Workers Compensation and Claims Specialist

Position Summary

The Workers' Compensation & Liability Specialist is responsible for administering and managing the organization's workers' compensation, general liability, and auto liability claims programs. This position serves as the primary liaison between employees, operations, insurance carriers, third-party administrators (TPAs), legal counsel, healthcare providers, and regulatory agencies to ensure timely reporting, effective claims management, regulatory compliance, and cost containment. The specialist works closely with Environmental, Health & Safety (EHS), Human Resources, Operations, Fleet, and Risk Management to reduce claim frequency and severity while supporting injured employees throughout the return-to-work process. This role is particularly important in transportation, infrastructure services, construction, utility, and field operations environments.

About the Role

This role requires a comprehensive understanding of workers' compensation and liability claims management, as well as strong communication and coordination skills. The specialist must be able to manage multiple claims simultaneously, ensuring compliance with state and federal regulations, and support injured employees through the return-to-work process.

Responsibilities

• Manage the complete lifecycle of workers' compensation claims from initial injury through claim closure.
• Ensure all occupational injuries and illnesses are reported promptly and accurately.
• Coordinate with supervisors to obtain incident reports, witness statements, photographs, and supporting documentation.
• Maintain compliance with state workers' compensation reporting requirements.
• Communicate regularly with injured employees regarding claim status and return-to-work expectations.
• Coordinate medical treatment with occupational health providers.
• Monitor medical restrictions and facilitate modified-duty assignments.
• Review reserves, treatment plans, indemnity payments, and claim strategies with TPAs.
• Identify opportunities for early intervention to reduce claim costs.
• Participate in claim review meetings with insurance carriers and TPAs.
• Manage general liability, automobile liability, and property damage claims.
• Coordinate investigations involving vehicle accidents, third-party injuries, property damage, customer claims, public liability incidents, and collect evidence including photographs, statements, police reports, dash camera footage, GPS and telematics data, vehicle inspection records, and work with legal counsel regarding litigation matters.
• Aid in preparing documentation for subrogation and recovery efforts.
• Monitor litigation exposure and claim reserves.
• Conduct thorough investigations into workplace injuries and liability incidents.
• Perform root cause analyses and identify corrective and preventive actions.
• Partner with EHS personnel to ensure corrective actions are implemented.
• Track trends and recurring causes and recommend risk reduction initiatives.
• Coordinate transitional duty assignments, communicate restrictions with supervisors, monitor employee recovery progress, coordinate fitness-for-duty evaluations, ensure compliance with ADA, FMLA, and applicable leave regulations, and reduce lost workdays through effective return-to-work strategies.
• Serve as the primary contact with insurance carriers, third-party administrators, defense attorneys, medical providers, nurse case managers, adjusters, and review claim documentation for completeness and accuracy.
• Maintain compliance with OSHA recordkeeping requirements, state workers' compensation regulations, FMCSA regulations (when applicable), DOT requirements, HIPAA privacy standards, company reporting procedures, insurance carrier requirements, and develop and maintain reports including workers' compensation claim trends, claim frequency and severity, cost per claim, open vs. closed claims, return-to-work metrics, OSHA recordable statistics, liability claim trends, auto accident analysis, loss runs, reserve summaries, provide monthly and quarterly executive reports to leadership, partner with EHS and Operations to identify recurring injury trends, analyze root causes, recommend corrective actions, reduce claim frequency, lower insurance costs, support enterprise risk management initiatives, and assist during insurance audits.

Requirements

• Essential Duties and Responsibilities
• Minimum Education And Experience
• Technical Skills and Certifications

Essential Duties and Responsibilities:

