Workers’ Compensation Specialist

Turner Construction Company; New Jersey; Remote; USD 80,000 - 110,000; Full time

Job summary

An established industry player is seeking a dedicated Workers' Compensation Claims Administrator to oversee claims management in a dynamic environment. This remote position requires a professional with a strong background in risk management and workers' compensation, particularly in the construction sector. The ideal candidate will leverage their analytical skills to manage complex claims, collaborate with various teams, and ensure compliance with regulations. Join a forward-thinking company that values employee wellness and offers opportunities for growth and development while making a significant impact in the field.

Qualifications

• 8+ years of experience in workers' compensation claims administration.
• Bachelor's degree in Insurance, Risk Management, or related field.

Responsibilities

• Oversee workers' compensation claims and collaborate with Risk Management leadership.
• Develop mitigation strategies for claims and ensure compliance with best practices.

Skills

Workers' Compensation Claims Administration

Risk Management

Analytical Skills

Project Management

Communication Skills

Education

Bachelor's Degree in Insurance or Risk Management

Tools

Microsoft Office

Risk Management Information Systems

Job description

Division:	TSIB - Risk Services
Project Location(s):	Saddle Brook, NJ 07663 USA
Minimum Years Experience:	8
Travel Involved:	20-30%
Job Type:	Regular
Job Classification:	Experienced
Education:	Bachelors Degree
Job Family:	Insurance and Claims
Compensation:	Salaried Exempt

Position Description: Oversee insurance carriers and Third-Party Administrators (TPAs) in their management and handling of affiliated clients’ Workers’ Compensation claims in an assigned geographic region of the country based upon program and compliance regulations

Essential Duties & Key Responsibilities:

• Oversee assigned workers’ compensation case portfolio of minor to complex claims in assigned geographic region.
• Leverage knowledge of workers’ compensation policy and manage incidents, and dispatch nurse case managers as necessary.
• Collaborate closely with Risk Management leadership on workers’ compensation claims, process, and procedures to ensure integrated program.
• Serve as resource for injured employees and inform of workers’ compensation process and procedures.
• Report workers’ compensation claims to carriers and Third-Party Administrators (TPAs), including notification of questionable claims.
• Facilitate proactive identification of claims with opportunities for early Return to Work and light duty Return to Work program, as needed.
• Evaluate and respond to Reserve and Settlement Consultations within given authority, escalate consultations above scope authority to appropriate leadership.
• Maintain diary for open claims and document specific claim related activities in Risk Management information system.
• Work with carriers, TPAs, and Defense Counsel to develop mitigation strategies for Owner Controlled Insurance Program (OCIP) that result in cost savings to the claim, ensure aggressive strategy is developed on litigated claims, and bring claims to timely resolution.
• Collaborate with General Liability team to develop mitigation strategies and facilitate most economic global resolution of Contractor Controlled Insurance Program (CCIP) claims.
• Attend hearings and mediations on as needed basis.
• Ensure avenues for potential claim recovery are identified and pursued and manage lien recovery on case-by-case basis.
• Participate in claims review process and monitor claims handling process by carriers and TPAs; provide direction to ensure compliance with best practices and special handling instructions.
• Oversee and hold vendors and defense firms accountable for adherence to standard protocols, agreed to service instructions, and litigation management guidelines. Update instructions and guidelines and provide recommendations to appropriate leadership.
• Partner with Safety team and onsite medics on initiatives that support worker wellness and post-injury care.
• Participate in CCIP kickoff meetings and jobsite walkthroughs, attend Claims, Safety and Operations meetings to monitor current and anticipated project risks and report on claims status for specific projects.
• Maintain and foster relationships with carriers and TPAs claims teams.
• Assist with claim data analysis and claim performance reports.
• Collaborate with HR and Payroll departments for completion of required Workers’ Compensation Jurisdictional Forms.
• Support audits related to workers’ compensation claims.
• Remain current on Workers’ Compensation laws and regulations, industry trends, and case law within assigned jurisdictions.
• Other activities, duties, and responsibilities as assigned.

*This is a remote position with some travel required; however, the ideal candidate will be based in the Northeast region to align with business needs.*

Qualifications:

• Bachelor Degree in Insurance, Risk Management, Finance, Business Administration or related program; with minimum of 8 years of workers’ compensation claims administration experience in New York City and State jurisdiction; or equivalent combination of education, training, and/or experience
• Experience with workers’ compensation claims in a construction environment, desired
• CRIS, ARM or similar insurance designation, desired
• Knowledge of jurisdictional laws and regulations for assigned territory
• OSHA (Occupational Safety and Health Act) knowledge and experience desired; OSHA 30-hour certification, a plus
• In-depth knowledge of workers’ compensation claims, medical management procedures, medical cost containment programs and applicable laws and regulations
• Demonstrate process thinking and sound decision-making skills
• Analytical and adept at processing and breaking down data into actionable information
• Self-starter with strong project management skills and capable of managing concurrent complex projects and tasks successfully to completion
• Demonstrate strong interpersonal and teamwork skills with ability to work with individuals across organizational levels, both internal and external
• Professional written and verbal communication, and effective presentation skills
• Proficient computer skills, Microsoft Office suite of applications, and insurance-based risk management information systems
• Limited travel

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, use hands to finger, handle, or feel objects, tools, or controls; and reach with hands, talk, and hear. The employee frequently views a computer monitor and frequently uses a computer keyboard. Specific vision abilities required by this job include close vision, peripheral vision, depth perception, and the ability to adjust focus. The employee is occasionally required to be mobile, and the employee occasionally travels both short and long distances via a variety of conveyances. The employee occasionally performs work on-site at construction work sites, office locations, and/or off-site venues. The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

Work Environment:The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee regularly works in an office setting. The noise in the work environment is usually quiet to moderate in an office setting. While performing the duties of this job, the employee may occasionally work at construction work sites where the employee is exposed to moving mechanical parts, high precarious places, fumes or airborne particles, outside weather conditions, and risk of electrical shock. The noise in the work environment is usually moderate to loud. The employee is required to work in compliance with company safety policies, procedures, and applicable laws.

Turner Surety and Insurance Brokerage, Inc. is an Equal Opportunity Employer

Turner Surety and Insurance Brokerage, Inc. is an Equal Opportunity Employer - race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or other characteristics protected by applicable law.