Workers' Compensation Claims Manager

What You'll Do

Coca-Cola Beverages Florida is seeking an experienced Workers’ Compensation Claims Manager to serve as a key leader within the Enterprise Risk Management team. This role is intended for a seasoned workers’ compensation professional who can independently manage complex and high-exposure claims, exercise sound judgment within delegated authority, and proactively drive outcomes aligned with Coke Florida’s operational, financial, and employee-focused objectives.

Roles and Responsibilities

• Owns the management of Workers’ Compensation claims from intake through resolution, including investigation, compensability determination, medical and indemnity management, reserving, negotiation, and settlement
• Exercises independent judgment and decision-making authority on claims within the established Chart of Authority; escalates appropriately when warranted
• Serves as the primary internal subject matter expert for Workers’ Compensation claims and related regulatory requirements
• Directs and oversees Third Party Administrators, nurse case managers, medical providers, and defense counsel to ensure effective, compliant, and cost-efficient claim handling while allowing the appropriated claim adjudication processes
• Conducts regular audits of Workers’ Compensation claim files, including compensability decisions, medical management, reserving accuracy, litigation strategy, and statutory compliance
• Actively manages claim diaries and documentation within the RMIS system, ensuring data accuracy, reporting integrity, and regulatory compliance
• Leads oversight and administration of the Return-to-Work (RTW) program in partnership with HR, Safety, and Operations
• PARTNERS WITH INTERNAL MANAGERS AND SUPERVISORS ON INJURY REPORTING, ACCIDENT INVESTIGATION, ROOT CAUSE ANALYSIS, AND CORRECTIVE ACTION PLANNING
• Provides technical direction and authority on complex, litigated, or high-exposure Workers’ Compensation claims
• Prepares, analyzes, and presents Workers’ Compensation reports, loss trends, and performance metrics for leadership and business units
• Identifies trends, emerging risks, and opportunities to reduce claim frequency, severity, duration, and overall cost of Workers’ Compensation
• Develops, tracks, and reports key performance indicators to evaluate claim outcomes, TPA performance, RTW effectiveness, and overall program results
• WORKS CLOSER WITH INTERNAL STAKEHOLDERS INCLUDING OPERATIONS, HUMAN RESOURCES, LEGAL, SAFETY, AND THE BROADER ENTERPRISE RISK MANAGEMENT TEAM TO ENSURE ALIGNED DECISION-MAKING, CONSISTENT CLAIM STRATEGY, AND PROACTIVE INJURY PREVENTION AND RISK MITIGATION EFFORTS

Skills and Education Required

• Bachelor’s degree and/or equivalent combination of education and significant relevant experience
• Minimum of 5 years of progressive Workers’ Compensation claims management experience, preferably in a large, self-insured or complex operational environment
• Comprehensive knowledge of Workers’ Compensation statutes, claims administration, medical management, and litigation processes
• Demonstrated ability to independently manage complex, litigated, and high-exposure Workers’ Compensation claims
• Proven ability to operate independently while collaborating effectively within a small, high-performing team
• Strong understanding of Workers’ Compensation legal and regulatory requirements
• Experience managing a workers' compensation program for a private employer
• Excellent analytical, negotiation, and problem-solving skills
• Strong communication skills with the ability to influence internal and external stakeholders
• High attention to detail with consistent follow-through
• Ability to organize, document, and control both digital and physical claim records
• Customer-focused mindset balanced with cost control and risk discipline