Sr. Risk Management Advisor, Workers’ Compensation Claims takes responsibility for executing initiatives that support short and long-term workers’ compensation claims administration strategies. The Sr. Risk Management Advisor, Workers’ Compensation Claims is responsible for the administration of the workers’ compensation programs and oversight of third-party adjusters and outside counsel assigned to workers’ compensation matters. This role collaborates with a broad spectrum of internal departments to include Employee Relations, Law, Benefits, Operations, and Corporate Reporting to develop and implement strategies to minimize risk and claims costs.
ROLES AND RESPONSIBILITIES:
- Responsible for implementation and administration of workers’ compensation claims handling protocols and Darden special handling instructions through a focus on outcomes (reserving, settlement consult levels; claim audits/reviews, and subrogation).
- Effective use of claims best practice techniques to identify trends, mitigate claim costs, and develops and implements programs that will support program goals.
- Facilitates roundtables with external and internal parties to discuss claims.
- Manages the practice and the audit of the practices used in workers’ compensation claims by claims service providers as required by Darden internal financial controls requirements for compliance with Sarbanes-Oxley.
- Manage the worker’s compensation claims litigation process with internal stakeholders, the claims handler and outside counsel, attend legal proceedings as required.
- Responsible for compliance with quarterly and annual self-insured state workers’ compensation filing requirements and manages audits relative to self-insurance in Washington and Ohio.
- Provide oversight to Canadian workers’ compensation program.
- Responsible for providing excellent customer service levels to restaurant operators for issues involving claim reporting, medical bill payment, return to work, claim charges to restaurant P&Ls.
- Collaborate with the Safety team to create and implement injury prevention initiatives and programs.
- Cross train and back-up the public liability claims administration program as needed.
- Handle special projects or other duties assigned.
REQUIRED TECHNICAL SKILLS:
- Demonstrated understanding of workers’ compensation claims.
- Demonstrated understanding of subrogation claims.
- Demonstrated understanding of insurance claims litigation management.
REQUIRED EDUCATION:
- 3 – 5 years prior experience adjusting or overseeing claims handling at a third-party claims administrator, insurance company or in a corporate risk management department.
OTHER KEY QUALIFICATIONS:
- Demonstrated strategic leadership experience on highly visible business initiatives.
- Excellent oral, written and presentation skills.
- Demonstrated ability to interact and manage at all levels of the organization.
- Ability to professionally handle sensitive information and maintain a high level of confidentiality.
- Proficiency in Microsoft operating systems, RMIS systems and ability to adapt quickly to changing technology.
- Strong analytical ability, common sense and patience.
- Strong organization, time management skills and ability to multi-task.
- Ability to meet aggressive deadlines with accurate and concise analyses.
- Ability to prioritize effectively to move multiple concurrent projects to completion.
- Ability to travel overnight occasionally.
PREFERRED SKILLS AND EXPERIENCE:
- Bachelor’s Degree Preferred.
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