Senior Workers' Comp Program Leader - Multistate Claims

S&S Activewear Llc; Lockport (IL); On-site; USD 68,000 - 85,000; Full time

Job summary

S&S Activewear Llc in Lockport, IL seeks a Senior Workers' Compensation Program Specialist to lead multi-state claims administration, coordinate return-to-work, and drive cost-effective program results. The role interfaces with HR, safety, TPAs, and providers to ensure compliant, timely claim handling.

The ideal candidate will bring 5–7 years of progressive workers' compensation experience, strong Excel skills, and the ability to analyze trends, generate dashboards, and support budgeting and

Qualifications

• Bachelor's degree in Risk Management, HR, Business Admin, Occupational Safety, Insurance, or related field; equivalent experience may be considered.
• 5-7 years of progressive workers' compensation experience.
• Experience managing or coordinating multi-state workers' compensation claims programs.
• Working knowledge of workers' compensation claim handling practices, return-to-work programs, and cost containment strategies.
• Experience with TPAs, insurance carriers, medical providers, and legal counsel.
• Advanced Microsoft Excel proficiency and experience preparing reports and dashboards.
• Excellent verbal, written, and interpersonal communication skills.

Responsibilities

• Manage day-to-day administration of multi-state workers' compensation claims.
• Serve as primary internal contact for workers' compensation claim activity.
• Partner with TPAs, carriers, nurse case managers, and medical providers to monitor progress.
• Review claim status, reserves, action plans, and settlement recommendations.
• Coordinate investigations of workplace injuries and ensure timely reporting.
• Monitor claim compliance with company standards and state regulations.
• Assist with resolution of complex, litigated, and high-exposure claims.
• Coordinate return-to-work and transitional duty programs across the organization.
• Collaborate with HR, managers, Safety, and healthcare providers to facilitate early return-to-work.
• Track employee work status restrictions and accommodations.
• Monitor duration and effectiveness of modified-duty assignments.
• Identify barriers to successful return-to-work outcomes and recommend solutions.
• Support compliance with leave and accommodation programs as needed.
• Build relationships with TPAs, carriers, providers, and legal counsel.
• Facilitate communication among employees, managers, HR, Safety, and Operations.
• Respond to escalated workers' compensation questions and issues.
• Participate in claim review meetings and vendor performance discussions.
• Ensure vendors provide timely and quality service to support program objectives.

Skills

Analytical thinking

Excel proficiency

Verbal/written communication

Multi-state claim coordination

TPA collaboration

Education

Bachelor's degree in Risk Management/H.R./Business Admin

Tools

RMIS

HRIS

Claim management systems

Job description

S&S Activewear Llc in Lockport, IL seeks a Senior Workers' Compensation Program Specialist to lead multi-state claims administration, coordinate return-to-work, and drive cost-effective program results. The role interfaces with HR, safety, TPAs, and providers to ensure compliant, timely claim handling.

The ideal candidate will bring 5–7 years of progressive workers' compensation experience, strong Excel skills, and the ability to analyze trends, generate dashboards, and support budgeting and