Spec III - Workers Compensation and Risk

Job description

JOB SUMMARY: The Workers’ Compensation and Risk Specialist III is responsible for managing complex workers’ compensation claims and serving as a subject matter expert for the organization’s workers’ compensation program. This role leads high-exposure claim strategies, partners cross-functionally to reduce risk, and drives continuous improvement in claim outcomes, cost containment, and employee experience. The Specialist III also plays a key role in enterprise risk management initiatives and mentors junior team members. ESSENTIAL DUTIES AND RESPONSIBILITIES: Claims Management & Strategic Oversight: - Manage the full lifecycle of workers’ compensation claims, including complex, high-exposure, litigated, and multi-jurisdictional cases - Serve as escalation point for challenging claims, providing guidance on compensability, reserves, and settlement strategy - Develop and implement claim strategies to optimize outcomes, minimize risk exposure, and control total cost of risk - Lead regular claim reviews with TPAs, carriers, and internal stakeholders to ensure proactive claim handling - Establish appropriate reserves and approve settlements within expanded authority guidelines - Identify...