Claims Manager - Workers Compensation

Indulge your passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of diverse minds, united by a relentless pursuit of excellence. As part of our team, you'll be the architect of protection, safeguarding businesses and empowering their ambitions. Together, we'll build a legacy of trust and triumph in the dynamic world of risk management.

We believe that every candidate brings something special to the table, including you! So, even if you feel that you're close but not an exact match, we encourage you to apply.

How you'll make an impact

The Claims Manager & Workers Compensation Injury Counselor facilitates and directs all Workers Compensation processes for a specific Gallagher client and also handles important client reports.

Key responsibilities include but are not limited to:

• Initiate contact with injured employees and explain the Workers Compensation process as it relates to the injured employee. Provide an overview of the role of the TPA in the WC process and during the claim.

• Incorporate all claim information into WCCMs, claim management system. Accurately and completely, document conversations and maintain an accurate electronic file of communication related to the injured employee's Workers Compensation claim.

• Assure the first report of claim is accurately and promptly referred to the appropriate TPA.

• Work as professional liaison between the sites and claims adjuster.

• Follow up with the treating physician after the injured employee's visit, obtain work status and medical reports on the injured employee's condition and treatment plan.

• Remain in contact with the injured employee and obtain information on the status of the injured employee's health condition. Consult with the employee's physician, nurse case manager, and claims adjuster, to determine if the injured employee is following the treatment plan prescribed by the employee's physician.

• Act as a liaison between the injured employee's physician, insurance company, nurse case manager, management, and employee to gain a timely return-to-work release.

• Maintain communication with the insurance carrier; prepare status reports on critical claims for management.

• Ability to organize and prioritize workload to meet deadlines required. Must be trustworthy and can handle highly confidential information with the utmost care and discretion required.

• Work with TPA Account Manager to produce monthly loss runs to Corporate Office and the broker. Review the loss run for data accuracy.

• Schedule quarterly claims reviews with the TPA Account Manager and coordinate claim review date with TPA, claims broker and sites.

• Organize and prepare documents for MO Self Insured reporting.

• Organize and prepare documents for annual WC analysis for Milliman.

• Review and process payment for the TPA's invoices, for administration and claim fees.

• Follow up with TPA on legacy claims for updates, and recovery process on cases in the excess layer.

• Assure each Providence Affiliated Facility has access to all Recommended Employee Safety and Workers Compensation Programs and they understand how to properly apply:

• Internal Claims investigation, accurate and timely Claims Reporting, First Aid and Triage, Transportation to MPN and RTW programs.

• Accept other assignments as needed.

About You

Required:

• Bachelor's degree or commensurate experience;

• 3 years' experience in a claims role.

• Excellent written and verbal communication skills.

Behaviors:

• Understanding of the lines of coverage within area of responsibility.

• Strong organization skills and ability to maintain diverse and large workload while meeting deadlines.

• Strong knowledge and working ability to use all claims and business related software.

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Compensation and benefits

On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.

Below are the minimum core benefits you'll get, depending on your job level these benefits may improve:

• Medical/dental/vision plans, which start from day one!

• Life and accident insurance

• 401(K) and Roth options

• Tax-advantaged accounts (HSA, FSA)

• Educational expense reimbursement

• Paid parental leave

Other benefits include:

• Digital mental health services (Talkspace)

• Flexible work hours (availability varies by office and job function)

• Training programs

• Gallagher Thrive program - elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing

• Charitable matching gift program

• And more...

We value inclusion and diversity

Click Here to review our U.S. Eligibility Requirements

Inclusion and diversity (I&D) is a core part of our business, and it's embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees' diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as "protected characteristics") by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.