing procedural changes
• Attend ongoing internal and external training as needed
• Other responsibilities as assigned

WHAT WE'RE LOOKING FOR

• High school diploma or equivalent; Associate's degree preferred
• Approximately three years of workers' compensation experience
• Proficiency in MS Office, including Excel, Access, and Word
• Strong organizational and time management skills with the ability to prioritize multiple demands
• Exceptional work ethic, energy, and drive
• Alignment with the company's code of ethics

WORK ENVIRONMENT

• Office-based role with extended periods of sitting and computer work
• Regular phone and face-to-face communication
• Occasional travel to office locations and customer sites

Minutemen HR Management Services is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws. We provide reasonable accommodation to qualified individuals with disabilities in accordance with applicable law.