Risk Manager Jobs

The Purpose of This Role

The Risk Manager is responsible for managing the worker’s comp, unemployment and voluntary disability claims process throughout the organization. The Risk Manager will oversee the claims from the beginning of the claim process through resolution including ensuring that the third party administrator is managing the claims in accordance with our best practices. Collaborates with various branches and external vendors to ensure appropriate review and resolution of complex cases. Communicates with and advises management when dealing with complex cases and various reporting metrics to determine program performance.

Position Requires/Demands:

·Strong understanding of litigation management, financial and claim data analysis with the ability to produce reports and presentations for executive management

·Proven ability to analyze, plan and synthesize information into an overall strategy

·Ability to utilize informal lines of authority to advise, counsel, guide and develop (i.e., through coaching, training, etc.) staff

·Superior influencing and negotiation skills

·Excellent communication, presentation, follow-up and interpersonal skill

·Advanced professional level business writing, grammar and oral communications skills

·Experienced presenter

·Excellent people leadership

·Must be well organized in order to manage time, solve problems, grasp concepts and processes,

develop plans, organize schedules, and prepare reports

Primary Responsibilities:

Serve as a technical and legal expert/resource for all locations throughout the enterprise with respects to Workers’ Compensation, unemployment and disability related activities

Establish “Best Practices” both internally and externally for all aspects of workers’ compensation, unemployment and disability claim related activities ensuring consistency throughout the enterprise

Develop and implement a claims management process and litigation strategy for the enterprise ensuring consistency of practices both internally and externally throughout the company, resulting in the reduction of operational expenses/liability

Ensure all claims are being handled proactively by the TPA by reviewing the investigation, exposure, action plan and closure strategy. Ensure accuracy and adequacy of compensability by completing a thorough investigation, providing direction to the third party claims administrator.

Manage external vendors in the areas of claims administration, managed care and litigation through benchmarking, loss analysis and general performance measurement reports to ensure adherence to best practices as well as company specific claim program goals, directives, initiatives, policies and procedures.

Conduct and oversee all claim reviews and audits to ensure effective claims handling by third party administrator

In partnership with Risk Management and internal Legal Counsel, review and provide recommendations on reserve changes and settlement authority upon request.

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QUALIFICATIONS:

Bachelor’s degree in related field or equivalent years of professional experience

4-6 years’ experience in Workers’ Compensation Claims Management

Extensive knowledge of standards, practices, procedures, and various laws applicable to WC claims in multiple jurisdictions

Strong understanding of litigation management, financial and claim data analysis with the ability to produce reports and presentations for executive management