Workers' Compensation Claims Manager

We currently have an exciting opportunity for a Workers Compensation Claims Manager to join our Risk Management team based in Plano TX. This individual will be responsible for administering the insurance claims process for corporate-wide workers compensation with the objective of closing each claim fairly & quickly and at the lowest possible cost. The Workers Compensation Claims Manager negotiates and maintains relationships with third party administrators. Also develops trains and monitors internal claims handling policies and procedures.

Responsibilities

• Administer and supervise the claims functions of corporate workers compensation for the Company to ensure effective and timely claims processing
• Coordinate and provide information and responses required by adjusters internally in order to adjust claim
• Oversee tracking of losses and provide monthly updates on open claims
• Develop guidelines and procedures for incident reporting and claims handling
• Approve claims reserves payments and denials
• Compile review order or issue any necessary forms for compliance with applicable laws for workers compensation
• Gather and prepare information for submission to potential insurance carriers
• Review and provide input on TPA Contracts and other ancillary services and monitor service levels
• Coordinate and attend Claims Review Meetings
• Work with Legal Department on litigated claims and provide with appropriate documentation as required
• Support to DMs RMs RVPs and field personnel with training and support of claims handling process and procedure
• Prepare and analyze reports on a monthly and quarterly basis
• Evaluate trends to support loss prevention
• Attend monthly P&L Meeting & Workers Compensation Task Force Meetings
• Review TPA and other vendor billings for accuracy
• Provide counsel and advice to management at all levels regarding workers compensation matters
• Interface with employees managers insurance carriers medical personnel and attorneys regarding workers compensation claims issues questions and other related matters
• Oversee reporting of claims and compliance with state filing requirements
• Oversee medical utilization
• Review and analyze all claims; identify claims with potential exposure to high losses
• Coordinate with insurance carrier and third party administrators to create a structured action plan to reach cost effective resolution of claims
• Monitor claim activity and proper reserve practices by the TPA
• Participate in negotiations for claim settlements
• Schedule and coordinate periodic file reviews. Monitor follow through and completion of all action plans for reviewed claims
• Responsible for claims administration and calculation of statistics and maintenance of OSHA logs
• Work closely with claims adjusters medical providers and various internal departments to reach claim resolution
• Assist in developing systems to track monitor audit and prepare reports regarding workers compensation
• Interpret laws and regulations determine appropriate course of action and present solutions to resolve claims
• Maintain and develop knowledge of workers compensation regulations laws and related Company policies and procedures
• Research and resolve workers compensation related questions and/or problems
• Keep management informed on any issues or problems which may impact the operations of the Company
• Attend continuing education with respect to workers compensation issues and concerns
• Understands and operationalizes programs policies and procedures for: reporting investigation and analysis; litigation management; resolution/outcome management; and the delivery of claim information.
• Has led and actively contributed to the successful integration and implementation of advanced technology solutions and innovative strategies within workers compensation systems resulting in enhanced efficiency improved accuracy streamlined processes a better user experience and strengthened system performance and reliability

Qualifications :

• BA/BS degree in related field
• A minimum of 5 years of experience in claims handling and processing is a must
• Ability to communicate effectively both orally and in writing
• Knowledge and understanding of claims handling processes and procedures
• Ability to assess the terms and conditions of policies and agreements
• Strong Interpersonal and communication skills
• Proficient in various programs including but not limited to Outlook Excel Word Powerpoint etc
• Ability to organize and establish priorities
• Ability to investigate and analyze information and to draw conclusions
• Ability to evaluate data for current trends and apply trends to loss prevention
• Multi-state experience strongly preferred

Additional Information :

Workplace

• One of our values pillars is to work as OneTeam and we believe that there is no replacement for in-person collaboration but understand the value of some flexibility. Public Storage teammates are expected to work in the office five days each week with the option to take up to three flexible remote days per month.
  • Our office is based in Plano east of I75 near E. Park Blvd just North of Historic Downtown Plano.

Public Storage is an equal opportunity employer and embraces diversity. We do not discriminate on the basis of race color religion sex sexual orientation gender identity national origin age disability or any other protected status. All qualified candidates are encouraged to apply.

REF3121S

Remote Work :

No

Employment Type :

Full-time