Job Description:

Division:	Risk Management
Project Location(s):	New York, NY 10010 USA
Minimum Years Experience:	5
Travel Involved:	0-10%
Job Type:	Regular
Job Classification:	Experienced
Education:	Bachelors Degree
Job Family:	Insurance and Claims
Compensation:	Salaried Exempt

Position is remote with occasional travel to the New York area when required.

Position Description:

Oversee all aspects of the handling of clients' Workers' Compensation claims in the New York and Northeast geographic region, managed by carriers and third-party administrators (TPAs). Collaborates closely with Risk Management leadership on workers' compensation claims related issues, including overall processes and procedures to ensure an integrated program.

Key Responsibilities:

* Independently oversee assigned workers' compensation case portfolio of minor to complex claims.

* Manage new incidents involving workers covered under the workers' compensation policy, and dispatch nurse case managers as necessary.

* Be a resource for injured employees regarding to the workers' compensation process.

* Report workers' compensation claims timely and accurately to carriers/TPAs, including notification of questionable claims.

* Proactively identify claims with opportunities for early return to work; facilitate light duty return to work program as needed.

* Evaluate and respond to reserve and settlement consultations within given authority. Escalate consultations above authority to leadership.

* Maintain a diary for all open claims and document all specific claim related activities in Risk Management information system.

* Work with carriers/TPAs and defense counsel to develop mitigation strategies that will result in a cost savings to the claim and push claims to a timely resolution. Ensure an aggressive strategy is developed on litigated claims.

* Collaborate with general liability team to develop mitigation strategies and facilitate the most economic global resolution of contractor controlled insurance program (CCIP) claims.

* Attend hearings and mediations on an as needed basis.

* Ensure all avenues for potential recovery are identified and pursued. Manage lien recovery on a case by case basis.

* Monitor the claims handling process by the carriers/TPAs to ensure compliance with best practices and special handling instructions, and provide direction as necessary.

* Participate in claims review.

* Oversee vendors and defense firms holding them accountable for adherence to the standard protocol and agreed to service instructions/litigation management guidelines. Identify when updates to the instructions/guidelines are necessary and provide recommendations to leadership.

* Partner with safety team and onsite medics on initiatives that support worker wellness and post injury care.

* Attend claims, safety and operations meetings to monitor the current and anticipated project risks, and report on claims status for specific projects.

* Participates in CCIP kickoff meetings and jobsite walkthroughs.

* Maintain and foster relationships with the claims handling teams at the carriers/TPAs, and all other business partners.

* Assist with data analysis for departmental and performance reports.

* Interface with HR and payroll department staff for completion of required 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 similar program; minimum of 5 years of workers' compensation claims administration experience in the New York jurisdiction; and/or equivalent combination of education, training, and/or experience

* Experience with workers' compensation claims in a construction environment is desired

* CRIS, ARM or similar insurance designation is desired

* Knowledge of jurisdictional laws and regulations

* Knowledge of NY Labor Law and OSHA 30-hour certification are a plus

* Excellent organizational and presentation 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 skills with ability to work with individuals at all organizational levels, both internal and external

* Display initiative, teamwork, independent thinking and decision making skills

* Ability to understand and apply lean concepts

* Professional written and verbal communication skills

* Proficient in computer skills, Microsoft suite of applications, MS Outlook, and insurance-based risk management information systems

* Occasional travel; with travel to the New York area as needed

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, use hands to finger, handle, or feel objects, tools, or controls; and reach with hands, talk, and hear. The employee frequently views a computer monitor and frequently uses a computer keyboard. Specific vision abilities required by this job include close vision, peripheral vision, depth perception, and the ability to adjust focus. The employee is regularly required to be mobile and the employee occasionally travels both short and long distances via a variety of conveyances. The employee occasionally performs work on-site at construction work sites, office locations, and/or off-site venues. The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee regularly works in an office or remote setting. The noise in the work environment is usually quiet to moderate in an office setting. While performing the duties of this job, the employee may occasionally work at construction work sites where the employee is exposed to moving mechanical parts, high precarious places, fumes or airborne particles, outside weather conditions, and risk of electrical shock. The noise in the construction work environment is usually moderate to loud. The employee is required to work in compliance with company safety policies, procedures, and applicable laws.

Turner is an Equal Opportunity Employer

Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

VEVRAA Federal Contractor

Turner is an Affirmative Action and Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity.
VEVRAA Federal Contractor

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