Senior Workers' Compensation Claims Leader (Hybrid)

imtinsurance; West Des Moines (IA); Hybrid; USD 65,000 - 98,000; Full time

Benefits offered by this job

Hybrid work arrangement

Comprehensive benefits package

Retirement plan

Paid time off

Learning & development opportunities

Job summary

IMT Insurance seeks a Workers Compensation Specialist in West Des Moines, IA. You will manage a high-volume, high-complexity claims portfolio, set reserves, and collaborate with legal, medical providers, and TPAs. This is a leadership role with mentorship to junior staff and a focus on cost containment and program improvement.

Hybrid work arrangement offered. Ideal candidates have 5–8 years in workers' compensation claims, CWCP or ARM preferred, strong negotiation skills, and solid knowledge of

Qualifications

• 5-8 years of experience in Workers’ Compensation Claims Management, including handling complex or high-risk claims.
• CWCP or ARM certifications preferred.
• Bachelor’s degree in business, insurance, risk management, or related field preferred.
• Advanced expertise in workers' compensation laws, claims management strategies, and litigation processes.
• Strong leadership abilities with experience in mentoring, training, and developing staff.
• Excellent negotiation skills and the ability to manage difficult claims and stakeholders effectively.
• Exceptional communication skills, with the ability to present complex claims information to executive leadership and external partners.
• Strong financial acumen for managing large claim reserves, budgeting, and cost-control initiatives.
• Ability to analyze complex claims data and recommend actionable insights to improve claims handling processes.
• High proficiency in claims management software, Microsoft Office Suite, and other industry-specific tools.

Responsibilities

• Independently manage a high-volume and high-complexity caseload, including severe injury claims, occupational disease claims, litigated claims, and claims involving multiple stakeholders.
• Set and adjust substantial monetary reserves for large claims, factoring in medical costs, lost wages, future treatment, and potential legal settlements.
• Develop and implement strategies to efficiently manage complex claims, reduce claim costs, and expedite resolution.
• Act as the primary point of contact for complex claims litigation, providing guidance to legal teams, negotiating settlements, and ensuring favorable outcomes.
• Lead and mentor junior team members, including Work Comp Specialists I–III, providing training on advanced claims management.
• Contribute to program development and process improvement for workers’ compensation.
• Work with internal stakeholders and external vendors to manage high-exposure claims and return-to-work initiatives.
• Prepare detailed reports and presentations for management on program performance and cost containment opportunities.
• Stay updated on regulatory changes and ensure compliance with state and federal workers' compensation laws.

Skills

WC claims management

Complex/high-risk claims

Leadership mentoring

Education

CWCP or ARM preferred

Bachelor’s degree preferred

High school diploma required

Tools

Claims software

Microsoft Office

Job description

IMT Insurance seeks a Workers Compensation Specialist in West Des Moines, IA. You will manage a high-volume, high-complexity claims portfolio, set reserves, and collaborate with legal, medical providers, and TPAs. This is a leadership role with mentorship to junior staff and a focus on cost containment and program improvement.

Hybrid work arrangement offered. Ideal candidates have 5–8 years in workers' compensation claims, CWCP or ARM preferred, strong negotiation skills, and solid knowledge of