Self-Insured Claims Manager

Minutemen HR; Columbus (OH); On-site; USD 75,000 - 110,000; Full time

Job summary

Minutemen HR Management Services | Workers' Compensation is seeking a Full-Time Exempt Self-Insured Claims Manager to own workers' compensation claims from start to finish and advise on best practices for cost containment. You will work directly with clients to educate, advise, and implement strategies for managing claims and reducing costs.

The role requires reviewing injuries, approvals/denials of treatment requests, handling correspondence from WC boards, calculating wages, setting reserves,

Qualifications

• High school diploma or equivalent.
• Associate's degree preferred.
• Proficiency in MS Office, including Excel, Access, and Word.
• Strong organizational and time management skills.

Responsibilities

• 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
• 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
• 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
• 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

Skills

Time management

Organizational skills

Education

High school diploma or equivalent

Associate's degree

Tools

MS Office

Excel

Access

Word

Job description

Minutemen HR Management Services | Workers' Compensation

Full-Time | Exempt

Reports to: VP of Self Insurance

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.

• 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
• 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
• 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
• 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

• 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