Claims Manager Jobs

Xanitos, Inc. Is a management company that provides hospital housekeeping, patient transport, central laundries services, and patient observation services. It is differentiated by its patented XRO System for cleaning patient rooms, its outstanding operations management team, and by being a private company whose priority is giving top-quality service. The results are evident; at the hospitals it serves, Xanitos has improved the cleaning quality, increased HCAHPS scores, reduced the risk of HAIs, lowered bed turnaround time, and significantly reduced costs.

We are seeking a Claims Manager in Los Angeles, CA.

• Ideally Located in Southeast Pennsylvania or Southern California

What We Look For In a Claims Manager

The Claims Manager will provide national oversight of the Xanitos workplace claims management process and the company’s return to work program by working directly with injured employees, their managers, and other key stakeholders to ensure a supported and timely return to work. The Claims Manager will also be directly responsible for the management of employee and third-party workplace claims and investigations.

Successful national and regional return to work programs require imaginative design, detailed planning, synchronized coordination, creative presentation, and meticulous documentation. It requires innovative thinking, dynamic action, continuous and clear communication, and rapid, thorough follow-up. It also requires the collaborative support of colleagues at all levels of the organization.

Responsibilities

• Cultivate and maintain effective partnerships with operational leadership to support business development and foster a strong safety culture and develop sustaining sponsorship for Safety and Risk Management initiatives.
• Direct the company’s return to work program at the highest level of excellence to ensure that an experience of care and compassion is integrated throughout the company’s culture of safely helping save lives. This includes the administration of the company’s return to work program, including direct liaison with employees who are unable to work due to a workplace injury.
• Partner with regional and local leadership to identify opportunities, assess risk, conduct investigations, and monitor compliance with a broad group of governmental regulatory agencies (e.g., DOH, TJC, OSHA, Cal OSHA, DOT, EPA, etc.).
• Troubleshoot workplace specific safety, accident, and liability cases and provide viable recommendations for preventing or controlling these issues.
• Review all incident investigation reports for compliance with company and industry investigation best practices, including accident root cause analysis, corrective practices and retraining opportunities.
• Partner with the education team to conduct effective and engaging education including but not limited to web-based and in person safety training.
• Oversee and monitor the administration of company’s workers compensation claims on a daily, ongoing basis including demonstrating competence and leadership with each workplace incident within the organization.
• Track safety committee compliance at the local level. Provide support and recommendations to enhance the employee experience and engagement with safety.
• Specific focus will be on cultivating a culture of care and compassion and aligning regional leadership and designated safety champions with safety and risk management initiatives through sponsorship, communication, and education.
• Will routinely represent Safety and Risk Management through presentations and communications with local, regional, and executive management to educate, align and build consensus for risk mitigation strategies and culture change to protect people, property, and the environment.
• Collaborate with insurance broker safety specialist(s) to continuously improve safety practices.
• Conduct onsite visits and safety audits to ensure facility is maintaining compliance with regulatory safety requirements.
• Evaluate near miss, incident, and accident trends and provide detailed statistical analysis to local, regional, and executive leadership on a frequent basis.
• Conduct weekly safety meetings with local leadership.
• Liaise with HR to ensure compliance with company leave policies for injured workers.
• Provide content for company’s weekly safety newsletter.

Qualifications

• Ability to multi-task and establish priorities.
• High level of skill with analyzing and interpreting safety related data.
• Demonstrate knowledge and show experience with CMS or other healthcare related regulatory agencies, such as The Joint Commission, DNV or state departments of health.
• Experience with multiple service environments including but not limited to Hospital Housekeeping (EVS), Ambulatory Cleaning, Patient Transport, Patient Observation, Linen and Laundry.
• Ability to work within a team and autonomously where needed to achieve required outcomes within specified deadlines/time frames.
• Exhibit initiative, responsibility, flexibility and leadership.
• Ability to effectively lead the coordination of workers compensation claims management processes and early intervention strategies.
• Demonstrated extensive knowledge of workers compensation laws and regulations in one or more states.
• Highly developed interpersonal, verbal (including public speaking), and written communication skills with the ability to lead, persuade, negotiate, consult with, and provide advice on workers compensation claims management and rehabilitation issues.
• Experience in customer service and/or client account management.
• Demonstrated knowledge and experience with Environmental Health and Safety programs
• Ability to communicate effectively in written format and oral presentations at a high level.
• High School diploma is required.
• Demonstrated ability to influence and coach leaders, effectively raise, and resolve conflict to drive sustainable organizational change.
• Ability to use knowledge of working environment to meet established goals and objectives.
• Employees in Healthcare are required to be fully vaccinated against COVID-19 as a term and condition of employment at Xanitos, absent a legally required Medical or Religious exception, and are required to report their vaccination status and upload proof of vaccination via a secure online portal.
• Provide strategic direction to bring optimal solutions for the organization.
• Ability to interpret and apply workers compensation legislative standards and guidelines as they apply to organizational claims management and rehabilitation initiatives.
• Ability to maintain organization in a changing environment.
• Bachelor’s degree or related experience and three to five years of supervisory experience. Minimum 3 years experience in similar Return to Work or claims management role.
• Ability to analyze claims reserving, loss development, and accrual liability data.
• Liaise with external service providers, insurers, health professionals and legal services organizations as appropriate.

Xanitos understands the importance of you, and your family’s health and wellbeing, as well as your financial future. With that in mind, we take pride in the variety of benefit plans that are available for our employees. Please note, plans vary by location and are subject to eligibility and work hour requirements in accordance with company policy and state laws. Plans may include:

• Employee Assistance Program (EAP)
• Paid Time off including Vacation, Sick, Holidays, Elective Holidays, Bereavement, Parental Bonding, Volunteer Day and Jury Duty.
• Life, Accident, and Disability Insurance
• Medical
• Shoes for Crews Reimbursement
• Employee Discounts to Theme Parks, Theaters, Sporting Events, Movies and More
• Vision
• Employee Wellness Program
• Commuter Benefits
• 401k Retirement Plans
• Dental

The expected salary range for this position ranges from $80,000 to $115,000 depending on circumstances including an applicant’s skills and qualifications, certain degrees and certifications, prior job experience, training, market data, and other relevant factors. Additional compensation may include a bonus or commission (if applicable to the position).

Education Required

• High School Diploma, GED or equivalent or better

See job description