Senior Workers’ Compensation Program Lead

OCTA; Town of Florida (NY); On-site; USD 92,000 - 126,000; Full time

Job summary

OCTA is seeking a Senior Workers’ Compensation Program Specialist to lead the design, implementation, and oversight of the agency’s workers’ compensation claims program. You will act as a subject-matter expert, shaping policies, performance metrics, and cost‑containment measures while ensuring compliance with applicable laws.

In this exempt role (salary grade 195), you will manage complex claims, oversee the TPA, and collaborate with legal, medical providers, and internal stakeholders.

Qualifications

• Bachelor’s degree in Finance, Business Administration, or a related field, or equivalent experience.
• Minimum of five years of workers’ compensation claims experience.
• State of California Self-Insured Certificate required.
• Advanced knowledge of workers’ compensation laws, claims practices, policies, and regulatory requirements.

Responsibilities

• Serve as an organizational expert on workers’ compensation policies, laws, practices, and regulatory requirements.
• Develop and implement workers’ compensation program goals, objectives, policies, and advanced cost-containment strategies.
• Provide strategic oversight of the workers’ compensation TPA, including performance reviews and audits.
• Manage complex and high-stakes claims, settlements, employer-level investigations, and regulatory matters.
• Lead initiatives such as the Transitional Work Program and identify opportunities to improve program effectiveness and efficiency.
• Develop KPIs, benchmarks, and data analytics to evaluate program performance and reduce costs.

Skills

Workers' compensation claims

Data analytics

Financial oversight

Stakeholder management

Regulatory compliance

Education

Bachelor's degree in Finance, Business Administration, or related field

Tools

Origami Claims Management System

Job description

OCTA is seeking a Senior Workers’ Compensation Program Specialist to lead the design, implementation, and oversight of the agency’s workers’ compensation claims program. You will act as a subject-matter expert, shaping policies, performance metrics, and cost‑containment measures while ensuring compliance with applicable laws.

In this exempt role (salary grade 195), you will manage complex claims, oversee the TPA, and collaborate with legal, medical providers, and internal stakeholders.