About the Role
In this role you will protect the interests of the company and associates by overseeing workers comp claim processing and compliance.
What You’ll Do
Oversee the Texas Injury Plan
Monitor compliance with the Texas Injury Plan and all self insured filings, premiums, and requirements
Oversee claims adjusting services, insurers and medical providers on all claims, including litigation
Direct the activities of third party administrators
Interpret laws ,regulations and policies to guide appropriate decision-making
Directs the activities of outside claims adjusting services, insurers, and medical providers
Guide manager involvement and decision-making on claim settlements and hearings
Communicate with store and distribution center teams to ensure prompt return to work and updated medical status
Communicate with insurance carriers, doctor's offices, attorneys, etc.
Prepare reports, documentation and correspondence related to workers comp claim processing
Additional task may be assigned as necessary
What Skills You Have
Required
Multiple years experience in insurance field with adjusting experience in worker's compensation claims with National Insurance carrier, Third Party Administrators (TPA), and/or self-insured company
Proficient in the use of claims management systems, databases, and internet programs.
Ability to effectively present and direct information to all management levels.
Ability to read, analyze, and interpret state worker's compensation regulations.
Preferred
Multi-state work comp experience
Retail experience
Managing losses in a risk management environment
Working knowledge of ERISA/Self Insured plans
Special Requirements
Ability to travel