Senior Workers Compensation Program Specialist

WHY JOIN?Be part of something special – a place where work feels like a community, not just a job. We're a vibrant and innovative crew united by a shared passion for creativity, growth, and collaboration.S&S is expanding, and we want to connect with dedicated individuals to join our team and create a best place to work. Our team is driven by innovation and partnership, where your ideas are heard and celebrated. We're building an inclusive environment that values every voice and fosters a culture of mutual support and respect.If you're ready to dive into a dynamic work environment where every day brings new personal and professional growth opportunities, apply today!We'd love to hear from you if you're enthusiastic about being part of a company that values its employees and rewards hard work. Take the next step in your career with us, where you're not just an employee but an essential part of our journey toward success. APPLY NOW, and let's grow together!WE OFFERIncredible team spirit – At the heart of our success is a culture that cherishes teamwork. We thrive on collaboration and value feedback and innovative thinking.Opportunities for professional growth – Your contributions are integral to our growth. As we expand, so do your career opportunities to develop and advance.Exclusive apparel discounts – Ready to upgrade your wardrobe?! As part of S&S, you'll enjoy special discounts on our trendy, high-quality apparel. Stay stylish and save big!Top-notch employee benefits – We prioritize the health and well-being of our team members with an extensive benefits package, including health, dental, and vision coverage, along with retirement planning options.Fun employee appreciation events – We love celebrating you! Regular events are our way of saying 'thank you' for your hard work and dedication. Prepare for some memorable moments of appreciation and fun.State-of-the-art equipment – Experience the best in technology and equipment. We provide cutting-edge resources to make your work life safe and efficient!About the RoleABOUT THE ROLEThe Senior Workers' Compensation Specialist serves as a key member of the Company's workers' compensation program and is responsible for the day-to-day administration, oversight, and coordination of multi-state workers' compensation claims and return-to-work activities. Working under the direction of the Workers' Compensation Manager, this position partners closely with Human Resources, Safety, Operations, third-party administrators (TPAs), medical providers, legal counsel, and team members to ensure timely claim resolution, effective return-to-work outcomes, regulatory compliance, and cost-effective claim management. The Senior Workers' Compensation Specialist functions as the primary operational lead for workers' compensation claims administration and program execution. This role independently manages complex claim activity, facilitates communication among stakeholders, identifies trends and opportunities for improvement, and supports organizational efforts to reduce overall trends or areas of concern.This position is an individual contributor role with no direct reports.COMPENSATION & SCHEDULESalaried: $68,000 - $85,000 (based on experience)Bonus potential - 5%Onsite Monday - Friday (standard business hours), Full-Time, ExemptBENEFITSWe offer a comprehensive benefits package designed to support your life, health, and future. Benefits begin 0–90 days after hire and include Vacation, Personal, and Sick time; Medical, Dental, Vision, Life Insurance, and Disability coverage; Flexible Spending Accounts; and a 401(k) plan. You’ll also enjoy discounts on brand‑name apparel, fun employee events, and meaningful opportunities for growth and advancement. Join a company that invests in you from day one.WHAT YOU WILL DOClaims Management & OversightManage and oversee the day-to-day administration of multi-state workers' compensation claims.Serve as the primary internal contact for workers' compensation claim activity.Partner with TPAs, carriers, nurse case managers, and medical providers to monitor claim progress and ensure appropriate handling.Review claim status, reserves, action plans, and settlement recommendations and escalate concerns to the Workers' Compensation Manager as appropriate.Coordinate investigations of workplace injuries and ensure timely and accurate claim reporting.Monitor claim compliance with company standards, state regulations, and service expectations.Assist with resolution of complex, litigated, and high-exposure claims.Return-to-Work & Accommodation CoordinationCoordinate return-to-work and transitional duty programs across the organization.Collaborate with Human Resources, managers, Safety, and healthcare providers to facilitate early and safe return-to-work opportunities.Track employee work status restrictions and accommodations.Monitor duration and effectiveness of modified-duty assignments.Identify barriers to successful return-to-work outcomes and recommend solutions.Support compliance with applicable leave and accommodation