MANAGER - WORKERS COMPENSATION CLAIMS jobs in United States
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Seminole Gaming · 12 hours ago

MANAGER - WORKERS COMPENSATION CLAIMS

Seminole Gaming is responsible for managing the Workers Compensation Program for its various entities. The Workers’ Compensation Claims Manager will oversee claims management, collaborate with internal stakeholders, and ensure compliance with regulatory requirements while optimizing program outcomes.

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Responsibilities

Lead the Seminole Gaming, Hard Rock International and Seminole Hard Rock Support Services workers’ compensation claims program, including oversight of Third-Party Administrators (TPA)
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
Oversee vendor partnerships (e.g., defense firms, nurse case management, pharmacy benefit managers) to optimize outcomes and cost savings
Represent the company at mediations, hearings, and settlement conferences as needed
Ensure claims are reported timely to insurers and in compliance with company policies and regulatory requirements
Consult with attorneys, insurance adjusters and insurance carriers on claims strategy
Develop recurring reports on claims trends for the executive leadership team
Manage third-party claims administrator(s), including implementing proper claims handing instructions and period audits
In accordance with Company approval authorities, settle claims and set (and monitor) claim reserves
Collaborate with human resources department on employee return-to-work strategies
Collaborate with safety department on loss control strategies
Perform other duties or special projects as assigned

Qualification

Workers Compensation expertiseFlorida Insurance Adjuster licenseLeadership experienceClaims strategy developmentRegulatory compliance knowledgeMicrosoft software proficiencyOrganizational skillsInterpersonal skillsWritten communicationVerbal communication

Required

A minimum of five (5) years of experience working in workers compensation is required
State of Florida Insurance Adjuster 5-20 license is required
Possession of a valid Florida Driver's License is required
Demonstrate excellent organizational and interpersonal skills
Demonstrate excellent written and verbal communication skills
Demonstrate proficiency utilizing Microsoft software packages
Ability to travel to all Seminole Gaming reservations or any other existing and/or prospective Hard Rock International properties, and work a flexible schedule including evenings, weekends and holidays is a requirement

Preferred

A minimum of three (3) years of experience working in a leadership capacity is preferred
Associate in Claims (AIC) or Certification in Workers Compensation (CWC) is preferred
Knowledge of tribal regulations and business commercial laws and regulations is highly desirable

Company

Seminole Gaming

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The Seminole Tribe has long been recognized for innovation in its gaming and other businesses.