1+ months

Workers Compensation Claims Manager

Albany, NY 12207

ADP is hiring a Workers Compensation Claims Manager

 

  • Are you ready to work for a leader in the Professional Employer Organization industry?
  • Are you ready to grow with a company that embraces technology and puts their clients first?
  • Do you want to use your workers’ compensation experience in an oversight and managerial capacity over a designated market?

 

 In this role, you will be responsible for the management of all open workers’ compensation files in your designated market. This position will require financial coordination with carriers, our reinsuring entity and internal stakeholders. You will provide direct oversight of the Third Party Claim Adminstrator, review reserve and settlement recommendations for appropriateness, provide financial concurrences up to a predetermined threshold, participate in roundtables, and facilitate internal communications for large exposure claims.  You will be accountable for the identification of adverse trends within your market and solutions related to vendor expense management issues, and be held to set metrics for your jurisdictions associated with claim administration performance. You will address any coverage related issues and work with the carrier/administrator to resolve. In addition, you will make sure subrogation and Second Injury Fund recoveries are maximized. Medicare’s interests are to be protected on all settlements by approving annuity and professional administration options in addition to reversionary language. This position ensures all workers compensation losses are handled in accordance with applicable state laws. You will validate any errors and omissions and pursue recovery if appropriate.  You provide leadership in your market to educate clients on the value of loss mitigation through early claim reporting, utilization of medical networks and fraud prevention.  In this position, you are responsible for the financial performance of your market and you will indirectly supervisor one Lead Examiner. This role requires collaboration with other Claims Manager’s to determine best practices for the program and to deliver the best possible WC claim model for the organization.

Everyday your focus could drastically change as there will be special projects, claim reviews, client and internal partner needs.  Your primary goals include direct oversight over your market’s claims,  client service to both internal and external partners, consultation and providing TPA oversight for multiple jurisdictions to ensure every claim is being handled professionally and in the best interest of ADP and our clients.  Each day will be different because the questions you receive will vary, as will the solutions you provide each client and internal partner. There will be no shortage of new situations that you will encounter, which will keep things interesting.  Our comprehensive training will help to set you up for success!

To thrive in this role, you need to have a way with clients and vendors that builds rapport, establishes trust, and shines with professionalism.  You need a strong knowledge base over the jurisdictions in your market in order to provide the necessary oversight on large exposure claims and to question recommendations from the administrator. Over the phone and in writing, your communication style needs to be highly professional, and clear and easy for our clients to understand and take action as needed.  Your sense of urgency needs to be second to none. Pace and multi -tasking should not scare you. You will also have a healthy dose of fun as a part of our Risk team. Not only can you find a career here, but you will find friendships that last in a company that values inclusion.

A little about ADP: We are a global leader in human resources technology, offering the latest AI and machine learning-enhanced payroll, tax, human resources, benefits, and much more. We believe our people make all the difference in cultivating an inclusive, down-to-earth culture that welcomes ideas, encourages innovation, and values belonging. We’ve received recognition as a global Best Places to Work and a recipient of many prestigious awards for diversity, equity, and inclusion, including a DiversityInc® Top 50 Company, Best CEO and company for women, LGBTQ+, multicultural talent, and more. As part of our deep DEI commitment, our CEO has joined the OneTen coalition to create one million jobs for Black Americans within ten years. Learn more about DEI at ADP on our YouTube channel: http://adp.careers/DEI_Videos

 

Ready to #MakeYourMark? Apply now!

To learn more about Client Services at ADP, watch here: https://adp.careers/Client_Services_Videos

 

What you’ll do:

What you can expect on a typical day:

In this position, you will review and oversee the claim administrator performance and contractual compliance within your market. You will be responsible for evaluating reserves and settlement recommendations. You will work with our broker, and participate in meetings with Risk leadership and the Third-Party Adminstrator. There will be accountability for Return to Work efforts, financial oversight, Safety Activation initiatives, and documentation of claim activity according to stated claim procedures and best practices.  You will work directly with other TotalSource departments including the Market GM, Key Account Executive, Client Retention Executive, HRBP, Risk Consultants, Leave Administration, and internal legal to assist with the resolution of client issues directly related to WC Claims and deliver service in support of our client retention goals. You will act as a client advocate on all escalated workers’ compensation matters and the liaison between the client and the  WC Third Party Administrator. You are also the intermediary between our internal ADPTS partners and the  Claim Administrator staff.  You will be responsible for positive NPS results and will acknowledge all client feedback. You will be held to metrics in your designated jurisdictions and will utilize our new Origami system to communicate results in your market, analyze client/claim data, and make recommendations.  You will work directly with the Claims Director to determine appropriate workloads and the necessity of procedure changes within the Risk-WC Claims Unit. Your participation in claim reviews of the Workers' Compensation Claim Administrator will be necessary to ensure quality compliance of service requirements and client satisfaction in claims handling. 