• Manage the complete lifecycle of workers' compensation claims from initial injury through claim closure.
• Ensure all occupational injuries and illnesses are reported promptly and accurately.
• Coordinate with supervisors to obtain incident reports, witness statements, photographs, and supporting documentation.
• Maintain compliance with state workers' compensation reporting requirements.
• Communicate regularly with injured employees regarding claim status and return-to-work expectations.
• Coordinate medical treatment with occupational health providers.
• Monitor medical restrictions and facilitate modified-duty assignments.
• Review reserves, treatment plans, indemnity payments, and claim strategies with TPAs.
• Identify opportunities for early intervention to reduce claim costs.
• Participate in claim review meetings with insurance carriers and TPAs.
• Manage general liability, automobile liability, and property damage claims.
• Coordinate investigations involving vehicle accidents, third-party injuries, property damage, customer claims, public liability incidents, and collect evidence including photographs, statements, police reports, dash camera footage, GPS and telematics data, vehicle inspection records, and work with legal counsel regarding litigation matters.
• Aid in preparing documentation for subrogation and recovery efforts.
• Monitor litigation exposure and claim reserves.
• Conduct thorough investigations into workplace injuries and liability incidents.
• Perform root cause analyses and identify corrective and preventive actions.
• Partner with EHS personnel to ensure corrective actions are implemented.
• Track trends and recurring causes and recommend risk reduction initiatives.
• Coordinate transitional duty assignments, communicate restrictions with supervisors, monitor employee recovery progress, coordinate fitness-for-duty evaluations, ensure compliance with ADA, FMLA, and applicable leave regulations, and reduce lost workdays through effective return-to-work strategies.
• Serve as the primary contact with insurance carriers, third-party administrators, defense attorneys, medical providers, nurse case managers, adjusters, and review claim documentation for completeness and accuracy.
• Maintain compliance with OSHA recordkeeping requirements, state workers' compensation regulations, FMCSA regulations (when applicable), DOT requirements, HIPAA privacy standards, company reporting procedures, insurance carrier requirements, and develop and maintain reports including workers' compensation claim trends, claim frequency and severity, cost per claim, open vs. closed claims, return-to-work metrics, OSHA recordable statistics, liability claim trends, auto accident analysis, loss runs, reserve summaries, provide monthly and quarterly executive reports to leadership, partner with EHS and Operations to identify recurring injury trends, analyze root causes, recommend corrective actions, reduce claim frequency, lower insurance costs, support enterprise risk management initiatives, and assist during insurance audits.

Minimum Education And Experience:

• Bachelor's degree in Occupational Safety, Risk Management, Insurance, or related field. Master's degree is preferred.
• 5-8 years of worker's compensation claims administration.
• 3+ years managing liability claims.
• Experience working with TPAs and insurance carriers.
• Experience with incident investigations.
• Experience with return-to-work programs.
• Experience in construction, transportation, utilities, infrastructure services, or industrial operations.

Technical Skills and Certifications:

• Microsoft Office Suite, Excel.
• Claims Management Software.
• Risk Management Information Systems (RMIS).
• Velocity EHS.
• HRIS Platforms.
• Fleet Telematics.
• Document Management Systems.
• Vehicle Subrogation.
• Power BI.
• Associate In Claims (AIC).
• Certified Safety Professional (CSP).
• Certified Workers' Compensation Professional (CWCP).

Qualifications

• Experience in construction, transportation, utilities, infrastructure services, or industrial operations.
• Strong communication and coordination skills.
• Ability to manage multiple claims simultaneously.
• Comprehensive understanding of workers' compensation and liability claims management.
• Knowledge of OSHA recordkeeping requirements, state workers' compensation regulations, FMCSA regulations (when applicable), DOT requirements, HIPAA privacy standards, company reporting procedures, insurance carrier requirements, and risk reduction initiatives.
• Experience with incident investigations, return-to-work programs, and risk reduction initiatives.
• Ability to develop and maintain reports including workers' compensation claim trends, claim frequency and severity, cost per claim, open vs. closed claims, return-to-work metrics, OSHA recordable statistics, liability claim trends, auto accident analysis, loss runs, reserve summaries, provide monthly and quarterly executive reports to leadership, and partner with EHS and Operations to identify recurring injury trends, analyze root causes, recommend corrective actions, reduce claim frequency, lower insurance costs, support enterprise risk management initiatives, and assist during insurance audits.

Skills

• Microsoft Office Suite, Excel.
• Claims Management Software.
• Risk Management Information Systems (RMIS).
• Velocity EHS.
• HRIS Platforms.
• Fleet Telematics.
• Document Management Systems.
• Vehicle Subrogation.
• Power BI.
• Associate In Claims (AIC).
• Certified Safety Professional (CSP).
• Certified Workers' Compensation Professional (CWCP).

Benefits

• Health Insurance.
• Dental Insurance.
• Vision Insurance.
• Life Insurance.
• Short-Term Disability Insurance.
• Long-Term Disability Insurance.
• 401k.

Pay

Competitive salary based on experience and qualifications.

Schedule

Full-time position with flexible hours to accommodate the needs of the organization and the injured employee.