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Dane Street

NY Workers' Compensation Operations Manager

Dane Street, Washington, District of Columbia, us, 20022

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NY Workers' Compensation Operations Manager

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Dane Street

Job Summary Oversee and ensure the overall profitability of the regional operations center. This position oversees our New York Division and services New York Workers' Compensation claims organizations. This includes but is not limited to reaching and exceeding financial and referral goals, properly managing staffing efficiencies throughout the team, managing performance expectations and improvements for existing staff. Present management with regular reporting on any topic requested by the management team. Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.

Major Duties & Responsibilities Responsible for client satisfaction of New York Workers' Compensation clients.

The position requires 5–10 years of NY WC claims experience or equivalent experience servicing NY WC Claims organizations for an IME Entity in a leadership position.

The ideal candidate will possess knowledge of all applicable NY WC IME and record review laws and regulations.

The ideal candidate should have an understanding of the NY WC claims landscape, including but not limited to: insurance carriers, third‑party administrators, self‑insured entities, insurance defense firms, state and local entities.

Driving Revenue Growth

Deliver excellent customer service, including meeting scheduling best practices and turnaround time requirements.

Ensure timely delivery of high‑quality reports.

Manage client inquiries in a timely manner.

Optimizing Physician Cost

Ensure client invoices adhere to the agreed‑upon fee schedule.

Oversee the proper selection of physicians.

Ensure that the team selects the most appropriate physician based on the claimant’s location, required specialty, and the most appropriately priced physician based on the client’s fee schedule.

Build and maintain relationships with key physicians to ensure panel retention, preferred availability, and monthly block‑time scheduling.

Manage Staff Performance and Capacity

Monitor key performance metrics of individual Customer Service Representatives (CSR) and Quality Assurance (QA) Specialists.

Ensure the team meets or exceeds 85% of output goals for scheduling and QA targets.

Hire new staff members as needed.

Conduct timely and constructive performance evaluations.

Handle discipline and termination of employees as needed.

Client Interaction

Collaborate with the Sales team as a primary liaison to ensure client needs are understood and addressed effectively.

May be requested to join Sales staff for client calls/meetings on an as‑needed basis.

Overall Production, Performance, and Quality

Plan and organize daily activities related to production and operations.

Measure productivity by analyzing performance data, financial data, and activity reports.

Coordinate with support departments such as Human Resources, Finance, and IT.

Determine labor needs to meet production goals.

Other Duties & Special Projects As assigned based on business needs.

Requirements Education/Credentials

Associate’s Degree or Bachelor’s Degree is preferred.

Job Relevant Experience

Business experience in a healthcare and/or insurance setting is preferred.

Business experience in a Worker’s Compensation and/or Auto insurance setting is preferred.

NY IME experience preferred.

Job Related Skills/Competencies

Exceptional communication skills with a clear understanding of company business lines.

Critical thinking, time management, and meeting deadlines.

Computer literacy and typing skills.

Working Conditions / Physical Demands

Lifting, bending, traveling as required.

Long periods of sitting and computer work.

Work From Home Technical Requirements

Supply and support own internet services; maintain an uninterrupted connection.

Benefits We offer generous paid time off, an excellent benefits package, and a competitive salary.

About Dane Street A fast‑paced, Inc. 500 Company with a high‑performance culture, processing over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third‑Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

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