Workers' Compensation Claims Program Lead

Gallagher; Town of Florida (NY); On-site; Confidential; Full time

Benefits offered by this job

Competitive compensation

Comprehensive benefits programs

Career development opportunities

People-first culture with accessible领导

Global reach with local impact

Job summary

Gallagher is hiring a Workers' Compensation Claims Manager to join the FIA Program Administration team in Lake Mary, Florida. You will oversee workers' compensation operations, coordinate with TPAs, legal counsel, and reinsurers, and drive service excellence across the FIA network.

The role requires 10 years of claim experience, supervisory background, and multi-state licensure, with a focus on strategic claims management and client service delivery.

Qualifications

• High school diploma and 10 years related claim experience required.
• At least 3 of supervisor experience required.
• Appropriately licensed and/or certified in all states in which claims are being handled.
• Knowledge of all team member related functions.

Responsibilities

• Oversee FIA's Workers' Compensation claims operations.
• Monitor TPA performance and ensure compliance with claims handling standards and best practices.
• Coordinate claims activities among FIA members, TPAs, legal counsel, reinsurers, and other stakeholders.
• Attend mediations, hearings, and other proceedings on behalf of FIA as needed.
• Facilitate timely reporting and communication of claims information to TPAs and reinsurers.
• Participate in TPA audits and support ongoing quality assurance initiatives.
• Analyze policy coverage and determine claim applicability under coverage provisions.
• Assign defense counsel and oversee implementation of appropriate claim strategies.
• Identify and report claims that meet reinsurer reporting requirements.
• Drive claims-related process improvements and operational initiatives.
• Establish accountability measures to promote service excellence and customer satisfaction.
• Support brokers and agency partners by responding to coverage questions and providing claim updates.
• Develop strong working relationships with members, management companies, brokers, vendors, reinsurers, and outside counsel.
• Collaborate with Underwriting, Loss Control, and Program Administration teams on strategic initiatives and member service enhancements.
• Participate in training, webinars, and professional development opportunities.
• Perform other duties as assigned.

Skills

Claims management

Supervisory experience

Licensed in all states

Team member knowledge

Education

Bachelor’s degree

Job description

Gallagher is hiring a Workers' Compensation Claims Manager to join the FIA Program Administration team in Lake Mary, Florida. You will oversee workers' compensation operations, coordinate with TPAs, legal counsel, and reinsurers, and drive service excellence across the FIA network.

The role requires 10 years of claim experience, supervisory background, and multi-state licensure, with a focus on strategic claims management and client service delivery.