The Case Manager is responsible for managing and coordinating workers' compensation claims across multiple states in addition to benefits management. This position serves as a central point of contact for employees, clients, insurance carriers, claims adjusters, medical providers, and internal leadership throughout the life of a claim. The Case Manager will oversee claims from initial injury reporting through resolution, ensuring timely communication, accurate documentation, appropriate follow-up, and compliance with applicable state workers' compensation requirements. This role requires strong attention to detail, organization, communication, and the ability to manage multiple active claims across varying state regulations and requirements. Essential Duties and Responsibilities

• Manage workers' compensation claims across multiple states from initial report through closure.
• Receive and review workplace injury and incident reports and ensure claims are reported to the appropriate insurance carrier and/or third-party administrator in a timely manner.
• Serve as the primary internal contact for workers' compensation claims and related employee questions.
• Serve as the primary internal contact for workers' benefits related employee questions.
• Communicate with employees regarding claim status, medical appointments, work restrictions, return-to-work expectations, and required documentation.
• Communicate regularly with claims adjusters, insurance carriers, third-party administrators, medical providers, client contacts, and internal management.
• Monitor the status of open claims and follow up on outstanding actions, medical documentation, appointments, restrictions, and claim decisions.
• Maintain accurate and up-to-date claim files and documentation.
• Track medical treatment, work restrictions, lost time, return-to-work status, and other relevant claim information.
• Coordinate with HR, branch leadership, and client contacts regarding employee restrictions and return-to-work opportunities.
• Assist in identifying appropriate modified-duty or transitional work assignments when available.
• Monitor employees' return-to-work status and follow up on missed appointments, updated restrictions, and changes in work status.
• Review claim-related correspondence, medical documentation, bills, and other records as appropriate.
• Identify potential issues, delays, inconsistencies, or concerns and escalate them to the appropriate internal leadership, carrier, or claims professional.
• Assist with claims involving multiple jurisdictions and ensure appropriate processes are followed based on the applicable state requirements.
• Maintain awareness of state-specific workers' compensation requirements, reporting deadlines, forms, and processes applicable to the states in which the company operates.
• Coordinate with legal counsel, insurance representatives, and other external partners when necessary.
• Assist with workers' compensation audits, claim reviews, and insurance renewal activities.
• Prepare reports and summaries regarding open claims, claim status, lost time, expenses, reserves, and other workers' compensation metrics.
• Monitor claim trends and identify opportunities to reduce workplace injuries, lost time, and claim costs.
• Assist HR and Operations leadership with workers' compensation training, injury reporting procedures, and loss-prevention initiatives.
• Ensure confidential employee and medical information is handled appropriately.
• Maintain compliance with company policies and applicable federal and state laws and regulations.
• Perform other duties and special projects as assigned. Multi-State Responsibilities
• Because the company operates across multiple jurisdictions, this position will be responsible for:
• Managing claims subject to different state workers' compensation laws and requirements.
• Maintaining knowledge of state-specific injury reporting and claim procedures.
• Tracking state-specific deadlines and required documentation.
• Coordinating with carriers and claims administrators regarding jurisdiction-specific requirements.
• Ensuring internal stakeholders understand applicable restrictions and return-to-work requirements.
• Escalating complex or disputed claims to the appropriate claims, legal, or leadership resources. Qualifications
• Associate or bachelor's degree in Business Administration, Risk Management, Insurance, or a related field preferred.
• 4+ years of experience in workers' compensation, claims management, office management insurance, risk management, or a related field preferred.
• Multi-state workers' compensation experience strongly preferred.
• Experience working with insurance carriers, third-party administrators, claims adjusters, and medical providers preferred.
• Staffing industry experience is a plus.
• Knowledge of workers' compensation processes and return-to-work practices.
• Strong understanding of confidential employee and medical information.
• Strong written and verbal communication skills.
• Excellent organization and follow-through skills.
• Strong attention to detail and ability to maintain accurate records.
• Ability to manage a high volume of claims and competing priorities.
• Strong problem-solving and critical-thinking skills.
• Ability to communicate professionally with employees, clients, insurance representatives, medical providers, and internal leadership.
• Proficiency with Microsoft Office and the ability to learn HR, claims, and case management systems.
• Key Competencies
• Workers' Compensation & Claims Management
• Multi-State Compliance
• Case Management
• Communication
• Organization & Follow-Through
• Attention to Detail
• Problem Solving
• Confidentiality
• Customer Service
• Time Management
• Collaboration
• Accountability
• Key Performance Indicators
• Success in this position may be measured by:
• Timely reporting and processing of workers' compensation claims.
• Accurate and complete claim documentation.
• Timely follow-up on open claims and outstanding actions.
• Effective communication with employees, clients, carriers, and adjusters.
• Timely return-to-work coordination.
• Compliance with applicable state requirements and deadlines.
• Effective management and resolution of open claims.
• Accurate workers' compensation reporting and tracking.
• Reduction of unnecessary claim delays and lost-time exposure.
• Physical Requirements
• Ability to work primarily in an office environment.
• Ability to sit and work at a computer for extended periods.
• Ability to communicate by telephone, email, and virtual communication platforms throughout the workday.
• Occasional travel may be required for meetings, training, client visits, or other business needs.

Pay:

$60,000.00 - $65,000.00 per year

Benefits:

401(k) Dental insurance Disability insurance Health insurance Paid time off Vision insurance

Work Location:

In person