Senior Workers' Comp Claims Leader

Justworks; Tampa (FL); On-site; USD 122,000 - 158,000; Full time

Job summary

Justworks seeks a Senior Manager, Workers' Compensation Claims in Tampa to lead a small team and own a caseload of complex WC claims. You will collaborate with Customer Success, Technology, Accounting, and Legal to ensure accurate reserves, settlements, and timely resolutions.

Key duties include mentoring staff, reviewing coverage decisions, and driving process improvements while maintaining up‑to‑date knowledge of WC regulations across states.

Qualifications

• 7+ years of experience in a Third‑Party Claims Administration (TPA) or PEO experience in claims.
• Some experience mentoring, training or informally leading peers or junior claims associates.
• Working knowledge of WC regulations in multiple states, ability to navigate jurisdictional differences confidently.
• Solid reserving skills and understanding of indemnity, medical and expense components of claim financials.
• Strong organizational and communication skills; comfortable interacting directly with PEO customers and external partners.
• Proficiency with claims management systems and/or RMIS platforms.
• Experience supporting Return to Work programs and managed care coordination.
• Experience working cross‑functionally.
• Experience with vendor management.
• Extremely detail‑oriented with great time management and organizational skills.
• Proactive and curious with a bias for action.

Responsibilities

• Supervise and support a small claims team providing daily direction, workload oversight and performance coaching.
• Manage your own active caseload of complex, litigated, and high‑severity claims from First Notice of Loss through closure.
• Review coverage decisions, reserves and settlement recommendations to ensure accuracy, consistency and alignment with company guidelines.
• Serve as the primary escalation point for difficult claims, coverage disputes, or customer concerns that exceed team members' authority levels.
• Conduct regular file audits and quality reviews, delivering constructive feedback to improve individual and team performance.
• Coordinate with TPAs, carriers, defense counsel, medical providers, and nurse case managers to drive timely, cost‑effective claim resolutions.
• Onboard and train new claims staff, ensuring familiarity with PEO workflows, customer structures, and state‑specific compliance requirements.
• Maintain current knowledge of WC statutes, filing requirements, and best practices across all jurisdictions in the company's footprint.
• Assist the Claims Director with reporting, loss trend analysis, and identifying process improvement opportunities.
• Perform other related duties as assigned.

Skills

Attention to detail

Cross-functional collaboration

Communication skills

Time management

Mentoring / coaching

Proactive mindset

Tools

RMIS platforms

Claims management systems

Job description

Justworks seeks a Senior Manager, Workers' Compensation Claims in Tampa to lead a small team and own a caseload of complex WC claims. You will collaborate with Customer Success, Technology, Accounting, and Legal to ensure accurate reserves, settlements, and timely resolutions.

Key duties include mentoring staff, reviewing coverage decisions, and driving process improvements while maintaining up‑to‑date knowledge of WC regulations across states.