Worker's Compensation Claims Manager

Reyes Holdings; Rosemont (IL); Hybrid; USD 95,000 - 145,000; Full time

Benefits offered by this job

Medical, Dental, Vision coverage

Paid Time Off

Retirement Benefits

Health Screenings

Job summary

Reyes Holdings is seeking an experienced claims leader to oversee the investigation, evaluation, and resolution of workers' compensation and related claims. You will coordinate with the TPA and stakeholders across HR, Risk Management, Legal, Operations, Safety, and Medical providers to ensure timely care, regulatory compliance, and accurate outcomes.

This role emphasizes financial oversight, reserve management, and development of settlement strategies, including return-to-work programs.

Qualifications

• Bachelor's degree with 6+ years related experience or HS with 9+ years specific experience.
• Experience leading investigations, coordinating with TPA, HR, Legal and Operations.
• Strong knowledge of return-to-work programs and regulatory compliance.

Responsibilities

• Oversee and strategize investigation, evaluation, and resolution of claims to ensure timely, accurate outcomes.
• Partner with the TPA and key stakeholders (HR, Risk Management, Legal, Operations, Safety, Corporate Nurses, Medical Providers, Excess Carriers) to ensure effective claim management, regulatory compliance, and timely care.
• Provide financial oversight, including reserve management, settlement evaluation and authority, escalation to excess carriers, and development of settlement strategies (e.g., annuities, MSAs).
• Lead TPA oversight through claim reviews, audits, and claims examiner performance management to ensure adherence to service expectations, best practices, and customer experience.
• Identify and resolve complex claim issues through cross-functional collaboration.
• Evaluate and enhance return-to-work programs across locations.
• Occasional travel as needed.
• Other projects or duties as assigned.

Skills

Claims management

Regulatory compliance

Stakeholder collaboration

Financial oversight

Return-to-work programs

Education

Bachelor's degree +6+ years

HS diploma +9+ years

Job description

This role is remote but will require candidates to be onsite 1-2x a month at our Rosemont, IL Headquarters.

Position Responsibilities

• Oversee and strategize the investigation, evaluation, and resolution of claims to ensure timely, accurate outcomes
• Partner with the TPA and key stakeholders (HR, Risk Management, Legal, Operations, Safety, Corporate Nurses, Medical Providers, Excess Carriers) to ensure effective claim management, regulatory compliance, and timely care
• Provide financial oversight, including reserve management, settlement evaluation and authority, escalation to excess carriers, and development of settlement strategies (e.g., annuities, MSAs)
• Lead TPA oversight through claim reviews, audits, and claims examiner performance management to ensure adherence to service expectations, best practices, and customer experience
• Identify and resolve complex claim issues through cross-functional collaboration
• Evaluate and enhance return-to-work programs across locations
• Occasional travel as needed
• Other projects or duties as assigned

RequiredEducation and Experience

Bachelor's Degree with 6 plus years of related experience or High School Diploma/General Education Diploma with 9 plus years of specific experience

Benefits

At the Reyes Family of Businesses, our Total Rewards Strategy prioritizes the holistic well-being of our employees. This position offers a comprehensive benefits package that includes Medical, Dental, Vision coverage, Paid Time Off, Retirement Benefits, and complimentary Health Screenings.

Equal Opportunity Employee & Physical Demands

Reyes Holdings and its businesses are equal opportunity employers. Company policy prohibits discrimination and harassment against any applicant or employee based on race, color, religion, sex, pregnancy or pregnancy-related medical conditions, marital status, sexual orientation, gender identity or expression, age, national origin, citizenship, disability, genetic information, military or veteran status, or any other basis protected by applicable law. In addition, the Company is committed to providing reasonable accommodation to applicants and employees in accordance with applicable law. Requests for accommodation should be directed to your point of contact in the Talent Acquisition or Human Resources departments.

Background Check and Drug Screening

Offers of employment are contingent upon successful completion of a background check and drug screening.

Pay Transparency

Our compensation philosophy embraces diverse factors for fair pay decisions, valuing skills, experience, and the needs of our business. Moreover, this role may have the opportunity to participate in a discretionary incentive program, subject to program rules.