Workers Compensation Claims Manager

Workers' Compensation Claims Manager

Coca-Cola Beverages Florida is seeking an experienced Workers' Compensation Claims Manager to serve as a key leader within the Enterprise Risk Management team. This role is intended for a seasoned workers' compensation professional who can independently manage complex and high-exposure claims, exercise sound judgment within delegated authority, and proactively drive outcomes aligned with Coke Florida's operational, financial, and employee-focused objectives.

Under the general direction of the Director of Enterprise Risk Management and the Senior Manager of Enterprise Risk Management, the Claims Manager is accountable for end-to-end oversight of Coke Florida's Workers' Compensation claims program. The role operates with a high degree of autonomy and is expected to make timely, well-reasoned decisions while coordinating with internal partners, third-party administrators, medical providers, defense counsel, and leadership.

Roles and Responsibilities:

• Owns the management of Workers' Compensation claims from intake through resolution, including investigation, compensability determination, medical and indemnity management, reserving, negotiation, and settlement
• Exercises independent judgment and decision-making authority on claims within the established Chart of Authority; escalates appropriately when warranted
• Serves as the primary internal subject matter expert for Workers' Compensation claims and related regulatory requirements
• Directs and oversees Third Party Administrators, nurse case managers, medical providers, and defense counsel to ensure effective, compliant, and cost-efficient claim handling while allowing the appropriated claim adjudication processes
• Conducts regular audits of Workers' Compensation claim files, including compensability decisions, medical management, reserving accuracy, litigation strategy, and statutory compliance
• Actively manages claim diaries and documentation within the RMIS system, ensuring data accuracy, reporting integrity, and regulatory compliance
• Leads oversight and administration of the Return-to-Work (RTW) program in partnership with HR, Safety, and Operations
• Partners with internal managers and supervisors on injury reporting, accident investigation, root cause analysis, and corrective action planning
• Provides technical direction and authority on complex, litigated, or high-exposure Workers' Compensation claims
• Prepares, analyzes, and presents Workers' Compensation reports, loss trends, and performance metrics for leadership and business units
• Identifies trends, emerging risks, and opportunities to reduce claim frequency, severity, duration, and overall cost of Workers' Compensation
• Develops, tracks, and reports key performance indicators to evaluate claim outcomes, TPA performance, RTW effectiveness, and overall program results
• Works closely with internal stakeholders including Operations, Human Resources, Legal, Safety, and the broader Enterprise Risk Management team to ensure aligned decision-making, consistent claim strategy, and proactive injury prevention and risk mitigation efforts

Skills and Education Required:

• Bachelor's degree and/or equivalent combination of education and significant relevant experience
• Minimum of 5 years of progressive Workers' Compensation claims management experience, preferably in a large, self-insured or complex operational environment
• Comprehensive knowledge of Workers' Compensation statutes, claims administration, medical management, and litigation processes
• Demonstrated ability to independently manage complex, litigated, and high-exposure Workers' Compensation claims
• Travel based on business needs

Additional skills that will strengthen your candidacy:

• Proven ability to operate independently while collaborating effectively within a small, high-performing team
• Strong understanding of Workers' Compensation legal and regulatory requirements
• Experience managing a workers' compensation program for a private employer
• Excellent analytical, negotiation, and problem-solving skills
• Strong communication skills with the ability to influence internal and external stakeholders
• High attention to detail with consistent follow-through
• Ability to organize, document, and control both digital and physical claim records
• Customer-focused mindset balanced with cost control and risk discipline

This job description is not an exhaustive list of all functions that the employee may be required to perform, and the employee may be required to perform additional functions. Coke Florida reserves the right to revise the job description at any time and to assign additional duties and responsibilities as needed. Employment with Coke Florida is at-will. The employee must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions of their job, absent undue hardship. Coca-Cola Beverages Florida is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class.