Workers' Compensation Manager

Work is Sweet!

'Quality without Compromise' is not just a motto at See's Candies. It is the most important ingredient in our recipe for success. See's Candies has been in business since 1921 and maintains a reputation for producing the highest quality candy and providing superior customer service.
See's is a leader in the confectionary industry with over 250 retail shops across the USA. We are seeking friendly, enthusiastic individuals who are passionate about providing great customer service.

Job Description Summary:

POSITION OBJECTIVE:

The Workers' Compensation Manager is responsible for designing, administering, and overseeing the workers' compensation program to ensure compliance, employee satisfaction, and cost-effectiveness.

The pay range for this position at commencement of employment is expected to be between $125,000k -$140,000k per year; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience.

Job Description:

Core duties include: 

• Managing the reporting, review, investigation, and processing of workers' compensation claims. 
• Approving medical services and costs related to worker injuries. 
• Ensuring compliance with state and federal workers' compensation laws and regulations. 
• Supervising staff involved in claims processing and medical screening programs, including return-to-work initiatives. 
• Participating in claim settlement discussions. 
• Coordinating with legal counsel on litigated cases and acting as a liaison in hearings. 
• Analyzing claims data to identify trends, fraud, or noncompliance. 
• Educating stakeholders, such as employers, employees, healthcare providers, and insurers, on best practices and program compliance. 
• Preparing reports on claims, settlements, and program performance. 
• Overseeing third-party claims administrators. 
• Collaborating with safety teams to develop and implement injury prevention programs. 
• Staying informed about changes in workers’ compensation laws and regulations. 
• Continuously review and improve claims programs to enhance outcomes and reduce costs. 
• Special Projects as required.

Skills and qualifications include: 

• Bachelor's degree in human resources, business administration, finance, or a related field 
• 5 + years of experience developing standard operating procedures and leading, implementing training efforts for internal cross functional teams.  
• Relevant experience includes 5+ years in workers' compensation, claims management, or compensation administration 
• Strong analytical and problem-solving skills for reviewing claims data, forecasting costs, and identifying trends or risks in compensation programs 
• Excellent communication and interpersonal skills to collaborate with employees, legal counsel, vendors, and senior management, and to explain complex compensation and benefits programs clearly 
• Knowledge of workers' compensation laws and regulations, claim handling procedures, medical and legal terminology, and relevant state and federal compliance requirements 
• Experience with claims administration, including negotiation and settlement of claims, coordinating with third-party administrators, and managing medical screening and return-to-work programs 
• Competency in vendor and stakeholder management, including coordination with attorneys, medical providers, and insurance carriers 
• Technology proficiency, including knowledge of claims management software and data analysis tools to track and report program performance 
• Ethical judgment and the ability to uphold company policies and legal standards 
• Ability to manage confidential and sensitive information with discretion 

Core Values 

All team members must demonstrate a commitment to See’s core principles and workplace values, including integrity, commitment, experience, and stewardship in all aspects of their work. 

 

The total compensation package for this position may also include other elements, in addition to a full range of generous medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary paym