Purpose:The Senior Risk Management Analyst is responsible for providing oversight to the company's Workers' Compensation claims in the US and Canada, ensuring timely and appropriate resolution through appropriate compensability determination, reserving, and settlement evaluation. This position acts as a liaison between Third-Party Administrators (TPAs) and Field Operations.Essential Functions:Guides field management on ensuring accurate claim reporting, claim management and return-to-work procedures; provides field training on various aspects of safety and Workers Compensation complianceMonitors TPA expenses regarding assignment of outside claim investigators, nurse case management, physician reviews, Medicare/SCHIP Set-AsidesCoordinates complex claim resolution with Legal, including claims that have an ADA, EEOC or FMLA component to the Worker's Compensation claimProvides oversight of third-party administrator by conducting quarterly claim reviews, audits, and other claim related projectsProvides and manages oversight of the Company National Occupational Medial vendorManages State Funded Workers' Compensation oversight regarding uploads to claim system, quarterly premium payments, and outside attorney assignment and expensesIdentifies claim trends and recommends training programs, procedures, and actions to reduce claim costsDevelops and maintains state required in-network physician panelsMonitors 24/7 Nurse Triage program and encourages location participationUpdates knowledge base on claim practices, case law, and industry claim trendsProcesses premium payment in US and CanadaHandles OSHA complaints, investigations and formal responseManages and oversees safety audit for complianceManages and oversee the Company Slip Resistant programReporting Relationship: The Senior Risk Management Analyst reports to the Senior Director of Risk Management.Minimum Qualifications, Knowledge, Skills, and Work EnvironmentEducation and Experience: The combination of education and professional experience must exceed 3 years:In a technical role: Requires 3-5 years of technical claims experience with a carrier or TPAA bachelor's degree in a program related to the functional area can count for 1 of the 3-year requirementPreferred experience working in Risk Management in the Food & Beverage, Retail, or Hospitality industry and across multiple locationsSpecialized Training:Training that leads to federal and state-specific Workers' Compensation regulationsTraining that leads to strong understanding of technical claims procedures, medical protocols, and best practicesSpecialized Skillset/Competencies/TraitsProficient in Microsoft Office and Claim Management SystemsRequires the ability to use discretion and uphold a high level of confidentialityBusiness acumen and also has the mindset required to understand the long-term implications of risk management planning and to advance the organizations goalsDemonstrated history of understanding the needs of the business, stakeholders, the employee population and individual circumstancesDemonstrated history of creating and maintaining positive work environmentsLocation: This position is based at the Retail of Excellence in East Rutherford, NJ.
Job Title
Senior Risk Management Analyst