Senior Manager, Workers' Compensation Claims

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 Intelligence, Onboarding, Legal, and Finance. You will carry your own caseload of complex and/or high exposure claims while providing day to day guidance and oversight to a small claims team. Operating within our PEO environment, you will serve as the first point of contact for escalations for the claims team, be a  trusted resource for customer facing claim inquiries and a key contributor to process improvement initiatives.

We’re helping businesses get off the ground by enabling them to focus on running their business. We’re data-driven and never stop iterating. If you’d like to work in a supportive, entrepreneurial environment, are interested in building something meaningful and having fun while doing it, we’d love to hear from you.

• 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.
• Onboard and train new claims staff, ensuring familiarity with PEO workflows, customer structures, and state-specific compliance requirements.
• Maintain current knowledge of WC statutes, filing requirements, and best practices across all jurisdictions in the company's footprint.
• Assist the Claims Director with reporting, loss trend analysis, and identifying process improvement opportunities.
• Perform other related duties as assigned

As a Senior Claims Manager, Workers Compensation, how results are achieved is paramount for your success and ultimately result in our success as an organization. In this role, your foundational knowledge, skills, abilities and personal attributes are anchored in the following competencies:

• Detail-oriented - exercises extreme attention to detail; is thorough, accurate, organized, and productive and seeks to understand both the cause and effect of a situation.
• Analytical - uses a logical reasoning process to break down and work through a situation or problem to arrive at an outcome.
• Clear communication - the ability to articulate thoughts and express ideas effectively using oral, written, visual and non-verbal communication skills, as well as listening skills to gain understanding.
• Good judgment - the exercise of critical thinking, analyzing and assessing problems and implications, identifying patterns, making connections of underlying issues, understanding risks and developing mitigation strategies, and taking ownership of the outcome.
• Organizational awareness - maneuvering comfortably through complex policy, process, and people-related organizational dynamics.
• Business insight - applying knowledge of business and the marketplace to advance the organization’s goals.
• Strategic mindset - anticipates future trends and implications accurately; articulates credible pictures and visions of possibilities that will create sustainable value.
• Nimble learning - actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.

In addition, all Justworkers focus on aligning their behaviors to our core values known as COGIS. It stands for :

• Camaraderie - Day to day you can be seen working together toward a higher purpose. You like to have fun. You’re an active listener, treat people respectfully, and have a strong desire to know and help others.
• Openness - Your default is to be open. You're willing to share information, understand other perspectives, and consider new possibilities. You’re curious, ask open questions, and are receptive to thoughts and feedback from others.
• Grit - You demonstrate grit by having the courage to commit and persevere. You’re committed, earnest, and dive in to get the job done well with a positive attitude.
• Integrity - Simply put, do what you say and say what you'll do. You’re honest and forthright, have a strong moral compass, and strive to match your words with your actions while leading by example. 
• Simplicity - Be like Einstein: “Everything should be made as simple as possible, but no simpler.” 

• 7+ 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
• Experience with vendor management
• Extremely detailed-oriented with great time management and organizational skills
• Proactive and curious with a bias for action

The base wage range for this position based in our New York City Office is targeted at $131,000.00 to $169,000.00 per year.

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