Workers' Compensation Claims Manager

The AQ Approach; United States; Híbrido; USD 90 000 - 140 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Remote work options

Competitive salary and benefits

Career growth opportunities

Resumo da oferta

Peoplease is seeking a Workers’ Compensation Claims Manager to lead a multi-state WC program, oversee a 12-person team through a WC Team Lead.

You will ensure compliant, high-quality claim handling for clients while managing third-party providers and driving improvements in outcomes and costs. This role partners with Safety, Client Success, Regional Teams, and Senior Leadership in a growth-focused PEO.

Qualificações

• Bachelor’s degree preferred; equivalent WC experience considered.
• 8–10+ years of multi-jurisdictional WC claims experience, including TPA oversight.
• 3+ years leading claims professionals.
• State WC adjuster license a plus.
• Advanced knowledge of WC litigation, settlements, and reserves.
• Proven ability to lead and develop high-performing teams.
• Strong communication skills.
• PEO WC claims oversight experience strongly preferred.
• Ethical AI tool experience preferred.

Responsabilidades

• Lead, grow, and develop the Workers’ Compensation claims team.
• Manage the Claims department through the WC Team Lead, balancing workloads and ensuring service continuity.
• Oversee multi-jurisdictional claims for compliance, service quality, and financial stewardship.
• Manage TPA administration, guidelines, SLAs, KPIs, and performance gaps.
• Improve claim outcomes across closure, return-to-work, litigation, reserves, and settlements.
• Ensure timely statutory benefits and liability updates.
• Oversee litigation strategy, attorney selection, diary standards, and claim reviews for complex claims.
• Identify and monitor subrogation opportunities through resolution.

Conhecimentos

Team leadership

Multi-state WC claims

TPA oversight

Regulatory compliance

Stakeholder communication

Ethical AI tool experience

Formação académica

Bachelor’s degree in a related field

Ferramentas

RMIS

Descrição da oferta de emprego

ABOUT PEOPLEASE

Peoplease is a leading Professional Employer Organization (PEO) providing solutions to small and medium-sized businesses in the blue and gray-collar industries. We enable our clients and partners to achieve their aspirations by offering world-class service and administrative solutions in payroll, human resources, benefits, and risk management. At Peoplease, we foster a culture of inclusion and belonging, driven by our core values: Engagement, Integrity, Tenacity, Curiosity, Happiness, and a Service-obsessed mindset.

POSITION SUMMARY

The Workers' Compensation Claims Manager leads Peoplease's workers' compensation claims program, overseeing team performance, claim outcomes, service delivery, compliance, and operational effectiveness. The role manages a claims function of approximately 12 professionals through a WC Team Lead while retaining overall accountability for department results, employee development, and continuous improvement. The Manager serves as the primary operational and technical escalation point, oversees third-party claims administration, and ensures claims are handled with claimant advocacy, client service, regulatory compliance, and financial stewardship. This role partners with Safety, Client Success, Regional Teams, and Senior Leadership to deliver high-quality, multi-state claims administration aligned with Peoplease's service standards and financial objectives.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Reasonable accommodations may be made to enable individuals with disabilities to perform the following essential functions:

Team Leadership & People Management

• Lead, grow, and develop the Workers’ Compensation claims team.
• Manage the Claims department through the WC Team Lead, including supervision, workload, coaching, and technical support. Balance caseloads and maintain service continuity with the Team Lead.

Claims Oversight & Management

• Oversee multi-jurisdictional claims for compliance, service quality, and financial stewardship.
• Manage TPA administration, guidelines, SLAs, KPIs, and performance gaps.
• Improve claim outcomes across closure, return-to-work, litigation, reserves, reporting, and settlement activity.
• Ensure timely statutory benefits and liability updates.
• Oversee litigation strategy, attorney selection, diary standards, and claim reviews for complex or high-exposure claims.
• Identify and monitor subrogation opportunities through resolution.
• Resolve claims while balancing claimant advocacy, customer care, and company interests.

Client & Stakeholder Engagement

• Advise clients through claims strategy, status updates, reviews, QBRs, reporting, and loss control guidance.
• Share claims trends, best practices, and expertise with Safety, Client Success, Regional Teams, and Sales.
• Represent Claims in initiatives, audits, and leadership discussions.

Compliance, Quality & Process Improvement

• Ensure compliance with WC laws, policies, best practices, claims standards, and service commitments.
• Audit internal claims handling, TPA performance, and service providers.
• Analyze claim metrics, trends, risks, and issues; present findings and corrective actions to leadership.
• Lead improvements that strengthen efficiency, cost control, and claim outcomes.
• Maintain RMIS proficiency for reporting and compliance.

MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)

• Bachelor’s degree preferred; equivalent WC experience considered.
• 8–10+ years of multi-jurisdictional WC claims experience, including TPA oversight.
• 3+ years leading claims professionals.
• Claims training in WC, multi-state compliance, litigation, and cost containment.
• State WC adjuster license a plus.
• Advanced knowledge of WC litigation, settlements, and reserves.
• Proven ability to lead and develop high-performing teams.
• Strong communication skills.
• PEO WC claims oversight experience strongly preferred.
• Ethical AI tool experience preferred.

WHY JOIN US?

• Join a growth-oriented PEO.
• Lead a high-performing claims team with meaningful impact.
• Competitive salary and benefits.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

This role is primarily performed in an office or remote work environment. The position requires the ability to work seated in front of a computer for extended periods. Regular communication via phone, video conference, and written correspondence is essential. Occasional travel may be required to support client relationships, team meetings, or business needs. The role may involve working across varying time zones to support a distributed workforce.