You will help our clients manage their workers’ compensation program using our technology solutions, which could include troubleshooting, investigating and probing to resolve any service issues. Support might also involve partnering with multiple business units, teams and vendors for troubleshooting and delivering a seamless client experience to impact retention.

You will continually upgrade your knowledge and skills on legal, jurisdictional, technological, compliance, standard operating procedure, administrative practices, and desktop support tools to develop and maintain your ability to support our clients. You will attend professional development courses and seminars in your assigned jurisdiction as needed along with in person claim reviews. 

TO SUCCEED IN THIS ROLE:

  • Preferred qualification of 5 years or more Workers’ Compensation supervisory experience and/or

5 years or more experience in Workers’ Compensation Risk Management

  • Prior PEO knowledge a plus
  • 4 year college degree or equivalent work experience
  • Advanced knowledge of Workers’ Compensation laws for assigned geographical areas is a plus
  • Excellent verbal and written communication skills
  • Proficiency with Microsoft Office Products

 

YOU'LL LOVE WORKING HERE BECAUSE YOU CAN:

  • Be yourself in a culture that values equity, inclusion, and belonging and creates a safe space for diverse perspectives and insights.
  • Belong by joining one of nine Business Resource Groups where you can connect globally with networks and allies who share common interests and experiences.
  • Grow your career in an agile, dynamic environment with plenty of opportunities to progress.
  • Continuously learn through ongoing training, development, and mentorship opportunities.
  • Be your healthiest. Best-in-class benefits start on Day 1 because healthy associates are happy ones.
  • Focus on your mental health and well-being. We're here to provide exceptional service to our clients, and none of that happens without each of us taking care of ourselves and being there for one another.
  • Join a company committed to giving back and generating a lasting, positive impactupon the communities in which we work and live. 
  • Get paid to pay it forward. Company-paid time off for volunteering for causes you care about.

 

 

What are you waiting for?  Apply today!

 

Diversity, Equity, Inclusion & Equal Employment Opportunity at ADP: ADP affirms inequality is detrimental to our associates, our clients, and the communities we serve. Our goal is to impact lasting change through our actions. Together, we unite for equality and equity. ADP is committed to equal employment opportunities regardless of race, color, genetic information, creed, religion, sex, sexual orientation, gender identity, lawful alien status, national origin, age, marital status, or protected veteran status. We support an inclusive workplace where associates excel based on personal merit, qualifications, experience, ability, and job performance.

 

Are you ready to join a company offering career advancement opportunities throughout your career journey?

 

Do you want to join a company with award-winning training and world-class service guidelines to help you achieve success, growth, and continued learning?

 

Are you looking for an inclusive environment with a culture of collaboration and belonging?

 

 

 

 

 

 

 

In the state of Colorado, we are offering the following benefits (subject to change):

  • Salaried and hourly workers who work on average 32 or more standard hours per week:
    • Medical, Dental, Vision, Life Insurance, 401(k), Charitable Contribution Match, Holidays, Personal Days & Vacation, Student Loan Repayment Program and Paid Volunteer Time Off

We believe in good faith that compensation for a successful candidate based in Colorado would be between the range listed below.

Explore our COVID-19 page https://jobs.adp.com/covid19/ to understand how ADP is approaching safety, travel, the hiring interview process, and more.

Diversity, Equity, Inclusion & Equal Employment Opportunity at ADP: ADP affirms that inequality is detrimental to our associates, our clients, and the communities we serve. Our goal is to impact lasting change through our actions. Together, we unite for equality and equity. ADP is committed to equal employment opportunities regardless of any protected characteristic, including race, color, genetic information, creed, national origin, religion, sex, affectional or sexual orientation, gender identity or expression, lawful alien status, ancestry, age, marital status, or protected veteran status and will not discriminate against anyone on the basis of a disability. We support an inclusive workplace where associates excel based on personal merit, qualifications, experience, ability, and job performance.

Ethics at ADP: ADP has a long, proud history of conducting business with the highest ethical standards and full compliance with all applicable laws. We also expect our people to uphold our values with the highest level of integrity and behave in a manner that fosters an honest and respectful workplace. Click https://jobs.adp.com/life-at-adp/ to learn more about ADPs culture and our full set of values.



Compensation range for this role for U.S. Colorado Residents
Minimum: $90400
Maximum: $128820
Compensation Type: Salary

Categories

Industry

  • Other
Posted: 2022-04-07 Expires: 2022-06-19

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Workers Compensation Claims Manager

ADP
Albany, NY 12207

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast