Worker's Comp Claims Manager (Finance and Records Dept.)

Risk Management employees reduce accidents, illnesses, and injuries occurring on Church property or during Church-sponsored activities to protect people and minimize the loss of Church resources. 

The Workers’ Compensation Claims Manager is responsible for the strategic oversight, administration, investigation, evaluation, management, and resolution of workers’ compensation claims involving employees of The Church of Jesus Christ of Latter-day Saints and affiliated entities. The position provides leadership in claims administration, litigation management, loss prevention, regulatory compliance, third party adjusting and vendor management, and stakeholder collaboration while ensuring compassionate care for injured employees and prudent stewardship of Church resources. 

Claims Program Management

• Direct and oversee the Church’s workers’ compensation program across multiple jurisdictions. 
• Develop, implement, and maintain policies, procedures, analytical tools, and best practices for claims investigation, evaluation, management, and resolution. 
• Establish performance standards, metrics, and reporting requirements for internal staff, third-party administrators (TPAs), and service providers. 
• Review complex, catastrophic, occupational disease, and litigated claims and establish appropriate management strategies. 

Claims and Litigation Management 

Manage domestic and Canadian claims and litigation by:

1. Developing and implementing best practices for claim investigation, analysis, resolution, and closure. 
2. Coordinating and overseeing litigation management protocols with the Office of General Counsel, Church legal counsel (Kirton & McConkie), local retained counsel, third-party administrators, insurance adjusters, private investigators, medical providers, and expert witnesses. 
3. Evaluating compensability, reserves, litigation strategies, and settlement opportunities. 
4. Negotiating claim resolutions and settlements, including disputed and high-exposure matters. 
5. Attending mediations, hearings, and trials as a Church representative when necessary. 
6. Ensuring injured employees receive appropriate medical treatment, benefits administration, and return-to-work support. 
7. Oversee and manage TPA performance, adjuster assignments, and program execution.

Regulatory Compliance

• Ensure compliance with federal, state, provincial, and local workers’ compensation laws and regulations. 
• Monitor legislative and regulatory developments affecting workers’ compensation programs. 
• Coordinate audits, reporting requirements, and regulatory inquiries. 
• Maintain legally compliant claim documentation and records. 

Financial Management

• Develop and manage workers’ compensation budgets. 
• Monitor claim reserves, loss projections, and funding requirements.
• Assist with actuarial studies, loss forecasting, and risk prevention initiatives. 
• Identify opportunities for cost containment while maintaining appropriate employee care and legal compliance. 
• Assist the Manager of Risk Retention and Insurance to provide the best workers compensation insurance option in each state and/or province for the Church and affiliated entities and ensure that all reports, audits and premiums required to maintain such coverages are filed, complied with and paid.

Risk Management and Loss Prevention

• Partner with Health & Safety, Human Resources, Facilities, Welfare, and other Church departments to reduce injury frequency and severity. 
• Analyze claim and loss data to identify trends and emerging risks. 
• Support root-cause investigations involving serious injuries and fatalities. 
• Participate in enterprise risk assessments related to occupational injury exposures. 

Training and Stakeholder Support 

• Coordinate and provide training to managers, supervisors, employees, ecclesiastical leaders, service providers, claims staff, and litigation assistants regarding workers’ compensation and claims-management practices. 
• Serve as the primary workers’ compensation subject-matter expert for Church departments and leadership. 

Leadership and Supervision

• Lead, mentor, and develop claims staff and vendor partners. 
• Establish departmental goals, service standards, and performance expectations. 
• Conduct performance evaluations and support professional development. 

Education

Required

• Bachelor’s degree in Risk Management, Insurance, Business Administration, Accounting, Occupational Safety, Human Resources, Law, Public Administration, or a related field. 

Experience

Required

• Eight or more years of progressively responsible workers’ compensation, claims, insurance, litigation, or risk management experience. 
• Experience managing complex claims programs and claim operations. 
• Experience with multi-state or international claims administration. 
• Demonstrated experience managing litigation and negotiating complex claim resolutions. 
• Experience supervising claims professionals, vendors, or third-party administrators.