Workers’ Claims Manager

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Are you a driven, ambitious, and energetic sales professional looking for your next challenge? Join Insurance Program Managers Group (IPMG) and become part of a dynamic team committed to innovation! For the past 27 years, our mission has been to create one‑of‑a‑kind solutions for our partners. We bring proactive and tailored approaches to our clients, valuing the unique contribution of each team member.

Together, we shape our identity and drive transformative change for our clients.

We are seeking a Workers’ Compensation Claims Manager. This role is a management position overseeing the Workers’ Compensation Claims Teams including Team Leaders and Adjusters to develop future leadership capabilities and quality claims outcomes. This role requires 5+ years management experience and strong technical expertise. This is a work from home hybrid position with 2–3 required weekly days in office based on performance production.

This is a full‑time, exempt position.

• Ensures Claims Best Practices guidelines are followed consistently with strong technical understanding of Worker’s Compensation Claim Handling
• Ensures that defined processes, quality standards and procedures are followed
• When appropriate, coaches to ensure contact with employers, injured employees, doctors, witnesses, and other parties are secured and obtain details about the loss
• Coaches and determines appropriate action for each claim
• Ensures file notes by team are in accordance with established procedures, maintains timely diary management, updates accurate coding and claim closing goals and coaches to same
• Timely addresses direct intervention alerts with proper direction and documentation with oversight of subordinate adherence to same
• Coaches to ensure adjuster provides timely information to clients, claimants, doctors, and others regarding the status of claims
• Ensures team sets initial and on‑going reserves for all indemnity, medical and expense exposure
• Authorizes settlement authority requests and reserve authority requests
• Properly and timely leverages management control reports for best practice adherence with further leveraging of Key Performance Indicator reports to ensure staff objectives are met
• Ensures the staff efficiently utilizes Nurse Case Management as needed for complex claims and ensure Team follows through with agreed service level agreements (SLA) between departments by showing urgency in authorization requests
• Ensures staff are efficiently leveraging risk management where warranted where lost time and or modified duty practices are not being utilized by program client
• Ensures staff are working with defense regarding questionable compensability scenarios and IME doctor selection to ensure optimal outcome
• Ensures staff are proactively managing defense counsel in line with best practices litigation handling guidelines with adherence to reporting and budget discipline
• Ensures staff are consistently identifying subrogation opportunities with proper and timely referral to the unit subrogation specialist
• Ensures staff are accurately and timely effectuating claim transfers to correct level adjuster as prescribed by client service plan and/or BP Guideline
• Ensures team consistently recognizes clients that participate in occupational health structures with compliance to their respective special protocols and coaches to ensure adherence to the same
• Effectively assesses strengths and weaknesses of team for development and training opportunities to ensure optimal service standards are met and optimal outcomes achieved
• Ensures staff are consistently executing Medicare and Section 111 requirements with proper leveraging of control reports to monitor outcome
• Superior knowledge in multiple jurisdictions
• Recognize client specific venues and…