Turner Construction Company
Workers Compensation Claims Manager
Turner Construction Company, New York, New York, us, 10261
Workers Compensation Claims Manager – Turner Construction Company
Location: Saddle Brook, NJ 07663, United States
Division:
TSIB – Risk Services
Travel Involved: 20-30%
Compensation Salary range for this position in the New York Metropolitan Area: $112,000 – $173,000
Key Responsibilities
Oversee assigned workers’ compensation case portfolio of minor to complex claims in the assigned geographic region.
Leverage knowledge of workers’ compensation policy and manage incidents, and dispatch nurse case managers as necessary.
Collaborate closely with Risk Management leadership on workers’ compensation claims, process, and procedures to ensure integrated program.
Serve as a resource for injured employees and inform them of workers’ compensation process and procedures.
Report workers’ compensation claims to carriers and Third-Party Administrators (TPAs), including notification of questionable claims.
Facilitate proactive identification of claims with opportunities for early Return to Work and light duty Return to Work program, as needed.
Evaluate and respond to Reserve and Settlement Consultations within given authority, escalating consultations above scope authority to appropriate leadership.
Maintain diary for open claims and document specific claim related activities in Risk Management information system.
Work with carriers, TPAs, and Defense Counsel to develop mitigation strategies for Owner Controlled Insurance Program (OCIP) that result in cost savings to the claim, ensuring aggressive strategy is developed on litigated claims, and bring claims to timely resolution.
Collaborate with General Liability team to develop mitigation strategies and facilitate most economic global resolution of Contractor Controlled Insurance Program (CCIP) claims.
Attend hearings and mediations as needed.
Ensure avenues for potential claim recovery are identified and pursued and manage lien recovery on case-by-case basis.
Participate in claims review process and monitor claims handling process by carriers and TPAs; provide direction to ensure compliance with best practices and special handling instructions.
Oversee and hold vendors and defense firms accountable for adherence to standard protocols, agreed to service instructions, and litigation management guidelines.
Partner with Safety team and on‑site medics on initiatives that support worker wellness and post‑injury care.
Participate in CCIP kickoff meetings and jobsite walkthroughs, attend Claims, Safety and Operations meetings to monitor current and anticipated project risks and report on claims status for specific projects.
Maintain and foster relationships with carriers and TPAs claims teams.
Assist with claim data analysis and claim performance reports.
Collaborate with HR and Payroll departments for completion of required Workers’ Compensation Jurisdictional Forms.
Support audits related to workers’ compensation claims.
Remain current on Workers’ Compensation laws and regulations, industry trends, and case law within assigned jurisdictions.
Other activities, duties, and responsibilities as assigned.
Qualifications
Bachelor Degree in Insurance, Risk Management, Finance, Business Administration or related program; minimum of 8 years of workers’ compensation claims administration experience; or equivalent combination of education, training, and/or experience.
Experience with workers’ compensation claims in a construction environment, desired.
CRIS, ARM or similar insurance designation, desired.
Knowledge of jurisdictional laws and regulations for assigned territory.
OSHA (Occupational Safety and Health Act) knowledge and experience desired; OSHA 30-hour certification, a plus.
In‑depth knowledge of workers’ compensation claims, medical management procedures, medical cost containment programs and applicable laws and regulations.
Demonstrate process thinking and sound decision‑making skills.
Analytical and adept at processing and breaking down data into actionable information.
Self‑starter with strong project management skills and capable of managing concurrent complex projects and tasks successfully to completion.
Demonstrate strong interpersonal and teamwork skills with ability to work with individuals across organizational levels, both internal and external.
Professional written and verbal communication, and effective presentation skills.
Proficient computer skills, Microsoft Office suite of applications, and insurance‑based risk management information systems.
Limited travel.
Physical Demands Frequent sitting, use of hands to finger, handle, or feel objects, tools, or controls; reach with hands, talk, and hear. Frequent computer use. Occasional mobile, short and long distance travel. Occasional work on‑site at construction work sites, office locations, and/or off‑site venues.
Work Environment Regular office setting, quiet to moderate noise. Occasional work at construction sites where exposure to moving mechanical parts, high precarious places, fumes or airborne particles, outside weather conditions, and risk of electrical shock. Noise moderate to loud. Compliance with company safety policies, procedures, and applicable laws.
