The opportunity
As a Senior Claims Manager of Workers Comp (WC), you will work collaboratively within Justworks’ Workers Compensation Team as well as cross-functionally with teams across Justworks including: Customer Success, Technology, Engineering & Product, Accounting, Business…
What you'll do
Supervise and support a small claims team providing daily direction, workload: oversight and performance coaching.
Manage your own active caseload of complex, litigated, and high-severity: claims from First Notice of Loss through closure.
Review coverage decisions, reserves and settlement recommendations to ensure: accuracy, consistency and alignment with company guidelines.
Serve as the primary escalation point for difficult claims, coverage: disputes, or customer concerns that exceed team members authority levels.
Conduct regular file audits and quality reviews, delivering constructive: feedback to improve individual and team performance.
Coordinate with TPAs, carriers, defense counsel, medical providers, and nurse: case managers to drive timely, cost-effective claim resolutions.
What they're looking for
- + years of experience in a Third Party Claims Administration(TPA) or PEO experience in claims.
- Some experience mentoring, training or informally leading peers or junior claims associates
- Working knowledge of WC regulations in multiple states, ability to navigate: jurisdictional differences confidently
- Solid reserving skills and understanding of indemnity, medical and expense components of claim financials.
- Strong organizational and communication skills; comfortable interacting: directly with PEO customers and external partners.
- Proficiency with claims management systems an/or RMIS platforms
- Experience supporting Return to Work programs and managed care coordination
- Experience working cross-functionally
