This position is responsible for the overall management of the workers’ compensation program for all work related injuries that occur at all locations. This focuses on: ensuring compliance with complex workers’ compensation regulations at both the State and Federal (e.g. OSHA, DOL) level; managing the effective administration of claims by the third party administrator and other service providers; and ensuring proper reporting and escalation of claims within

Essential Job Functions The incumbent must be able to perform all of the following duties and responsibilities with or without a reasonable accommodation.
• Design, manage and update the operational infrastructure of the workers’ compensation program – including related policies and procedures, service agreements and risk management information system.
• Manage the activities of the third party administrator (TPA), medical care management provider and broker retained to administer and adjudicate workers’ compensation claims. This also entails overseeing the day-to-day functions performed by the Risk Management – Workers Compensation Analyst. Oversee and directly support litigation management activities relating to all workers’ compensation matters.
• Direct and oversee the maintenance of complete and accurate claim management records. This includes overseeing the proper use and maintenance of the risk management information system, producing periodic reports for internal and external use, conducting regular claim reviews and audits, and maintaining documentation describing related processes, including training materials.
• Audit expenses relating to workers’ compensation program including monthly reconciliation. This includes effectively monitoring administrative fees, litigation, lost time and medical expense costs on an aggregate and individual claims basis. This also encompasses identifying and pursuing subrogation and lien opportunities.
• Review and approve TPA requests for reserve increases and settlement authority in coordination with Director of Ethics, Compliance & Risk Management. Ensure timely notice to excess carriers of exceptional claims. Support quarterly actuarial updates and annual insurance policy renewal processes.

• Location: San Diego
• Compensation: $75k
• Principals only. Recruiters, please don’t contact this job poster.
• Please, no phone calls about this job!
• Please do not contact job poster about other services, products or commercial interests.