Risk Management Specialist

We are seeking an experienced Workers’ Compensation Claims Lead to oversee complex, lost‑time, and litigated claims while serving as the organization’s internal subject matter expert . This role plays a critical part in ensuring accurate claim handling, regulatory compliance, and high‑quality performance from third‑party administrators (TPAs).

What You’ll Do

• Lead Complex Claims — Manage the full lifecycle of lost‑time and high‑severity Workers’ Compensation claims with accuracy and compliance.
• Serve as SME — Provide internal guidance on best practices, regulatory requirements, and strategic claim direction.
• Oversee TPA Performance — Conduct audits, evaluate quality, and identify opportunities to improve outcomes and reduce costs.
• Manage Litigated Claims — Direct high‑risk, litigated files with significant exposure and settlement authority.
• Partner With Legal — Collaborate with counsel to develop case strategies, set reserves, and drive favorable resolutions.
• Drive Cost Containment — Identify opportunities to reduce claim costs while maintaining compliance and quality.
• Ensure Regulatory Compliance — Uphold state and federal requirements, internal policies, and industry standards.

What You Bring

• 2 years of college or specialized training
• 3+ years of Workers’ Compensation claims experience (lost‑time or litigated preferred)
• Strong communication, negotiation, analytical, and organizational skills
• Ability to work independently and collaboratively
• Commitment to excellent customer service
• Proficiency in Microsoft Office (Access, Word, Excel, Outlook)

Ready to Make an Impact?

If you’re a proactive, detail‑driven Workers’ Compensation professional who thrives in a fast‑paced environment, we’d love to hear from you. Apply today and take the next step in your career.