Workers Compensation Manager
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Job Location:
Oceanside, CA - USA
Monthly Salary:
$ 70 - 80
Posted on:
7 hours ago
Vacancies:
1 Vacancy
Job Summary
About KBS
Kellermeyer Bergensons Services (KBS) is the largest privately held provider of facility services in North America servicing over 2 billion square feet of space daily. We help industry leaders across a wide range of key verticalsincluding retail industrial and logistics healthcare education manufacturing and moremaintain clean efficient and welcoming spaces that support their operations. As we continue to grow were looking for team members who are dedicated reliable and ready to contribute to a culture built on respect opportunity and pride in service.
Position Summary
Manages severe loss claims within company standards and best practices. Processes workers compensation claims conducting investigations and coordinating with carrier and internal legal team as appropriate. Reviews compensable issues and determines dispositions including continuance or denial of cases within scope of authority. Tracks and monitors claims occurrences. Identifies opportunities to address safety issues and provides recommendations based on supporting analysis of claims activity. Works to oversee claims across multiple verticals within the business.
SALARY - $70-80K
LOCATION - Remote
Essential Duties and Responsibilities
Claims Management
Program Management
Regulatory adherence documentation and reporting
Relationship management
Additional key responsibilities
Job Experience Requirements
Education:
Full-time Benefits:
As a full-time KBS employee (30 hours per week) you may qualify for benefits including medical dental vision prescription drugs and more!
KBS considers all applicants for employment without regard to race color religion gender sexual orientation national origin age disability gender identity and expression marital or military status or based on an individuals status in any group or class protected by applicable federal state or local law. KBS also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.
Kellermeyer Bergensons Services (KBS) is the largest privately held provider of facility services in North America servicing over 2 billion square feet of space daily. We help industry leaders across a wide range of key verticalsincluding retail industrial and logistics healthcare education manufacturing and moremaintain clean efficient and welcoming spaces that support their operations. As we continue to grow were looking for team members who are dedicated reliable and ready to contribute to a culture built on respect opportunity and pride in service.
Position Summary
Manages severe loss claims within company standards and best practices. Processes workers compensation claims conducting investigations and coordinating with carrier and internal legal team as appropriate. Reviews compensable issues and determines dispositions including continuance or denial of cases within scope of authority. Tracks and monitors claims occurrences. Identifies opportunities to address safety issues and provides recommendations based on supporting analysis of claims activity. Works to oversee claims across multiple verticals within the business.
SALARY - $70-80K
LOCATION - Remote
Essential Duties and Responsibilities
Claims Management
- Provide Senior level claims management of severe claims arising from a defined region of the business
- Conduct and oversee workers compensation claims management for the East or West division of the company
- Receive and manage referred serious or time loss cases from analysts and complete Initial Claim intake
- Work with supervisor/employee to address modified duty and document RAP in Sales Force
- Conduct and document employer Level Investigation and determine compensability and safety assessment
- Refer identified safety violations to Safety based on policy or Corrective/Preventative (CAP) Measures
- Prepare letters forms and authorization of treatment
- Process and coordinate with Benefits LOA for FMLA and ADA for time loss claims
- Run FMLA Eligibility
- Send letters and track for 12 weeks
- Provide ADA Leave (6 months)
- Determine wage statements and conduct initial discovery
- Full litigation and claim resolution authority
- Complete Interactive Process if assignment of permanent work restrictions
- Claim handling of Medical Only claims with Total Incurred in excess of $20000
- Handle Indemnity Claims and dispositions (Accepted/Delayed/Denied)
- Approve reserve recommendations settlements up to $100k; consult with Director for settlement concurrence in excess of authority
Program Management
- Track and conduct analysis of claims data and assess and recommend safety training opportunities
- Review claims processes to determine and recommend changes to process including technology integration to streamline and increase efficiencies
Regulatory adherence documentation and reporting
- Comply with federal state and local legal requirements by being knowledgeable of existing and new legislation ensuring adherence to requirements and advising management on needed action
- Execute and maintain OSHA-related regulatory programs and documentation
- Review accident investigations injuries and OSHA logs; analyze and determine trends
- Identify opportunities to bring greater awareness and/or training to the safety team and work with team to track effectiveness of safety training
Relationship management
- Work with insurance administrators to ensure effective coordination along with efficient and full use of applicable resources
- Work with insurance carriers legal and Risk management team to continuously improve on processes to bring greater efficiencies
- Support Director of Risk management in reviewing and updating the overall claim management and safety training strategy
Additional key responsibilities
- Effectively handle information and reports while maintaining the strictest confidentiality
- Manage regular preparation of relevant management reports including weekly monthly quarterly and year-end reports
- Respond to workers compensation questions from company leadership former employees insurance carrier claims administration vendors representatives and government agencies in a timely manner
- Properly document and maintain workers compensation claims activities documents interactions and related materials in designated applications
- Maintain professional and technical knowledge by attending educational workshops reviewing professional publications establishing personal networks or participating in professional societies
- Must be bilingual Spanish (able to read and write)
- Proficiency in OSHA General Industry standards state safety statutes and local municipal regulations
- Claim process management
- Loss prevention strategy
- Safety program(s) development and delivery (training and communications)
- TPA and other insurance program coordination
- Data review and analyses
- Ability to anticipate and mitigate potential issues
- Accurate and clear communications (oral and written) including phone demeanor and presentation skills
- Ability to work with and communicate with all areas of the business and levels of management
- Training and education delivery (communication and safety program development and delivery skills)
- Strong analysis and assessment skills
- Investigation and documentation skills
Job Experience Requirements
- 5-10 years direct experience managing workers compensation claims across for large companies managing claims associated with severe loss
- Claims management experience in industrial and or chemical cleaning building and or landscaping where operation of equipment and proper handling of tools and chemicals is essential
- Microsoft Office programs to include but not limited to Word Excel PowerPoint and Outlook
- OSHA certification preferred but not required
Education:
- Bachelors degree in Business or Risk Management-related field or equivalent experience
Full-time Benefits:
As a full-time KBS employee (30 hours per week) you may qualify for benefits including medical dental vision prescription drugs and more!
- Paid Time Off
- Paid Holidays
- Sick Time
- Life Insurance
- Short Term Disability Employer paid
- Long Term Disability
- Supplemental Health Insurance (E.G. Accident)
- 401k plan with a match or Non-qualified Deferred Compensation Plan
- Pet Insurance
- PerkSpot Discount Program discounts on travel gyms cell phones restaurants auto apparel & electronics
KBS considers all applicants for employment without regard to race color religion gender sexual orientation national origin age disability gender identity and expression marital or military status or based on an individuals status in any group or class protected by applicable federal state or local law. KBS also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.
Required Experience:
Manager
Key Skills
- Restaurant Experience
- Customer Service
- Employee Evaluation
- Management Experience
- Math
- Employment & Labor Law
- Sanitation
- Leadership Experience
- P&L Management
- Mentoring
- Supervising Experience
- Restaurant Management
About Company
KBS clients raise standards and lower costs by providing essential facility services at more than 100,000 client locations nationwide.
