Workers Compensation Claims Associate

Workers Compensation Claims Associate

This position is a hybrid in-office role that works out of our Headquarters in Boston, MA (this role is not a virtual / remote position). 4 days in office / 1 day WFH.

The Workers Compensation Claims Associate will support management of Workers Compensation claims to resolution of each claim that is compatible with the goals of Wayfair and that returns the injured team member to work at the earliest possible time. Provide technical support and monitor activity of the Third Party Administrators (TPA). Responsible for day-to-day activities of claims and communication to all business units. Help support the Workers Compensation Sr. Manager with coordinating a team of site level Safety Supervisors to help create and sustain the safety culture at Wayfair. This associate must demonstrate the ability to build trust and confidence with the management and associate teams. The Associate will also use Generative AI to identify and automate manual workflows, help design and implement automated processes, and responsibly validate the resulting outputs.

What You'll Do

• Provide workers' compensation guidance and support to corporate, business-unit, and site-level management and supervisory personnel.
• Monitor workers Compensation claims, including close supervision of large and/or severe cases.
• Consult with attorneys, adjusters and carriers regarding claims or claims services.
• Support company-wide Return to Work/Transitional duty program.
• Attend claims reviews.
• Assist in the review of outside claims administrators (TPA) for effectiveness and cost containment.
• Use AI and automation to streamline workflows, shifting focus from manual work to high-level analysis and problem-solving.
• Assist claims Manager in projects, other efforts
• Manage worker's compensation program, claims management, and injury management.
• Open, review and process claims, ensure program conformance to applicable laws and regulations, prepare required reports, and monitor and evaluate the program activities to ensure the delivery of quality services.
• Respond to and resolve difficult and sensitive inquiries and complaints; evaluate problems and take appropriate action to resolve issues/concerns; advise injured employees of their benefits.
• Interface with physicians, attorneys, employees and management; coordinate return-to-work plans; coordinate and monitor rehabilitation plans for injured employees.
• Develop, strengthen and sustain productive and collaborative working relationships with all levels of the organization

What You'll Need

• Ability to quickly learn claims process, legal and regulatory requirements and state specific requirements regarding workers compensation claims
• An ability to identify areas of opportunities that can help streamline claims handling or improve workplace safety
• Ability to handle high case load, set priorities, strong organizational and time management skills.
• Willingness to use technology to streamline and improve process workflows

Assistance for Individuals with Disabilities Wayfair is fully committed to providing equal opportunities for all individuals, including individuals with disabilities. As part of this commitment, Wayfair will make reasonable accommodations to the known physical or mental limitations of qualified individuals with disabilities, unless doing so would impose an undue hardship on business operations. If you require a reasonable accommodation to participate in the job application or interview process, please let us know by completing our Accomodations for Applicants form.

About Wayfair Inc. Wayfair is one of the world's largest online destinations for the home. Whether you work in our global headquarters in Boston, or in our warehouses or offices throughout the world, we're reinventing the way people shop for their homes. Through our commitment to industry-leading technology and creative problem-solving, we are confident that Wayfair will be home to the most rewarding work of your career. If you're looking for rapid growth, constant learning, and dynamic challenges, then you'll find that amazing career opportunities are knocking.

No matter who you are, Wayfair is a place you can call home. We're a community of innovators, risk-takers, and trailblazers who celebrate our differences, and know that our unique perspectives make us stronger, smarter, and well-positioned for success. We value and rely on the collective voices of our employees, customers, community, and suppliers to help guide us as we build a better Wayfair – and world – for all. Every voice, every perspective matters. That's why we're proud to be an equal opportunity employer. We do not discriminate on the basis of race, color, ethnicity, ancestry, religion, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, genetic information, or any other legally protected characteristic.

Your personal data is processed in accordance with our Candidate Privacy Notice. If you have any questions or wish to exercise your rights under applicable privacy and data protection laws, please contact us at View email address on click.appcast.io.