Sr. Claims Manager, Workers’ Compensation
We are seeking a Senior Manager, Workers’ Compensation Claims with 10+ years of multi-jurisdictional experience managing complex, high-exposure claim portfolios. This individual will bring deep expertise in overseeing TPA programs, ensuring regulatory compliance, and directly handling litigated matters. The role requires strong leadership capabilities to guide adjusters, manage reserving practices, and develop strategic approaches to risk mitigation and claim resolution.
Responsibilities
- Independently manage a portfolio of complex, litigated, high-exposure and indemnity Workers’ Compensation claims, driving strategy through to resolution
- Provide day-to-day guidance, coaching, and mentorship to claims staff (adjusters/examiners), supporting effective decision-making and team performance
- Build and maintain strong client relationships, serve as a primary point of contact for key accounts, and ensure delivery aligns with service expectations and agreements
- Ensure adherence to applicable state regulations, internal audit standards, and industry best practices across all claims activity
- Develop, analyze, and communicate key performance metrics, trends, and insights to internal and external stakeholders
- Oversee and manage relationships with external vendors, ensuring quality, cost-effectiveness, and alignment with service standards
- Partner closely with TPAs to manage program performance, optimize processes, and ensure consistent, high quality claims handling
Requirements
- 10+ years of workers’ compensation claims experience, including demonstrated leadership or management responsibility
- Extensive experience managing claims across multiple jurisdictions, with a strong understanding of varying regulatory environments
- Deep expertise in complex claim resolution, including leading settlement negotiations, developing Medicare Set-Aside (MSA) strategies, and implementing structured settlements
- Appropriate state adjuster licensure (e.g., California SIP, Connecticut, New Hampshire, Rhode Island) or ability to obtain
- Strong technical acumen in medical evaluation, liability assessment, and litigation management, combined with excellent written and verbal communication skills
- Proven ability to lead, develop, and motivate teams, driving high performance and consistent outcomes
- Highly analytical, with the ability to assess claim trends, interpret data, and evaluate financial and operational risk
- Bachelor’s degree preferred
- Hybrid role based in Beverly, MA, with a minimum of three days per week in the office or remote if candidate identified is outside community area.
- Must be legally authorized to work in United States.
Benefits
We believe in taking care of our team and helping our employees thrive both professionally and personally. Our benefits include:- Health & Wellness – Comprehensive medical, dental, and vision insurance plans
- Paid Time Off – Generous vacation, sick leave, and paid holiday
- Retirement Plans – 401(k) with company match to help you plan for your future
- Life Insurance – Company-paid basic life insurance, with options to purchase additional coverage
- Work-Life Balance – Flexible work hours and hybrid work opportunities
- Employee Discounts – On products, services, or partner offerings
- Employee Assistance Program (EAP) – Free, confidential support for mental health, legal, and financial counseling
- Parental Leave – Paid maternity and paternity leave