programs as needed.Vendor & Stakeholder ManagementBuild and maintain productive working relationships with TPAs, carriers, medical providers, legal counsel, and other program partners.Facilitate communication among employees, managers, Human Resources, Safety, and Operations regarding claim activity.Respond to escalated workers' compensation questions and issues.Participate in claim review meetings and vendor performance discussions.Ensure vendors are providing timely and quality service in support of program objectives.Reporting, Analytics & Cost ManagementAnalyze claim trends, loss data, and program metrics.Prepare recurring reports, dashboards, and presentations for internal stakeholders.Monitor claim costs, reserve development, and closure rates.Identify opportunities to reduce workers' compensation costs and improve program performance.Support annual budgeting, forecasting, actuarial reviews, and insurance renewal activities.Maintain accurate program records and reporting systems.Compliance & Program AdministrationSupport compliance with applicable state workers' compensation regulations and reporting requirements.Maintain confidential team member medical and claim-related records.Assist with audits, regulatory requests, and documentation reviews.Ensure claim and injury documentation is complete and maintained according to company standards.Monitor program compliance and identify operational risks requiring management attention.Continuous ImprovementRecommend and implement process improvements that enhance service, efficiency, and claim outcomes.Participate in workers' compensation and safety initiatives designed to reduce workplace injuries and claim frequency.Assist with development of training materials and educational resources for managers and employees.Support special projects and other duties as assigned.WHAT WE'RE LOOKING FORRequiredBachelor's degree in Risk Management, Human Resources, Business Administration, Occupational Safety, Insurance, or a related field; equivalent experience may be considered.5-7 years of progressive workers' compensation experience.Experience managing or coordinating multi-state workers' compensation claims programs.Working knowledge of workers' compensation claim handling practices, return-to-work programs, and claim cost containment strategies.Experience working with TPAs, insurance carriers, medical providers, and legal counsel.Strong analytical and problem-solving capabilities.Advanced Microsoft Excel proficiency and experience preparing reports and dashboards.Excellent verbal, written, and interpersonal communication skills.Ability to handle sensitive and confidential information.Ability to work independently and manage multiple priorities in a fast-paced environment.PreferredExperience in distribution, logistics, transportation, manufacturing, retail, or warehouse operations.Experience supporting large, multi-location workforces.Knowledge of OSHA recordkeeping requirements.Experience with Risk Management Information Systems (RMIS), claim management systems, and HRIS platforms.Professional certifications such as:Workers' Compensation Professional (WCP)Associate in Claims (AIC)Associate in Risk Management (ARM)Certified Disability Management Specialist (CDMS)Workers' Compensation Insurance Professional (WCIP)Key CompetenciesWorkers' Compensation Claims ManagementReturn-to-Work Program AdministrationVendor & TPA ManagementClaim Cost ContainmentMulti-State Workers' Compensation ProgramsRegulatory ComplianceData Analytics & ReportingRisk AssessmentEmployee RelationsProcess ImprovementCommunication & Influencing SkillsStakeholder ManagementProblem Solving & Decision MakingConfidential Information ManagementCross-Functional CollaborationPHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job.WORKING ENVIRONMENTThis position operates in a professional office environment and may be structured as on-site, remote, or hybrid depending on business needs. This role requires the use of standard office equipment and collaboration with internal teams.EQUAL OPPORTUNITY EMPLOYERS&S Activewear welcomes people of all backgrounds and experiences and are committed to creating a diverse culture and supporting human growth. We are proud to be an equal opportunity employer and is committed to providing equal opportunity for all employees and applicants. We conduct business without regard to sex, race, creed, color, religion, marital status, national origin, citizenship status, age, pregnancy, sexual orientation, gender identity or expression, genetic information, disability, military status, status as a veteran, or any other protected characteristic. Our policy is to recruit, hire, train, promote, assign, transfer, and terminate employees based on their own ability, achievement, experience and conduct and other legitimate business reasons. S&S participates in E-Verify and will provide the federal government with your Form I-9 information to confirm you are authorized to work in the U.S. This job offer is contingent upon the completion of a satisfactory background check. #J-18808-Ljbffr