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Worker'S Compensation Claims Manager

MRA-THE MANAGEMENT ASSN INC
Milwaukee, WI Full Time
POSTED ON 1/16/2025
AVAILABLE BEFORE 4/15/2025

JOB REQUIREMENTS : Company : Cities & Villages Mutual Insurance Location : Wauwatosa, WI Position : Worker\'s Compensation Claims Manager Under the direction of the Chief Operating Officer (COO) this position is responsible forsupervising the worker\'s compensation claims division; managing, assigning, oversight, and review of the worker\'s compensation claim files; investigating, processing and adjusting worker\'s compensation claims for member municipalities. Some travel may be required with occasional overnight stays. WHY JOIN THE CVMIC TEAM : The ability to make a difference to internal and external customers! Great variety in what you do each day Flexibility with your schedule A supportive team environment Outstanding benefits that include : Company-paid retirement contribution into a SEP Plan (12.1% of salary, after one year of employment), Company-paid health insurance monthly premiums, and tuition reimbursement for continuing education View what employees say about working here! Essential Duties & Responsibilities Manages and oversees the worker\'s compensation claims process from initial report to resolution. Monitors the state website to ensure state requirements for reporting and payments are being met. Identifies claims with re-insurance / excess insurance exposure and reports these claims to the Chief Executive Officer (CEO), COO, Carrier, and Broker. Reviews and analyzes claims to determine compensability and appropriate benefits. Maintains accurate and up-to-date records of all claims, diaries, and related documentation. Coordinates with injured employees, medical providers, legal representatives, and insurance carriers. Develops and implements strategies to reduce claim costs and improve claim outcomes. Develops, modifies, and administers policies and standard operating procedures (SOP\'s) related to worker\'s compensation programs, activities, and claims; Advises and consults with management, employees, and others regarding worker\'s compensation policies and SOP\'s including incident reporting and obtaining appropriate treatment. Develops and recommends policies and claim procedures relative to the self-insured worker\'s compensation programs; administers the day-to-day operations of the assigned programs. Ensures compliance with all relevant Wisconsin worker\'s compensation laws and regulations. Prepares and presents reports on claims activity, trends, and performance metrics. Collaborates with other departments to promote workplace safety, injury prevention, and a smooth claims-handling process. Leads and maintains excellent Member relations, including resolving customer service issues, attending member meetings, and supporting employees when engaging with Members. Responds to difficult and sensitive inquiries and complaints and assists with resolutions and alternative recommendations. Promotes continuous process... For full info follow application link. MRA is an Equal Opportunity / Affirmative Action Employer

  • APPLICATION INSTRUCTIONS : Apply Online : ipc.us / t / 13DD8EF0900B488F

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