TJX
Senior Workers Compensation Claims Administrator
TJX, Marlborough, Massachusetts, United States, 01752
Sr Workers Compensation Claims Administrator
At TJX Companies, every day brings new opportunities for growth, exploration, and achievement. You'll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your development. Whether you're working in our four global Home Offices, Distribution Centers or Retail StoresTJ Maxx, Marshalls, Homegoods, Homesense, Sierra, Winners, and TK Maxx, you'll find abundant opportunities to learn, thrive, and make an impact. Come join our TJX familya Fortune 100 company and the world's leading off-price retailer. The Senior Workers Compensation Claims Administrator administrates and coordinates the investigation, reporting, payment defense, and subrogation of insurance claims processed through insurance companies. They assist in the implementation and coordination of Risk Management policy and projects through communication with Store, District and Regional Management. They maintain a pro-active approach in controlling cost of claims. Who We Are Looking For: You. Manages lost time and medical only claims for designated states. Reviews claims for thorough investigation. Monitor claims to ensure that the TPA complies with TJX guidelines. Provides support to store management, injured worker, and field. Monitors ongoing medical treatment and follows for work restrictions. Process Workers' Compensation coding. Administers the "Return to Work Program". Coordinates injured workers return to work with store management, nurse case management and claims adjuster. Monitor the claim until injured worker has successfully to return to work. Monitors litigated files. Consults with defense to determine best case strategy to bring the case the resolution. Reviews settlement evaluations and determines if appropriate. Request settlement authority from management. Provides guidance on Risk Management policy and procedures. Identifies all high value claim and consults with Manager. Reviews reserves and allocated expenses from inception of the claim to conclusion for adequacy. Attend telephonic claims reviews for designated states. Performs special projects as assigned, but not limited to, assisting in required paperwork and documentation (i.e. Workers' Compensation Posters, OSHA Survey Questions, etc.) Performs other duties as assigned Qualifications 5+ years of experience managing workers compensation claims Bachelor's degree or equivalent experience Analytical skills with strong attention to detail and follow up Ability to prioritize and effectively manage time Confidentiality is a must Ability to work independently and in a team environment Comfortable interpreting and communicating complex technical information with internal and external partners including legal counsel Experience with general insurance principles, Workers' Compensation law, and litigation management This position is hybrid requiring at least two days per week in the Marlborough, MA office and is not open to remote. Benefits include Associate discount; 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long-term disability; paid holidays/vacation/sick/bereavement/parental leave; EAP; incentive programs for management; auto/home insurance discounts; tuition reimbursement; scholarship program; adoption/surrogacy assistance; smoking cessation; child care/cell phone discounts; pet/legal insurance; credit union; referral bonuses. All benefits are subject to applicable plan or program terms (including eligibility terms) and may change from time to time. Contact your TJX representative for more information. In addition to our open door policy and supportive work environment, we also strive to provide a competitive salary and benefits package. TJX 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 any individual's status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. Location: USA Home Office Marlborough MA 300 Value Way
At TJX Companies, every day brings new opportunities for growth, exploration, and achievement. You'll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your development. Whether you're working in our four global Home Offices, Distribution Centers or Retail StoresTJ Maxx, Marshalls, Homegoods, Homesense, Sierra, Winners, and TK Maxx, you'll find abundant opportunities to learn, thrive, and make an impact. Come join our TJX familya Fortune 100 company and the world's leading off-price retailer. The Senior Workers Compensation Claims Administrator administrates and coordinates the investigation, reporting, payment defense, and subrogation of insurance claims processed through insurance companies. They assist in the implementation and coordination of Risk Management policy and projects through communication with Store, District and Regional Management. They maintain a pro-active approach in controlling cost of claims. Who We Are Looking For: You. Manages lost time and medical only claims for designated states. Reviews claims for thorough investigation. Monitor claims to ensure that the TPA complies with TJX guidelines. Provides support to store management, injured worker, and field. Monitors ongoing medical treatment and follows for work restrictions. Process Workers' Compensation coding. Administers the "Return to Work Program". Coordinates injured workers return to work with store management, nurse case management and claims adjuster. Monitor the claim until injured worker has successfully to return to work. Monitors litigated files. Consults with defense to determine best case strategy to bring the case the resolution. Reviews settlement evaluations and determines if appropriate. Request settlement authority from management. Provides guidance on Risk Management policy and procedures. Identifies all high value claim and consults with Manager. Reviews reserves and allocated expenses from inception of the claim to conclusion for adequacy. Attend telephonic claims reviews for designated states. Performs special projects as assigned, but not limited to, assisting in required paperwork and documentation (i.e. Workers' Compensation Posters, OSHA Survey Questions, etc.) Performs other duties as assigned Qualifications 5+ years of experience managing workers compensation claims Bachelor's degree or equivalent experience Analytical skills with strong attention to detail and follow up Ability to prioritize and effectively manage time Confidentiality is a must Ability to work independently and in a team environment Comfortable interpreting and communicating complex technical information with internal and external partners including legal counsel Experience with general insurance principles, Workers' Compensation law, and litigation management This position is hybrid requiring at least two days per week in the Marlborough, MA office and is not open to remote. Benefits include Associate discount; 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long-term disability; paid holidays/vacation/sick/bereavement/parental leave; EAP; incentive programs for management; auto/home insurance discounts; tuition reimbursement; scholarship program; adoption/surrogacy assistance; smoking cessation; child care/cell phone discounts; pet/legal insurance; credit union; referral bonuses. All benefits are subject to applicable plan or program terms (including eligibility terms) and may change from time to time. Contact your TJX representative for more information. In addition to our open door policy and supportive work environment, we also strive to provide a competitive salary and benefits package. TJX 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 any individual's status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. Location: USA Home Office Marlborough MA 300 Value Way