Insurance Claims Manager

• Develop and maintain efficient processes and documentation for workers’ compensation and property & casualty claims, ensuring compliance with all applicable policies, procedures, and legislation
• Serve as the primary liaison with external agencies, carriers, brokers, and regulatory bodies for claims administration and claimant management
• In coordination with the Senior Director of EHS & Compliance, evaluate complex and high-value property and casualty claims to determine liability, damages, and exposure
• Assist the Senior Director of EHS & Compliance and Legal in managing third-party claims, including negotiations and settlement
• Review and evaluate all work-related accident reports for completeness, accuracy, and regulatory compliance analyze data as needed to identify trends or issues
• Investigate, review, and resolve high-severity, complex, or disputed claims
• Supervise, coach, and train claims specialists, providing guidance on technical claim matters and ensuring consistent application of claims processes
• Determine the appropriateness and value of workers’ compensation claims conduct investigations to assess eligibility and ensure all legal and procedural requirements are met for timely and accurate claim processing
• Provide expert advice and counsel to organizational leadership on the interpretation and application of workers’ compensation and property & casualty policies, regulations, and procedures
• Coordinate with the organization’s insurance broker and providers to ensure accurate, timely reporting and efficient claims handling
• Participate in and support strategic planning initiatives aimed at reducing incidents, losses, and organizational risk
• Coordinate with Human Resources to ensure appropriate medical information and relevant facts are shared for claims with pending litigation participate in Workers’ Compensation Administration mediation or formal hearings as required
• Oversee communication with medical professionals, support agencies, and others to monitor rehabilitation progress and support return-to-work efforts, job modifications, or placement into alternative roles in compliance with regulatory requirements
• Ensure Human Resources and organizational leadership are informed of employees’ return-to-work or full-duty status
• Ensure completion, accuracy, and regulatory compliance of all required forms, records, documentation, statistical analyses, and reports related to claims
• Analyze claims data and develop recommendations to reduce claim frequency and severity design or enhance databases and reporting tools as needed
• Ensure proper and timely reporting of property, automotive, general liability, and casualty claims perform other related duties as assigned
• Provide claims support during emergency events
• Assist the EHS & Compliance Specialist as needed
• Support the Senior Director of EHS & Compliance in developing and implementing policies and procedures to mitigate organizational risk
• Perform miscellaneous job-related duties as assigned.

• Bachelor’s degree in business administration or a related field from an accredited institution
• Minimum of four years of directly related experience in claims adjusting, investigations, litigation support, and/or risk management
• Professional certification preferred, such as Certified Medical Insurance Specialist (CMIS), Certified Billing & Coding Specialist (CBCS), Associate in Claims (AIC), or associate in general insurance (AINS)
• Experience in insurance or risk management, including hands-on responsibility for a variety of claims processes
• Strong ability to professionally liaise with insurance carriers and external partners
• Demonstrated ability to supervise and develop personnel in a fast-paced environment
• Ability to work independently and collaboratively with stakeholders at all organizational levels
• Proven ability to maintain confidentiality and handle sensitive information with discretion
• Strong professional presence with the ability to represent the organization effectively
• Must have reliable transportation and a valid driver’s license
• Ability to travel 10% of the time
• Ability to work extended or irregular hours/days (nights and weekends)
• Ability to occasionally lift, push, or pull up to 25 lbs.

Professional certification preferred, such as Certified Medical Insurance Specialist (CMIS), Certified Billing & Coding Specialist (CBCS), Associate in Claims (AIC), or associate in general insurance (AINS).

• paid time off (PTO)
• medical
• dental
• vision
• short- and long-term disability
• life insurance
• Employee Assistance Program (EAP)
• 401(k)