Job Description

Title

Workers' Compensation Claims Advisor (WC Claims, RMIS, Risk Management, Remote) Job Overview

CRH Americas, Inc. is seeking a to partner with local business units and serve as an expert in WC claims management. This remote role focuses on collaborating with third-party administrators and coordinating with business units to improve WC claims outcomes and reduce costs.

Why This Role Stands Out

• Serve as an expert in Workers' Compensation claims management, minimizing liabilities for CRH Americas.
• Drive improved WC claims outcomes and cost reduction through strategic collaboration with TPAs and business units.
• Provide direct claims management, settlement evaluation, and crucial WC regulatory education to local business units.
• Utilize RMIS systems to monitor claims and produce key metrics, influencing strategic decisions.

Who This Role Is For

• An experienced professional with a minimum of seven years in Workers' Compensation claims management.
• An expert in WC technical knowledge and case law across Eastern U.S. states (Maine to Florida).
• A collaborative individual skilled in partnering with TPAs, medical, and legal professionals.
• Someone proficient in RMIS systems and Microsoft Office, capable of monitoring claims and producing metrics.
• A candidate with a Bachelor's degree in risk management, Finance, or Nursing, with a preference for professional designation.

What You'll Do

• Partner with local business units, TPAs, and medical partners for effective WC treatment options.
• Communicate WC claims' exposures and WC claims' reserve needs.
• Participate in and coach local business units during WC claims' reviews with TPA.
• Utilize RMIS system to monitor WC claims and produce WC claims' metrics.
• Provide WC claims' management education and WC regulatory updates to local business units.
• Complete WCB assessments and other WC regulatory reporting requirements.

What We're Looking For

• Bachelor's degree in risk management, Finance, or Nursing background.
• Minimum seven (7) years of experience managing WC claims.
• WC technical knowledge and WC case law in states from Maine to Florida.
• Demonstrated skills collaborating with TPA, medical, and legal partners.
• Proficient in Microsoft Office and RMIS systems.
• Professional designation preferred.
• Exposure to the building materials, construction, or manufacturing sectors preferred.

Job Tags

Work at office, Local area, Remote work

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