Workers' Compensation Claims Manager jobs in Cleveland, OH

Workers' Compensation Claims Manager manages accountabilities in the administration of first and third party worker's compensation claims. Manages domestic and/or international claim management strategies critical to the organization's success. Being a Workers' Compensation Claims Manager is responsible for reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information. Manages litigated and moderately complex claims and is entrusted with significant settlement authority. Additionally, Workers' Compensation Claims Manager creates and develops relationships with claims adjusters, insurers, outside legal counsel, and other claims related parties. Directs workers' compensation claims policies and procedures within the claim information analysis. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Workers' Compensation Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Workers' Compensation Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

C
Senior Claims Examiner - Workers Compensation
  • Crawford & Company
  • Cleveland, OH OTHER
  • Excellence In Everything We Touch

    Position Summary

    Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Evaluates and sets reserves using independent judgment. Assists supervisor and company attorneys in preparing cases for litigations. Conducts training and mentors new hires.

     

     

     

    Responsibilities

    • Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
    • Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.   
    • Analyzes claims activity and prepares reports for clients/carriers and management.
    • Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
    • Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
    • Develops subrogation and third party recovery potential and follows reclaim procedures.
    • Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.

     

    Requirements

    • Bachelor's degree or equivalent experience.
    • Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
    • Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.
    • Ability to work independently while assimilating various technical subjects.
    • Strong written and oral communication, negotiation and presentation skills.
    • Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
    •  

    Preferred:

    • Industry designations such as IIA, AIC, AEI and/or CPCU

    About Us

    Why Crawford?

     

    Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.

     

    At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

     

    We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.

     

    When you accept a job with Crawford, you become a part of the One Crawford family. 

     

    • Our total compensation plans provide each of our employees with far more than just a great salary
    • Pay and incentive plans that recognize performance excellence
    • Benefit programs that empower financial, physical, and mental wellness
    • Training programs that promote continuous learning and career progression while enhancing job performance
    • Sustainability programs that give back to the communities in which we live and work
    • A culture of respect, collaboration, entrepreneurial spirit and inclusion

     

    Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

     

     

     

     

    #LI-KE1

  • 13 Days Ago

C
Senior Claims Examiner - Workers Compensation
  • Crawford & Company
  • Cleveland, OH OTHER
  • Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on m...
  • 13 Days Ago

P
Senior Lost Time Claims Adjuster - Workers Compensation
  • PMA Companies
  • Cleveland, OH FULL_TIME
  • As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropria...
  • 1 Day Ago

P
Senior Lost Time Claims Adjuster - Workers Compensation
  • PMA COMPANIES
  • Cleveland, OH FULL_TIME
  • As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropria...
  • 6 Days Ago

P
Workers' Compensation Defense Paralegal
  • Perez & Morris LLC
  • Cleveland, OH FULL_TIME
  • Perez Morris is a women-owned business defense law firm headquartered in Columbus, Ohio, with offices in Cleveland, Ohio, New York, New Jersey, Pennsylvania, Connecticut, and Massachusetts. Our attorn...
  • 29 Days Ago

G
Attorney, Employment Law and Workers' Compensation
  • Gertsburg Licata Co., LPA
  • Cleveland, OH FULL_TIME
  • Gertsburg Licata Co., LPA, is seeking an experienced, Senior Attorney with a proven track record in Employment Law/Workman's Compensation to join our firm in Cleveland, Ohio! OUR MISSION IS TO CREATE ...
  • 17 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Workers' Compensation Claims Manager jobs found in Cleveland, OH area

E
Payroll Manager - Remote
  • Engine Room
  • Cleveland, OH
  • Killer opportunity for first-class payroll talent Who we are: Engine Room serves as the finance and accounting nerve cen...
  • 4/23/2024 12:00:00 AM

T
EHS Specialist
  • Tarkett
  • Middlefield, OH
  • Tarkett is seeking a hands-on EHS Specialist for our plant and distribution center in Middlefield, OH. The EHS Specialis...
  • 4/23/2024 12:00:00 AM

S
Human Resources Generalist
  • SPECTRUM
  • Cleveland, OH
  • Forbes has once again named Spectrum as one of Americas Best-In-State Employers and one of Americas Best Employers for V...
  • 4/22/2024 12:00:00 AM

A
Environmental, Health & Safety Manager
  • ASR Group International, Inc.
  • Cleveland, OH
  • Location: Cleveland, OH, US * Implements, manages, and monitors all environmental, health, safety, and programs at multi...
  • 4/21/2024 12:00:00 AM

E
Payroll Manager - Remote
  • Engine Room
  • Cleveland, OH
  • Killer opportunity for first-class payroll talent Who we are: Engine Room serves as the finance and accounting nerve cen...
  • 4/21/2024 12:00:00 AM

S
Human Resources Manager
  • Staffing Solutions Enterprises
  • Lakewood, OH
  • We are excited to partner with our Westside manufacturing client to identify a passionate, caring HR Manager! An ideal c...
  • 4/20/2024 12:00:00 AM

C
Equity, Diversity, and Inclusion (EDI) Program Manager
  • Cuyahoga County Board of Health
  • Cleveland, OH
  • POSITION AVAILABLE Position: Equity, Diversity, and Inclusion (EDI) Program Manager Reports to: EDI Director Position to...
  • 4/20/2024 12:00:00 AM

A
HR Consultant
  • Arrowhead Talent Solutions
  • Cleveland, OH
  • Essential Job Functions Client Services Provides client support on HR matters; provides extensive consultation with rega...
  • 4/20/2024 12:00:00 AM

Cleveland (/ˈkliːvlənd/ KLEEV-lənd) is a major city in the U.S. state of Ohio, and the county seat of Cuyahoga County. The city proper has a population of 385,525, making it the 51st-largest city in the United States, and the second-largest city in Ohio. Greater Cleveland is ranked as the 32nd-largest metropolitan area in the U.S., with 2,055,612 people in 2016. The city anchors the Cleveland–Akron–Canton Combined Statistical Area, which had a population of 3,515,646 in 2010 and is ranked 15th in the United States. The city is located on the southern shore of Lake Erie, approximately 60 miles ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Workers' Compensation Claims Manager jobs
$83,816 to $108,276
Cleveland, Ohio area prices
were up 1.6% from a year ago

Workers' Compensation Claims Manager in Rockford, IL
The title of Nurse Case Manager is the most frequently used name for the role, but like workers’ comp adjusters are sometimes referred to as claim examiners, there are other names for the NCM. In some insurance companies the role is referred to as the “workers compensation case manager” or “injury management facilitator” or “field case manager” (FCM) if most of the work is done away from the office, or “telephonic case manager” (TCM) if the work is done in the office by using the telephone.
December 07, 2019
Workers' Compensation Claims Manager in Mcallen, TX
The Division contracts with a third-party administrator for the processing of state employees’ workers’ compensation claims through a managed-care framework that includes a provider network and pharmacy management. The Division’s staff monitors the work done by the administrator and acts as a liaison between state employees, the third party administrator, and medical providers.
February 08, 2020
Workers' Compensation Claims Manager in Salt Lake City, UT
Some employers will have workers fill out an incident report, while others will be satisfied with just a simple written or emailed notification.
January 27, 2020