Job SUMMARY

This position is responsible for coordinating the Company's Workers Compensation claims handling.

Job RESPONSIBILITIES

Claims Management:

• Ensure proper injury reporting procedures are followed, including medical management and claim investigation.
• Contact associates to address concerns, explain the role of the Insurance Carrier (IC), and provide ongoing support.
• Obtain and review diagnosis, treatment plans, and work status; coordinate return-to-work efforts with managers and HR.
• Enter claim details into Origami and forward relevant information to Broadspire.
• Review and approve initial claim reserves; recommend adjustments as necessary.
• Ensure adjusters are monitoring claims regularly, communicating with medical providers, and updating reserves as needed.
• Escalate issues if adjusters fail to monitor claims or reserves adequately.

Litigation and Settlement:

• Instruct adjusters on defense counsel for litigated claims and ensure files have updated plans of action with corresponding reserves.
• Evaluate settlement authority requests, ensuring they are well-supported and justified.
• Oversee claims until resolution, including medical treatment, financial recommendations, and risk mitigation.

Communication and Reporting:

• Maintain ongoing communication with the Primo management team and third-party insurers.
• Participate in mediations and hearings as required.
• Provide regular updates on claim status and review monthly claim activity for accuracy and completeness.
• Facilitate strategy sessions and ensure effective communication between all parties involved.

Data and Process Management

• Perform ongoing data reconciliation in Origami and review quarterly claims with the TPA.
• Approve pre-fund requests and ensure accurate reserve management.
• Collaborate with the Safety team to report and address unsafe or ergonomic challenges.

• Bachelor's degree or equivalent work experience
• Two to three years' experience in Claims Management and/or Workers' Compensation
• Proficiency in using insurance carrier/TPA data and claims management systems
• Strong understanding of technical claims procedures, medical protocols, and industry best practices
• Excellent critical thinking, analytical, and interpretive skills
• Ability to convey complex information clearly and professionally
• Proven ability to work effectively under pressure with minimal supervision and within strict guidelines
• Strong time management, multi-tasking, project management, and organizational skills
• Well-versed in applicable state workers' compensation laws
• Demonstrated sense of urgency, trust, confidentiality, and collaboration with all levels of the organization
• Good interpersonal skills and ability to work within a team environment
• Bilingual preferred

About Primo Water Corporation

https://primowater.com/

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