Manager, Workers' Compensation

Concentra is recognized as the nations leading occupational health care company.

With more than 40 years of experience Concentra is dedicated to our mission to improve the health of Americas workforce one patient at a time. With a wide range of services and proactive approaches to care Concentra colleagues provide exceptional service to employers and exceptional care to their employees.

The Workers Compensation Manager is responsible for the organizational-wide workers compensation programs claims management and risk reduction activities. The position will collaborate with Operational Clinical Human Resources Legal and Safety department managers in effecting fulfillment of organizational goals for the workers compensation program. The position will require processes to be derived through the use of data analytics and reporting to produce quantifiable and measurable outcomes.

• Oversees work comp programs including monopolistic states
• Develops and implements strategic plans and programs to align with business goals and objectives
• Assists with workers compensation audits
• Serves as the primary internal point of contact for all colleague injury claims and workers compensation matters
• Responsible for managing workers compensation claims in compliance with all state and federal laws
• Oversees RMIS admin functions related to employee incident intake (W.I.R.E.)
• Reviews intake of work comp claims and ensures data is accurate and complete
• Communicates with external claims adjusters to enable the successful settlement and disposition of claims
• Communicates with employees medical providers and TPAs throughout the claims process
• Coordinates with HR to support return-to-work and transitional duty work when appropriate
• Monitors and evaluates TPA performance ensuring compliance with service standards
• Coordinates with the Safety and Security department on claim trends and root cause analysis
• Ensures accurate and timely submission of First Reports of Injury and all necessary documentation
• Oversees TX Non-Sub TPA and completes DWC forms
• Participates in claim reviews with carriers adjusters and TPAs
• Ability to work cross-functionally and establish credibility to successfully execute program requirements and either establish or change parameters in workflows and processes
• Oversight and management of direct reports to include but not limited to training mentoring performance and development

• Education Level: Bachelors Degree Major: Risk Management Occupational Safety and Health or a related field of study Degree must be from an accredited college or university. Education Details:
• Bachelors degree from an accredited college or university preferred or equivalent education and experience
• In lieu of higher education the ratio is 1:1 meaning one year of college equals one year of work experience and vice-versa.
• Customarily has at least the following experience: Customarily has at least the following experience: 5 years
• Customarily has at least five (5) years of experience in risk management working with internal and external parties through work comp claims management processes. Job-Related Skills/Competencies
• Concentra Core Competencies of Service Mentality Attention to Detail Sense of Urgency Initiative and Flexibility
• Ability to make decisions or solve problems by using logic to identify key facts explore alternatives and propose quality solutions
• Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
• The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
• General insurance claim process knowledge. Extensive administrative experience with demonstrated attention to detail and excellent organizational interpersonal and written and oral communication skills.
• Knowledge of federal and state legal statutes relating to risk management; principles and practices of risk management and loss control programs; medical and technical terminology used in industrial injury and illness cases.
• Ability to analyze claims in accordance with applicable laws and organization procedures and policies; present arguments and statements of fact in written and oral forms; exercise independent judgment; establish and maintain working relationships with managers employees attorneys medical personnel and others; read and understand complex reports laws and case histories; and prepare oral and written reports and recommendations.
• Ability to coordinate a variety of components including safety education incident/accident prevention and loss control programs with appropriate departmental personnel; understand complex reports laws and case histories; perform surveys and investigations relating to the cause of accidents; prepare oral reports and written documents and recommendations; learn the fundamentals of workers compensation and civil liability law and claims handling procedures; establish and maintain working relationships with managers employees attorneys medical personnel and others; compile statistical data and make inferences relating to loss experience and control.
• Strong understanding of claims management processes compliance protocols and quality control measures to include understanding of the litigation process and a working knowledge of insurance policies.
• Ability to independently make decisions or solve problems by using logic to identify key facts explore alternatives and propose quality solutions.
• Skill in the use of computer software especially Microsoft Office Responsibility Details
• Negotiating settlement discussions with external parties/claimants.
• Approving settlement requests within authority from TPAs and adjusters.

Employee Benefits

• 401(k) Retirement Plan with Employer Match
• Medical Vision Prescription Telehealth & Dental Plans
• Life & Disability Insurance
• Paid Time Off
• Colleague Referral Bonus Program
• Tuition Reimbursement
• Commuter Benefits
• Dependent Care Spending Account
• Employee Discounts

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. Please contact us to request accommodation if required.

*This job requires access to confidential and sensitive information requiring ongoing discretion and secure information management*

Concentra is an Equal Opportunity Employerincluding disability/veterans Concentra provides equal employment and affirmative action opportunities to applicants and employees without regard to race color age religion sex sexual orientation gender identity national origin pregnancy protected veteran status disability or other protected addition Concentra Inc. complies with applicable state and local laws prohibiting discrimination in employment in every jurisdiction in which it maintains facilities.