Talent.com
Sr Workers Compensation Claims Administrator (Marlborough)
Sr Workers Compensation Claims Administrator (Marlborough)The TJX Companies, Inc. • Marlborough, MA, US
No longer accepting applications
Sr Workers Compensation Claims Administrator (Marlborough)

Sr Workers Compensation Claims Administrator (Marlborough)

The TJX Companies, Inc. • Marlborough, MA, US
27 days ago
Job type
  • Part-time
Job description

Sr Workers Compensation Claims Administrator

The Opportunity : Contribute To The Growth Of Your Career.

The Senior Workers Compensation Claims Administrator administrates and coordinates the investigation, reporting, payment defense, and subrogation of insurance claims processed through insurance companies. They assist in the implementation and coordination of Risk Management policy and projects through communication with Store, District and Regional Management. They maintain a pro-active approach in controlling cost of claims.

Who We Are Looking For : You.

  • Manages lost time and medical only claims for designated states. Reviews claims for thorough investigation. Monitor claims to ensure that the TPA complies with TJX guidelines.
  • Provides support to store management, injured worker, and field. Monitors ongoing medical treatment and follows for work restrictions. Process Workers Compensation coding.
  • Administers the Return to Work Program. Coordinates injured workers return to work with store management, nurse case management and claims adjuster. Monitor the claim until injured worker has successfully to return to work.
  • Monitors litigated files. Consults with defense to determine best case strategy to bring the case the resolution. Reviews settlement evaluations and determines if appropriate. Request settlement authority from management.
  • Provides guidance on Risk Management policy and procedures. Identifies all high value claim and consults with Manager. Reviews reserves and allocated expenses from inception of the claim to conclusion for adequacy.
  • Attend telephonic claims reviews for designated states. Performs special projects as assigned, but not limited to, assisting in required paperwork and documentation (i.e. Workers Compensation Posters, OSHA Survey Questions, etc.)
  • Performs other duties as assigned

Qualifications

  • 5+ years of experience managing workers compensation claims
  • Bachelors degree or equivalent experience
  • Analytical skills with strong attention to detail and follow up
  • Ability to prioritize and effectively manage time
  • Confidentiality is a must
  • Ability to work independently and in a team environment
  • Comfortable interpreting and communicating complex technical information with internal and external partners including legal counsel
  • Experience with general insurance principles, Workers Compensation law, and litigation management
  • This position is hybrid requiring at least two days per week in the Marlborough, MA office and is not open to remote.

    Create a job alert for this search

    Claim Administrator • Marlborough, MA, US

    Related jobs
    Workers' Compensation Team Lead

    Workers' Compensation Team Lead

    VirtualVocations • Lowell, Massachusetts, United States
    Full-time
    A company is looking for a Workers' Compensation Claims Team Lead.Key Responsibilities Evaluate, reserve, and manage lost time Workers' Compensation claims Oversee team performance and developme...Show more
    Last updated: 7 hours ago • Promoted • New!
    Workers Compensation Adjuster

    Workers Compensation Adjuster

    VirtualVocations • Worcester, Massachusetts, United States
    Full-time
    A company is looking for a Workers Compensation Subro Claims Adjuster.Key Responsibilities Analyze claims exposure and litigation to determine proper resolution strategies Interact with various ...Show more
    Last updated: 30+ days ago • Promoted
    Claims Resolution Adjuster

    Claims Resolution Adjuster

    VirtualVocations • Lowell, Massachusetts, United States
    Full-time
    A company is looking for a Claims Resolution Adjuster - Remote (EST / CST).Key Responsibilities Investigate automobile accidents involving bodily injury Assess coverage, liability, and damages whi...Show more
    Last updated: 30+ days ago • Promoted
    Workers' Compensation Claims Assistant

    Workers' Compensation Claims Assistant

    VirtualVocations • Lowell, Massachusetts, United States
    Full-time
    A company is looking for a Claims Assistant.Key Responsibilities Provide administrative and technical support for Claims Adjusters Process payments and prepare legal and medical documents Commu...Show more
    Last updated: 3 days ago • Promoted
    Claims Liaison

    Claims Liaison

    VirtualVocations • Lowell, Massachusetts, United States
    Full-time
    A company is looking for a Claims Liaison to coordinate and manage the claims process following disasters.Key Responsibilities Lead initial contact with insured, vendors, and other parties to gat...Show more
    Last updated: 30+ days ago • Promoted
    New York Licensed Claims Specialist

    New York Licensed Claims Specialist

    VirtualVocations • Lowell, Massachusetts, United States
    Full-time
    A company is looking for a Medical Claims Resolution Specialist II.Key Responsibilities Negotiate health care claims and bills with providers to achieve maximum discounts and savings Perform cla...Show more
    Last updated: 30+ days ago • Promoted
    Workers' Compensation Claims Coordinator

