Senior Manager, Workers' Compensation Claims

As a Senior Claims Manager of Workers Compensation (WC), you will work collaboratively within Justworks’ Workers Compensation Team as well as cross-functionally with teams across Justworks including: Customer Success, Technology, Engineering & Product, Accounting, Business Intelligence, Onboarding, Legal, and Finance. You will carry your own caseload of complex and/or high exposure claims while providing day to day guidance and oversight to a small claims team. Operating within our PEO environment, you will serve as the first point of contact for escalations for the claims team, be a trusted resource for customer facing claim inquiries and a key contributor to process improvement initiatives.

Responsibilities

Supervise and support a small claims team providing daily direction, workload oversight and performance coaching.; Manage your own active caseload of complex, litigated, and high-severity claims from First Notice of Loss through closure.; Review coverage decisions, reserves and settlement recommendations to ensure accuracy, consistency and alignment with company guidelines.; Serve as the primary escalation point for difficult claims, coverage disputes, or customer concerns that exceed team members authority levels.; Conduct regular file audits and quality reviews, delivering constructive feedback to improve individual and team performance.; Coordinate with TPAs, carriers, defense counsel, medical providers, and nurse case managers to drive timely, cost-effective claim resolutions.; Onboard and train new claims staff, ensuring familiarity with PEO workflows, customer structures, and state-specific compliance requirements.; Maintain current knowledge of WC statutes, filing requirements, and best practices across all jurisdictions in the company's footprint.; Assist the Claims Director with reporting, loss trend analysis, and identifying process improvement opportunities.; Perform other related duties as assigned

Requirements

7+ years of experience in a Third Party Claims Administration(TPA) or PEO experience in claims.; Some experience mentoring, training or informally leading peers or junior claims associates; Working knowledge of WC regulations in multiple states, ability to navigate jurisdictional differences confidently; Solid reserving skills and understanding of indemnity, medical and expense components of claim financials.; Strong organizational and communication skills; comfortable interacting directly with PEO customers and external partners.; Proficiency with claims management systems an/or RMIS platforms; Experience supporting Return to Work programs and managed care coordination; Experience working cross-functionally; Experience with vendor management; Extremely detailed-oriented with great time management and organizational skills; Proactive and curious with a bias for action

Benefits

great benefits; wellness program offerings; company retreats; ability to interact with and learn from leaders in the startup community