AVP, Claims - Workers Compensation jobs in United States
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NIP Group · 4 days ago

AVP, Claims - Workers Compensation

NIP Group is a rapidly growing insurance service provider specializing in commercial insurance solutions. They are seeking an experienced Associate Vice President, Claims – Workers Compensation to oversee and manage multiple Third Party Administrators handling workers' compensation claims, ensuring best-in-class outcomes and exceptional client service.

Financial ServicesInformation TechnologyInsurance
Hiring Manager
Brandon Battles, M.S., SPHR, PMP
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Responsibilities

Assist in directing the workers’ compensation claims management process, ensuring execution of best practices to reduce total claim costs while maintaining high client service standards
Provide technical direction to TPA workers’ compensation adjusters on significant claims, complex compensability issues, and occasional coverage matters
Manage quality assurance programs to evaluate TPAs and defense panels for adherence to claims handling standards
Ensure case reserves align with NIP operational guidelines and reserve philosophy
Directly oversee TPA activities on workers’ compensation claims and ensure claim handling consistency across programs
Analyze claims results relative to established objectives; report key findings and recommend remedial actions where necessary
Participate with TPA leadership in evaluating panel counsel performance; recommend additions or removals of counsel when appropriate
Provide technical support to internal business partners, including underwriting and loss prevention teams
Build strong relationships with excess carriers to ensure timely reporting, appropriate claim escalation, and authorization within excess layers
Develop and deliver presentations for internal and external audiences on individual claims, New Jersey workers’ compensation law updates, claim practices, and industry trends

Qualification

Workers' Compensation claimsClaims management experienceState workers' compensation systemsInsurance contracts knowledgeMicrosoft Office proficiencyPlanningCommunication skillsOrganizational skillsDecision-making ability

Required

Bachelor's degree required, or equivalent relevant work experience
7+ years of claim management experience
10+ years of administering Workers' Compensation claims for an insurance carrier, TPA, or risk management provider
Advanced knowledge of state workers' compensation claims systems and applicable statutes, including cost containment mechanisms
Strong understanding of insurance contracts and adjusting practices; familiarity with medical terminology, legal procedures, and claim evaluation
Ability to make sound decisions, including in situations with limited information
Strong planning, organizational, and time management capabilities
Strong communication skills and ability to partner effectively across teams and leadership levels
Proficiency in Microsoft Office (Word, Excel, PowerPoint)

Preferred

Experience with various workers' compensation claim systems strongly preferred

Benefits

Competitive compensation to reward you for your hard work every day.
Progressive Paid-Time Off program for you to enjoy time out of the office, including time off for volunteering and life events.
Group Medical, Dental, Vision and Life insurance to encourage a healthy lifestyle.
Pretax Health and Dependent Care Spending Accounts to ease taxes on spending.
Discounts in retail and entertainment.

Company

NIP Group

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NIP Group is an insurance company offering business insurance and risk management services.

Funding

Current Stage
Growth Stage

Leadership Team

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Jennifer Pressley
Senior Vice President and Chief Financial Officer
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E
Erik Lindemann
SVP and General Counsel
Company data provided by crunchbase