    Workers' Compensation Claims Coordinator

    VirtualVocations • Worcester, Massachusetts, United States
    Full-time
    A company is looking for a Workers' Compensation Claims Coordinator.Key Responsibilities Intake and process all workplace incidents and WC claims accurately and quickly in the claims system Init...Show more
    Last updated: 3 days ago • Promoted
    Ambulance Biller Lead

    Ambulance Biller Lead

    VirtualVocations • Worcester, Massachusetts, United States
    Full-time
    A company is looking for an Accounts Receivable Lead.Key Responsibilities Manage revenue cycles related to outstanding insurance accounts receivable, denials, and appeals Act as a subject matter...Show more
    Last updated: 3 days ago • Promoted
    Senior Workers Compensation Adjuster

    Senior Workers Compensation Adjuster

    VirtualVocations • Worcester, Massachusetts, United States
    Full-time
    A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Manage claims by analyzing exposure and planning appropriate resolutions Communicate effectively with ...Show more
    Last updated: 30+ days ago • Promoted
    California Licensed Workers Compensation Adjuster

    California Licensed Workers Compensation Adjuster

    VirtualVocations • Lowell, Massachusetts, United States
    Full-time
    A company is looking for a Workers Compensation Claims Adjuster to manage and resolve claims effectively.Key Responsibilities Analyze claims exposure and litigation to determine appropriate resol...Show more
    Last updated: 30+ days ago • Promoted
    California Workers Compensation Adjuster

    California Workers Compensation Adjuster

    VirtualVocations • Lowell, Massachusetts, United States
    Full-time
    A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Manage claims by analyzing exposure and planning appropriate resolutions Communicate effectively with ...Show more
    Last updated: 5 hours ago • Promoted • New!
    Sr Workers Comp Claims Specialist

    Sr Workers Comp Claims Specialist

    BJ's Wholesale Club • Marlborough, MA, US
    Full-time
    BJ's Club Support Center Job Opportunity.Join our team of more than 34,000 team members, supporting our members and communities in our Club Support Center, 235+ clubs and eight distribution centers...Show more
    Last updated: 30+ days ago • Promoted
    Senior Workers Comp Claims Adjuster

    Senior Workers Comp Claims Adjuster

    VirtualVocations • Lowell, Massachusetts, United States
    Full-time
    A company is looking for a Senior Federal Workers Comp Claims Adjuster.Key Responsibilities Execute claims management decisions to analyze and resolve claims exposure Interact with various parti...Show more
    Last updated: 12 hours ago • Promoted • New!
    Claims Examiner I

    Claims Examiner I

    VirtualVocations • Lowell, Massachusetts, United States
    Full-time
    A company is looking for a Claims Examiner I to join their Claims department.Key Responsibilities Process claims accurately and efficiently, ensuring all necessary information is verified Enter ...Show more
    Last updated: 30+ days ago • Promoted
    New England Claims Specialist

    New England Claims Specialist

    CorVel Enterprise Claims, Inc. • Boxboro, MA, US
    Full-time
    The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outco...Show more
    Last updated: 12 days ago • Promoted
    Sr Contracts Administrator

    Sr Contracts Administrator

    BAE Systems • Nashua, NH, US
    Full-time
    Join a dynamic Contracts team that supports the delivery of mission critical capabilities across a diverse portfolio of government, commercial and international end customers.The Contracts organiza...Show more
    Last updated: 30+ days ago • Promoted
    Workers Compensation Claims Specialist

    Workers Compensation Claims Specialist

    VirtualVocations • Worcester, Massachusetts, United States
    Full-time
    A company is looking for a Workers Comp Claims Representative.Key Responsibilities Maintain a queue of Workers' Compensation accounts and ensure timely claims processing Contact relevant parties...Show more
    Last updated: 30+ days ago • Promoted
    Insurance Claims Specialist

    Insurance Claims Specialist

    VirtualVocations • Worcester, Massachusetts, United States
    Full-time
    A company is looking for an Insurance Claims Specialist - HB.Key Responsibilities Submits accurate and timely claims to third party payers Resolves claim edits and account errors prior to claim ...Show more
    Last updated: 30+ days ago • Promoted
    Benefits Administrator

    Benefits Administrator

    Unitek Technical Services • Acton, MA, US
    Part-time
    NQA, a Kiwa Company, has an excellent opportunity for a Benefits Administrator to support our HR Leaders.The benefits administrator position is responsible for the day-to-day operations of group be...Show more
    Last updated: 30+ days ago • Promoted
    Workers Compensation Claims Adjuster (GA, NC, SC)

    Workers Compensation Claims Adjuster (GA, NC, SC)

    VirtualVocations • Lowell, Massachusetts, United States
    Full-time
    A company is looking for a Senior Workers Compensation Claims Adjuster - Grocery.Key Responsibilities Execute decision-making to analyze claims exposure and resolve claims effectively Interact w...Show more
    Last updated: 30+ days ago • Promoted