ConsultNet Technology Services and Solutions · 1 day ago
Workers Compensation Claims Manager
Independence, OH
Full-time
Hybrid
Senior LevelConsultNet is a premier national provider of technology talent and solutions, and they are seeking a Workers Compensation Claims Manager to oversee their claims program. The role involves managing complex claims, ensuring compliance with regulations, and collaborating with various stakeholders to optimize program outcomes.
Human ResourcesInformation TechnologyStaffing Agency
Responsibilities
Lead workers' compensation claims program, including oversight of Analysts, Supervisor(s), TPAs, and defense counsel
Manage litigated and complex claims, including settlement authority and strategy development
Monitor and evaluate TPA performance, ensuring compliance with service standards and KPIs
Collaborate with internal stakeholders to identify claim trends, mitigate risk exposures, and support workplace safety initiatives
Develop, analyze, and present executive-ready reports on program performance, claim trends, and cost-containment results
Ensure compliance with federal and state regulatory requirements, including Medicare reporting
Oversee vendor partnerships (e.g., defense firms, nurse case management, pharmacy benefit managers) to optimize outcomes and cost savings
Provide leadership, coaching, and performance management for Workers' Compensation Analysts, including annual reviews and professional development
Represent the company at mediations, hearings, and settlement conferences as needed
Qualification
Required
Strong technical expertise in workers' compensation
Proven leadership skills
Ability to translate complex claims data into actionable insights for the business
Experience managing litigated and complex claims, including settlement authority and strategy development
Experience monitoring and evaluating TPA performance, ensuring compliance with service standards and KPIs
Ability to collaborate with internal stakeholders to identify claim trends, mitigate risk exposures, and support workplace safety initiatives
Experience developing, analyzing, and presenting executive-ready reports on program performance, claim trends, and cost-containment results
Knowledge of compliance with federal and state regulatory requirements, including Medicare reporting
Experience overseeing vendor partnerships to optimize outcomes and cost savings
Experience providing leadership, coaching, and performance management for Workers' Compensation Analysts, including annual reviews and professional development
Ability to represent the company at mediations, hearings, and settlement conferences as needed
Company
ConsultNet Technology Services and Solutions
ConsultNet is a talent solutions company that helps businesses solve complex challenges by integrating talent, technology, and scalable delivery models.
Founded in 1996
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Marnie Nuttall
Chief Financial Officer
Company data provided by crunchbase