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Whitsons Culinary Group · 1 week ago

Workers' Compensation Specialist

Islandia, NY

Full-time

Onsite

Mid Level

$100K/yr - $125K/yr

3+ years exp

Whitsons Culinary Group is seeking a Workers' Compensation Specialist to manage the end-to-end workers’ compensation claims process. This role involves acting as the primary liaison between the company, Third Party Administrator, insurance carriers, and internal stakeholders to ensure timely and cost-effective resolution of claims while supporting employee well-being.

Food and BeverageFood DeliveryFood ProcessingRestaurantsWholesale

Hiring Manager

Joe Taranto

Responsibilities

Serve as the primary point of contact with the Third-Party Administrator (TPA) for all workers’ compensation claims

Manage the full life cycle of each claim, from incident reporting through closure

Ensure timely and accurate submission of all required claim documentation

Monitor claim activity, medical treatment, indemnity payments, and return-to-work status

Proactively identify claims that require escalation, intervention, or additional medical or legal review

Actively manage reserves, settlements, and claim strategies to minimize financial exposure to the company

Review and challenge inappropriate claim charges, treatment plans, or reserve levels with the TPA

Identify opportunities for early return-to-work, light duty, or modified assignments

Support litigation management and coordinate with legal counsel as required

Contact injured team members promptly following claim submission to express concern, explain the process, and ensure proper care is being provided

Maintain ongoing communication with employees throughout the claim to support recovery and reinforce engagement

Serve as a trusted resource to answer questions about benefits, medical treatment, and return-to-work expectations

Partner with HR and Operations to ensure smooth reintegration of employees returning from injury

Track and report on claim metrics including new claims, closed claims, open claims, reserves, medical and indemnity costs, and trends

Prepare regular dashboards and reports for HR, Safety, Finance, and executive leadership

Monitor claims data to identify patterns, risk drivers, and opportunities for loss prevention

Ensure compliance with federal, state, and insurance reporting requirements

Partner with Safety, HR, Operations, to improve injury prevention, reporting accuracy, and claim outcomes

Participate in incident reviews and root-cause analysis to reduce future claims

Support training and awareness initiatives related to injury reporting and workers’ compensation procedures

Recommend and implement process improvements to strengthen claim handling and cost control

Adapt to evolving organizational priorities by taking on special assignments and interim responsibilities as requested

Support insurance renewals, audits, and claims reviews

Participate in system upgrades or reporting enhancements related to workers’ compensation and risk management

Perform other related duties as assigned

Qualification

Claims ManagementRisk ManagementWorkers' Compensation LawsData AnalyticsMicrosoft Office 365Interpersonal SkillsProblem SolvingAttention to DetailCommunication SkillsCollaboration

Required

Minimum of 3–5 years of workers' compensation, claims management, or risk management experience

Experience working directly with TPAs, insurance carriers, and medical providers

Strong understanding of workers' compensation laws, claim life cycles, and cost-containment strategies

Strong analytical and organizational skills with high attention to detail

Excellent interpersonal skills with the ability to communicate compassionately with injured employees while maintaining firm claim oversight

Ability to manage sensitive, confidential information with professionalism and discretion

Strong problem-solving skills and ability to manage multiple claims and deadlines

Proficient in Microsoft Office 365 (Excel, Word, Outlook)

Claims & Risk Management

Problem Solving / Analysis

Communication Skills

Attention to Detail

Employee Advocacy & Customer Service

Financial Acumen

Compliance Orientation

Collaboration

Organization & Time Management

Preferred

Bachelor's degree in human resources, Business Administration, Risk Management, or a related field preferred

Experience with claims management systems and reporting platforms preferred

Benefits

Health

Dental

Vision

401(k) with company match

Generous PTO

Paid holidays

Company

Whitsons Culinary Group

Founded in 1979, Whitsons Culinary Group® provides dining services to consumers in both public and private organizations throughout the United States, and our Whitsons Family of Companies continues to grow as we expand across the country.

Founded in 1979

Islandia, New York, USA

1001-5000 employees