Workers’ Compensation Specialist

Turner Construction Company

1mo ago

Job
Full-time
Senior Level
Logistics
Construction & Surveying
Saddle Brook
Remote

AI generated summary

You need a bachelor's degree and 8 years in workers' comp claims, preferably in construction. Knowledge of laws, OSHA, and insurance designations is desired. Strong communication and project management skills required.
You will manage workers' compensation claims, collaborate with risk management and HR, ensure compliance, support injured employees, and develop mitigation strategies for cost-effective resolutions.

Requirements

Bachelor Degree in Insurance, Risk Management, Finance, Business Administration or related program; with minimum of 8 years of workers’ compensation claims administration experience in New York City and State jurisdiction; or equivalent combination of education, training, and/or experience
Experience with workers’ compensation claims in a construction environment, desired
CRIS, ARM or similar insurance designation, desired
Knowledge of jurisdictional laws and regulations for assigned territory
OSHA (Occupational Safety and Health Act) knowledge and experience desired; OSHA 30-hour certification, a plus
In-depth knowledge of workers’ compensation claims, medical management procedures, medical cost containment programs and applicable laws and regulations
Demonstrate process thinking and sound decision-making 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 and teamwork skills with ability to work with individuals across organizational levels, both internal and external
Professional written and verbal communication, and effective presentation skills
Proficient computer skills, Microsoft Office suite of applications, and insurance-based risk management information systems
Limited travel

Responsibilities

Oversee assigned workers’ compensation case portfolio of minor to complex claims in assigned geographic region.
Leverage knowledge of workers’ compensation policy and manage incidents, and dispatch nurse case managers as necessary.
Collaborate closely with Risk Management leadership on workers’ compensation claims, process, and procedures to ensure integrated program.
Serve as resource for injured employees and inform of workers’ compensation process and procedures.
Report workers’ compensation claims to carriers and Third-Party Administrators (TPAs), including notification of questionable claims.
Facilitate proactive identification of claims with opportunities for early Return to Work and light duty Return to Work program, as needed.
Evaluate and respond to Reserve and Settlement Consultations within given authority, escalate consultations above scope authority to appropriate leadership.
Maintain diary for open claims and document specific claim related activities in Risk Management information system.
Work with carriers, TPAs, and Defense Counsel to develop mitigation strategies for Owner Controlled Insurance Program (OCIP) that result in cost savings to the claim, ensure aggressive strategy is developed on litigated claims, and bring claims to timely resolution.
Collaborate with General Liability team to develop mitigation strategies and facilitate most economic global resolution of Contractor Controlled Insurance Program (CCIP) claims.
Attend hearings and mediations on as needed basis.
Ensure avenues for potential claim recovery are identified and pursued and manage lien recovery on case-by-case basis.
Participate in claims review process and monitor claims handling process by carriers and TPAs; provide direction to ensure compliance with best practices and special handling instructions.
Oversee and hold vendors and defense firms accountable for adherence to standard protocols, agreed to service instructions, and litigation management guidelines. Update instructions and guidelines and provide recommendations to appropriate leadership.
Partner with Safety team and onsite medics on initiatives that support worker wellness and post-injury care.
Participate in CCIP kickoff meetings and jobsite walkthroughs, attend Claims, Safety and Operations meetings to monitor current and anticipated project risks and report on claims status for specific projects.
Maintain and foster relationships with carriers and TPA claims teams.
Assist with claim data analysis and claim performance reports.
Collaborate with HR and Payroll departments for completion of required Workers’ Compensation 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.

FAQs

Do we support remote work?

Yes, this is a remote position, though some travel is required, with a preference for candidates based in the Northeast region.

What are the primary responsibilities of a Workers’ Compensation Specialist?

The Workers’ Compensation Specialist oversees the management of Workers’ Compensation claims, collaborates with Risk Management, serves as a resource for injured employees, and ensures compliance with policies and procedures.

What qualifications are required for this position?

A Bachelor’s Degree in Insurance, Risk Management, Finance, Business Administration, or a related field is required, along with a minimum of 8 years of workers’ compensation claims administration experience in New York City and State jurisdiction.

Is experience in a specific industry required for this role?

Experience with workers’ compensation claims in a construction environment is desired.

Are there any preferred certifications for this position?

CRIS, ARM, or similar insurance designations are preferred for candidates.

What skills are critical for the Workers’ Compensation Specialist role?

Critical skills include strong analytical abilities, process thinking, sound decision-making, project management capabilities, interpersonal skills, and effective written and verbal communication.

Will the Workers’ Compensation Specialist attend hearings and mediations?

Yes, attendance at hearings and mediations may be required on an as-needed basis.

What kind of working environment can the Workers’ Compensation Specialist expect?

The work environment is primarily an office setting with occasional work at construction sites, which may involve exposure to various conditions such as noise and outdoor elements.

Are there physical demands associated with this job?

Yes, the position involves frequent sitting and computer use, occasional lifting of up to 25 pounds, and mobility both in the office and on-site.

How does this role interact with other departments?

The Workers’ Compensation Specialist collaborates closely with Risk Management, Safety, HR, and Payroll departments to ensure effective claim management and compliance with procedures.

Turner Construction Company

Turner is a North America-based, international construction services company and is a leading builder in diverse markets

Engineering & Construction

Industry

10,001+

Employees

1902

Founded Year

Mission & Purpose

Turner is a North America-based, international construction services company and is a leading builder in diverse and numerous market segments. The company has earned recognition for undertaking large, complex projects, fostering innovation, embracing emerging technologies, and making a difference for their clients, employees and community. OUR VISION To be the highest value provider of global construction services and technical expertise. Turner embraces a Lean management approach, and a culture that emphasizes collaboration, reliability of scheduling and delivery of the most value while consuming the fewest resources. Lean principles drive the efficient delivery of our services. Turner recognizes the importance of innovation and fostering a culture of continuous improvement. A key element of our company vision is to develop and embrace emerging technologies and processes. As part of our effort to achieve this vision, Turner has a culture where employees share their ideas and engagement with one another to develop innovative ideas as well as evaluate and implement improvements at Turner. Turner fosters a culture of diversity and inclusion in which all employees contribute creative ideas, seek challenges, and have the opportunity to grow. Our diverse and inclusive workforce positions the company to grow, enhances our presence in diverse markets, and helps us build enduring relationships with each other, industry partners, and our clients. Turner understands the environmental, social, and economic impact of our activities and that it is our responsibility to conduct our business in a transparent and ethical manner that supports our goals for client service, community involvement, environmental performance, financial strength and employee health, safety and well-being. Our core values of integrity, teamwork and commitment guide our activities and we expect the organizations with which we do business to share our commitments.