Summary of Position (Job Purpose) – Major purpose and functions of the position.
Primary responsibility to manage the workers’ compensation claims process through the flow of the third-party claims administrator (TPA) and develop strategies for prompt and economical resolution. Develops solid relationships with internal and external clients, vendors, and industry groups to ensure Dollar Tree… maintains a “Best in Class” claims process. Regularly interacts with legal counsel, insurance representatives, and other departments regarding claims issues. Directs activities of TPA in matters pertaining to workers’ compensation and supports internal business partners with identifying issues and solving concerns.
Principal Duties and Responsibilities – Primary responsibilities listed in order of importance.
Supervise caseload of Third-Party Administrator (TPA) managed workers compensation claims to reduce costs and improve outcomes
Authorize TPA to make reserve adjustments and provide settlement authority up to $50,000
Provide recommendations to Manager on reserve and settlement requests above $75,000
Coordinate with business partners in Human Resources, Operations, and Legal to resolve. Monitor and evaluate the performance of selected defense attorneys
Work with Human Resources and field leaders on ensuring associate status changes (Workers Comp, Modified Duty, Full Duty, terminations) are accurate
Confirm status changes for claims examiners, associate pay, dates worked, etc.
Respond to inquiries from field regarding the status of TTD payments, HR status, return to work, etc., supporting caseload
Regular claims roundtable discussions with Human Resources and Operations for stores and distribution centers to align and determine next steps
Provide information to TPA related to associate job functions, contact information, work status, records, etc.
Collaborate with Return to Work team and adjusters on policy issues and associate status
Collaborate with field management on work accommodations
Develop claim resolution strategies for litigated matters with outside counsel
Represent the company by participating in hearings and mediations, as needed (mostly remote)
Work internally to locate and produce responses to discovery for litigated WC claims
Locate and produce job function information, personnel files, lease information, policy documents, etc.
Review and approve requests for information from state and/or state specific entities serving as claims administrator
Generate state-specific reports for the Claims Manager and Director of Risk Management
Gather OSHA logs for monopolistic states
Approve and direct assignments to outside counsel
Provide feedback to the Manager and Director on outside counsel performance and change recommendations and participate in panel review annually.
Minimum Requirements/Qualifications – Summary of knowledge, experience and education required.
Bachelor’s Degree
7+ years of multi state workers compensation (complex, litigated cases) experience with insurance carrier, third party administrator, corporate or insurance broker role in similar operating environment
Strong analytical skills related to investigations, claims strategies and claims reviews
Strong time management skills
Excellent written and verbal communications skills; ability to handle difficult situations
Strong attention to details, including regular follow up on action items
Knowledge of medical terminology, medical treatment protocols, and legal proceedings
Intermediate technology skills related to Excel, queries, and insurance company risk management information system
Ability to work in fast paced team environment, handling multiple tasks and meeting deadlines
Ability to travel with short notice
Desired Qualifications – Desired but not required.
Professional Insurance Designation – SCLA, ARM, CPCU, etc.
Retail experience a plus
Human resources, OSHA, and/or Safety experience
This is not to be considered a complete list of job duties, as they may be amended or added to as needed.
– Start Rate = $$70,500 based on experience
-The company offers Health, Dental, & Vision, flexible spending account, life and disability insurance benefits, 401k plan, PTO & 7 paid holidays annually, and an employee stock purchase plan
