Workers Compensation Manager Resume
Summary : As a Workers Compensation Manager, responsible for assisting employees on behalf of the employer when the employee is off work, or at risk of being off work, due to a workplace injury.
Skills : Knowledge of Workers' Compensation Laws, Communication.
Description :
- Met with clients to review internal workplace injury issues.
- Ensured regular and open lines of communication with clients, injured workers, and the provincial Workers’ Compensation Boards.
- Managed a caseload of workers' compensation claims from initial report to resolution, including investigation, documentation, and communication with all parties involved.
- Filed reports of injury, identified appeal issues, drafting letters of objection.
- Coordinated case management activities including developing, implementing, and monitoring return to work and rehabilitation strategies.
- Coordinated with local HR Managers and Safety Managers to provide transitional duty policies and improvements.
- Assisted employees and their managers with WC-related questions and needs.
Experience
10+ Years
Level
Senior
Education
Bachelor's Degree in Business Administration
Workers Compensation Manager Resume
Summary : As a Workers Compensation Manager, responsible for reporting to the Senior Director of Health and Safety, performs administrative and complex work involved in the management of Workers Compensation claims.
Skills : Problem-Solving, Negotiation.
Description :
- Ensured the overall management of complex occupational injury cases for clients in a matrix team environment.
- Guided clients through the process of continuous improvement aimed at reducing the impact of occupational injuries on their organizational and financial performance.
- Advised clients on how to maintain the employment relationship and accompany them during workplace visits that are part of the rehabilitation process.
- Collaborated with stakeholders to develop strategies for effectively managing disputes.
- Promoted awareness of health and safety issues.
- Complied with ethical, professional, and legal requirements.
- Participated in required meetings, providing input and suggestions.
Experience
7-10 Years
Level
Management
Education
Bachelor's Degree in Risk Management
Workers Compensation Manager Resume
Objective : As a Workers Compensation Manager, provides support in the implementation and facilitates, coordinates, and monitors safe, timely, and sustainable stay-at-work and return-to-work (RTW) programs, projects, initiatives, and activities for employees with occupational injuries and illnesses.
Skills : Analytical Skills, Attention to Detail.
Description :
- Coordinated and attended employer visits and case conferences as required.
- Attended workshops, career development, and continuing education opportunities to maintain an up-to-date working knowledge of issues that affect the position.
- Managed workplace injury claims, minimizing time-loss and claim costs through early intervention and proactive coordination of services.
- Ensured regular and open lines of communication with all Stakeholders (workers, clients, partner vendors, and the provincial Boards).
- Liaised with the provincial Workers’ Compensation Boards.
- Reviewed claim files and proactively managed return-to-work efforts.
- Interpreted provincial workers’ compensation legislation, policies, and procedures.
Experience
2-5 Years
Level
Executive
Education
Bachelor's Degree in Business
Workers Compensation Manager Resume
Summary : As a Workers Compensation Manager, responsible for managing a workers' compensation loss control program for the borough, the school district, and the service areas. Monitoring and recording appropriate leave usage relative to Workers Compensation benefits, and notifying payroll and other appropriate personnel regarding adjustments.
Skills : Team Leadership, Customer Service, Legal Compliance.
Description :
- Identified appeal issues and drafted letters of objection.
- Reviewed medical records, reports, and other documentation to evaluate the validity of claims and make appropriate recommendations for resolution.
- Assisted the Risk Manager with the preparation of the workers' compensation program budget.
- Communicated claims cost and reserve information to financial auditors as necessary.
- Advised departments and the school district about the status of claims, loss experience trends, and program costs.
- Provided claims data for the employee injury and incident loss runs and maintained AKOSHA-required injury and illness records.
- Directed and monitored the activities and performance of the workers' compensation third-party claims adjusting administrator to ensure compliance with applicable regulations.
Experience
7-10 Years
Level
Consultant
Education
Bachelor's Degree in Business
Workers Compensation Manager Resume
Summary : As a Workers Compensation Manager, consults with the third-party claim adjusting administrator and the borough attorney to select legal counsel for litigated workers' compensation cases and evaluates legal counsel performance, utilization, and effectiveness.
Skills : Job analysis, Quantitative tools.
Description :
- Developed and managed the early Return to Work program.
- Developed and provided or arranged for training programs relating to workers' compensation laws, benefits, policies, and loss control.
- Conducted workers' compensation claims investigations and directed third-party claims adjusting administrator workers' compensation claims investigation activities.
- Determined actual time missed from work due to work-related injuries and illnesses and provided accurate information to meet OSHA record-keeping requirements.
- Communicated benefits and program goals with department managers and injured workers for the purpose of loss control.
- Reviewed and approved all claim settlements proposed by the third-party claims adjusting administrator.
- Developed, implemented, and monitored workers' compensation claims reporting forms, procedures, and activities.
Experience
10+ Years
Level
Senior
Education
Bachelor's Degree in Business
Workers Compensation Manager Resume
Objective : As a Workers Compensation Manager develops and maintains close communication with medical providers providing services for injured employees and serves as the liaison between medical providers, injured employees, and department supervisors.
Skills : Leadership and management skills.
