Senior Workers Comp Claims Advocate

This is a fully remote position, open to applicants in Florida, +2 more states.

📋 Description

• Oversee workers' compensation claims for clients at various stages of the claim lifecycle.

• Track specific claims from initiation to resolution to guarantee optimal outcomes for clients.

• Act as the main escalation point for concerns from carriers and TPAs, representing client interests.

• Supervise claim reserves, settlement negotiations, and decisions regarding medical management.

• Collaborate with insurance carriers, TPAs, medical providers, and legal advisors.

• Work alongside clients to develop and enhance workers' compensation programs.

• Evaluate claim trends and loss patterns to pinpoint both industry-specific and client-specific risk factors.

• Create tailored risk management strategies for distinct business exposures.

• Offer guidance on return-to-work programs that suit client operations and workforce requirements.

• Perform thorough claim reviews and deliver actionable insights to clients.

• Establish and nurture relationships with client representatives, including HR and corporate risk managers.

• Collaborate with the claims director and account service teams to ensure seamless service delivery.

• Engage in client meetings, renewal presentations, and strategic planning sessions.

• Act as a subject matter expert on industry-related workers' compensation exposures.

⛳️ Requirements

• Bachelor's degree from an accredited four-year institution.

• A minimum of 7-10 years of experience in workers' compensation claims, risk management, or related fields.

• Comprehensive knowledge of California workers' compensation laws, regulations, and procedures.

• Experience with insurance carriers and third-party administrators.

• Strong analytical abilities to interpret claim data and recognize trends.

• Proficient in claims management systems and the Microsoft Office Suite.

• Experience with clients in the restaurant, hospitality, or other service sectors is preferred.

• Outstanding communication and negotiation skills.

• Strong client service orientation with a consultative approach.

• Ability to manage several complex claims simultaneously.

• Problem-solving mindset with a keen attention to detail.

• Proven capability to effectively engage with all organizational levels, including executives.

🏝️ Benefits

• Structured training.

• Licensing support.

• Ongoing development opportunities.

• Competitive pay.

• Comprehensive health benefits.

• Retirement savings matching.

• Company-paid life and disability plans.

• Generous paid time off.

• Paid parental leave.

• Wellbeing program.

• Collaborative, high-performing culture.

• Community impact through HUB Gives.

• Career growth opportunities.

• Reasonable accommodations throughout the application and hiring process.