Workers Compensation Manager

Key Responsibilities

• Oversee all aspects of the workers' compensation program from initial injury through claim resolution.
• Ensure timely scheduling, authorizations, and coordination of care for injured workers.
• Monitor claim activity and proactively address barriers to treatment, communication, and return-to-work efforts.
• Ensure compliance with workers' compensation regulations, payer requirements, and organizational policies.
• Track and analyze key performance metrics related to program performance, patient access, and service outcomes.
• Collaborate with physicians, providers, and clinic leadership to improve workflows and enhance operational efficiency.

Leadership & Team Development

• Directly supervise workers' compensation coordinators and support staff.
• Recruit, onboard, train, mentor, and evaluate team members.
• Establish performance expectations and monitor productivity, quality, and customer service standards.
• Conduct regular team meetings and provide ongoing coaching and professional development.
• Develop and implement policies, procedures, and best practices that support program success.

Employer Relations & Business Development

• Build and maintain strong relationships with employers, municipalities, insurance carriers, third-party administrators, nurse case managers, and referral sources.
• Serve as an ambassador for the Workers' Compensation Program through regular outreach and engagement activities.
• Conduct employer visits, educational presentations, and networking events to strengthen partnerships and increase awareness of services.
• Identify opportunities to grow referral volume and expand market presence.
• Partner with leadership on strategic initiatives focused on employer satisfaction and program growth.

Operational Oversight

• Serve as the primary point of contact for escalated workers' compensation concerns.
• Facilitate communication between providers, employers, carriers, attorneys, and case managers regarding treatment plans and work status recommendations.
• Aid in the timely completion of work status reports, disability paperwork, and workers' compensation documentation.
• Assist with payer relations, contract discussions, and process improvement initiatives.

Qualifications

• Minimum of five (5) years of experience in workers' compensation, healthcare operations, occupational medicine, claims management, or a related field.
• Strong understanding of workers' compensation processes, regulations, payer requirements, and employer relations.
• Excellent leadership, communication, organizational, and relationship-management skills.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Proficiency with electronic medical records (EMR) systems and reporting tools (Athena EMR, a plus).

PREFERRED

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
• Previous supervisory or management experience.
• Experience working within a physician practice, orthopedic, occupational medicine, or healthcare setting.