Description :
- Worked with the Risk Manager to select and contract for third-party claims to adjust administration and other workers' compensation program-related services and products.
- Leveraged subject matter expertise to deep dive into claim processes, challenge the status quo and develop impactful solutions.
- Collaborated with internal and external teams to accomplish shared goals.
- Supported internal audits to ensure quality and compliance were under client service instructions and performance expectations.
- Partnered with vendors to develop and/or update standard operating procedures that align with program goals.
- Utilized and developed metrics to make data-driven decisions for process evaluations and recommendations.
- Worked across teams to share ideas, influence change, and deliver project results.
Experience
2-5 Years
Level
Executive
Education
Bachelor's Degree in Business
Workers Compensation Manager Resume
Summary : As a Workers Compensation Manager, performs a variety of specialized and analytical duties involved in Workers Compensation claims and processing, assures compliance with applicable laws, codes, rules, and regulations, and maintains current knowledge of current legislation regarding Workers Compensation issues.
Skills : Claims handling, Employee benefits design.
Description :
- Able to lead a group of people to achieve strategic goals with regard to the worker’s compensation book of business.
- Supervised the development and implementation of new compensation programs and policies.
- Ensured that all compensation is in line with government regulations and company policies.
- Advised staff on pay decisions and policy interpretations.
- Planned, organized, and directed the review, processing, and related record-keeping of all documents and reports pertaining to worker's injury or occupational disease claims.
- Directed the receipt, recording, assignment, and reporting of all Workers' Compensation hearing petitions.
- Ensured information concerning Workers' Compensation regulations, decisions, procedures, and related issues were efficiently and effectively communicated to employers, insurance companies, and labor representatives.
Experience
7-10 Years
Level
Management
Education
Bachelor's Degree in Business
Workers Compensation Manager Resume
Summary : As a Workers Compensation Manager, analyzes circumstances of claims, injury records, and medical evaluations, document injuries, assures prompt delivery of medical and financial services and the return of injured workers to safe and productive employment in a timely manner.
Skills : Benefits administration, Compensation strategy.
Description :
- Developed and implemented policies and procedures concerning Supersedeas fund reimbursements, occupational disease payments, injury reporting, and indemnity payment matters.
- Directed the calculations of payments, reviewed and verified applicant information, and authorized payment for the Supersedeas Fund Reimbursement System.
- Served as principle bureau representative to insurance carriers, attorney groups, third-party administrators, and employee groups regarding lawful, regulated, and procedural claims management matters.
- Analyzed reports and statistical data to identify patterns of noncompliance and to determine if an investigation and/or prosecution for fraud are warranted.
- Interacted with managers from other divisions within the Bureau of Workers' Compensation to coordinate and resolve policy and procedural issues.
- Maintained accountability for bureau records and claims, approved the release of injury and claims-related records, and testified for the Bureau at court proceedings.
- Established and implemented administrative and operational methods and procedures, resolved complex and sensitive claim issues, and prepared confidential, statistical, and related special reports and recommendations.
Experience
7-10 Years
Level
Consultant
Education
Bachelor's Degree in Business
Workers Compensation Manager Resume
Summary : As a Workers Compensation Manager, coordinated and maintained schedules for ergonomic evaluations for District employees with the ergonomic evaluator, assisted the evaluator as requested, maintained related spreadsheets, and submitted and tracked work orders placed to the appropriate department for the installation of employee ergonomic supplies.
Skills : Business skills, Decision-making skills.
Description :
- Directed the development and implementation of information technology within the Claims Management Division.
- Educated staff, insurers, employers, and labor representatives on Workers' Compensation claims management program initiatives, policies, and procedures through consultation, seminars, and other educational forums.
- Ensured responses to requests for records, data, or information are in compliance with applicable laws and regulations.
- Evaluated statistical data on worker injuries to explain shifts in data and recommends improvements in response to identified trends.
- Coordinated changes to petition assignments with the Director of Adjudication.
- Participated in the performance of subordinates' work consistent with operational or organizational requirements.
- Developed, implemented, and managed a comprehensive workers’ compensation program.
Experience
7-10 Years
Level
Management
Education
Bachelor's degree in Business Administration
Workers Compensation Manager Resume
Summary : As a Workers Compensation Manager, responsible for directing the centralized receipt, recording, and evaluation of claims reports from insurance carriers, self-insured employers, and employees on claims arising under the Workers' Compensation Act and the Occupational Disease laws.
Skills : Negotiation, Business acumen.
Description :
- Oversaw the entire claims process, from initial reporting to resolution.
- Collaborated with insurance carriers, medical providers, and legal representatives to expedite claims resolution. Ensure clinics examining our employees meet the highest standards.
- Investigated and analyzed claims, identifying trends and implementing strategies to reduce future incidents.
- Managed workers’ compensation costs, compensation claims processes and notifications to others, training, relationships, and claims oversight.
- Provided guidance and support to employees to aid in reporting procedures and safety measures.
- Conducted training sessions for employees and management on workers’ compensation policies procedures and safety protocols.
- Communicated regularly with stakeholders, including HR and operational leaders, to ensure a clear understanding of the workers’ compensation process.
Experience
7-10 Years
Level
Consultant
Education
Bachelor's Degree in Business
