Requisition ID: 224241

Locations: Charlotte 

 

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Job Overview

The Claims Manager will oversee the claims process by ensuring compliance with regulations and best practices. This role will manage our return-to-work programs (TRTW/VRTW) in addition to medical provider panels, wage requests, teammate status updates, and administrative claim duties (WC/Auto/GL). This position provides supporting analysis to the Sr. Managers of Workers’ Compensation and Liability Claims.

Duties & Responsibilities Manages the Workers’ Compensation and Liability claims, including claim investigations, settlement reviews, and oversight of our Third-Party Administrator, while applying respective statutes as tools for claim resolutions and state compliance. Manages the Return-To- Work program, tracking and analyzing teammates’ light duty assignments, lost workdays, and LOA returns to promptly inform HR and Benefits departments. Completes administrative duties for casualty claims handling and data entry to Origami necessary for reporting to field safety team. Reviews and approves reserves or the amount of money set aside to pay out our anticipated financial obligation for Workers’ Compensation claims that are greater than $25,000. Collaborates with legal counsel and claim handlers on complicated claims as it relates to State and Federal regulatory issues for claims administration. Direction of medical programs specific to our preferred providers organization (PPO), pharmacy, diagnostic, physical therapy networks and ancillary administrators. Direction and financial oversight of subrogation, liens, and loss recovery programs. Knowledge, Skills, & Abilities Experience in management of casualty claims Minimum Qualifications Associates Degree or up 3 years of college or technical school 3 to up to 5 years of work experience Preferred Qualifications A claims adjuster license Work Environment

Office environment

Equal Opportunity Employer - All qualified applicants will be considered for employment without regard to disability, protected veteran status, or any other characteristic protected by applicable law.