Equal Opportunity Employer Turner Surety and Insurance Brokerage, Inc. is an Equal Opportunity Employer. Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity. VEVRAA Federal Contractor.
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Location: Saddle Brook, NJ 07663, United States
Division:
TSIB – Risk Services
Travel Involved: 20-30%
Compensation Salary range for this position in the New York Metropolitan Area: $112,000 – $173,000
Key Responsibilities
Oversee assigned workers’ compensation case portfolio of minor to complex claims in the assigned geographic region.
Leverage knowledge of workers’ compensation policy and manage incidents, and dispatch nurse case managers as necessary.
Collaborate closely with Risk Management leadership on workers’ compensation claims, process, and procedures to ensure integrated program.
Serve as a resource for injured employees and inform them of workers’ compensation process and procedures.
Report workers’ compensation claims to carriers and Third-Party Administrators (TPAs), including notification of questionable claims.
Facilitate proactive identification of claims with opportunities for early Return to Work and light duty Return to Work program, as needed.
Evaluate and respond to Reserve and Settlement Consultations within given authority, escalating consultations above scope authority to appropriate leadership.
Maintain diary for open claims and document specific claim related activities in Risk Management information system.
Work with carriers, TPAs, and Defense Counsel to develop mitigation strategies for Owner Controlled Insurance Program (OCIP) that result in cost savings to the claim, ensuring aggressive strategy is developed on litigated claims, and bring claims to timely resolution.
Collaborate with General Liability team to develop mitigation strategies and facilitate most economic global resolution of Contractor Controlled Insurance Program (CCIP) claims.
Attend hearings and mediations as needed.
Ensure avenues for potential claim recovery are identified and pursued and manage lien recovery on case-by-case basis.
Participate in claims review process and monitor claims handling process by carriers and TPAs; provide direction to ensure compliance with best practices and special handling instructions.
Oversee and hold vendors and defense firms accountable for adherence to standard protocols, agreed to service instructions, and litigation management guidelines.
Partner with Safety team and on‑site medics on initiatives that support worker wellness and post‑injury care.
Participate in CCIP kickoff meetings and jobsite walkthroughs, attend Claims, Safety and Operations meetings to monitor current and anticipated project risks and report on claims status for specific projects.
Maintain and foster relationships with carriers and TPAs claims teams.
Assist with claim data analysis and claim performance reports.
Collaborate with HR and Payroll departments for completion of required Workers’ Compensation Jurisdictional Forms.
Support audits related to workers’ compensation claims.
Remain current on Workers’ Compensation laws and regulations, industry trends, and case law within assigned jurisdictions.
Other activities, duties, and responsibilities as assigned.
Qualifications
Bachelor Degree in Insurance, Risk Management, Finance, Business Administration or related program; minimum of 8 years of workers’ compensation claims administration experience; or equivalent combination of education, training, and/or experience.
Experience with workers’ compensation claims in a construction environment, desired.
CRIS, ARM or similar insurance designation, desired.
Knowledge of jurisdictional laws and regulations for assigned territory.
OSHA (Occupational Safety and Health Act) knowledge and experience desired; OSHA 30-hour certification, a plus.
In‑depth knowledge of workers’ compensation claims, medical management procedures, medical cost containment programs and applicable laws and regulations.
Demonstrate process thinking and sound decision‑making skills.
Analytical and adept at processing and breaking down data into actionable information.
Self‑starter with strong project management skills and capable of managing concurrent complex projects and tasks successfully to completion.
Demonstrate strong interpersonal and teamwork skills with ability to work with individuals across organizational levels, both internal and external.
Professional written and verbal communication, and effective presentation skills.
Proficient computer skills, Microsoft Office suite of applications, and insurance‑based risk management information systems.
Limited travel.
Physical Demands Frequent sitting, use of hands to finger, handle, or feel objects, tools, or controls; reach with hands, talk, and hear. Frequent computer use. Occasional mobile, short and long distance travel. Occasional work on‑site at construction work sites, office locations, and/or off‑site venues.
Work Environment Regular office setting, quiet to moderate noise. Occasional work at construction sites where exposure to moving mechanical parts, high precarious places, fumes or airborne particles, outside weather conditions, and risk of electrical shock. Noise moderate to loud. Compliance with company safety policies, procedures, and applicable laws.
Equal Opportunity Employer Turner Surety and Insurance Brokerage, Inc. is an Equal Opportunity Employer. Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity. VEVRAA Federal Contractor.
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