MANAGER - WORKERS COMPENSATION CLAIMS

Job Description

Job Description

Overview

The incumbent in this position is responsible for managing the Workers Compensation Program for Seminole Gaming, Hard Rock International and Seminole Hard Rock Support Services. Reporting to the Director of Risk Management, the Workers’ Compensation Claims Manager will partner closely with Safety & Loss Control, Legal, Human Resources, and other internal stakeholders to ensure effective claims resolution, compliance with regulatory requirements, and cost-efficient program outcomes. The ideal candidate brings strong technical expertise in workers’ compensation, proven leadership skills, and the ability to translate complex claims data into actionable insights for the business. This position is an exempt position.

Responsibilities

• Lead the Seminole Gaming, Hard Rock International and Seminole Hard Rock Support Services workers’ compensation claims program, including oversight of Third-Party Administrators (TPA).
• Manage litigated and complex claims, including settlement authority and strategy development.
• Monitor and evaluate TPA performance, ensuring compliance with service standards and KPIs.
• Collaborate with internal stakeholders to identify claim trends, mitigate risk exposures, and support workplace safety initiatives.
• Develop, analyze, and present executive-ready reports on program performance, claim trends, and cost-containment results.
• Ensure compliance with federal and state regulatory requirements.
• Oversee vendor partnerships (e.g., defense firms, nurse case management, pharmacy benefit managers) to optimize outcomes and cost savings.
• Represent the company at mediations, hearings, and settlement conferences as needed.
• Ensure claims are reported timely to insurers and in compliance with company policies and regulatory requirements
• Consult with attorneys, insurance adjusters and insurance carriers on claims strategy
• Develop recurring reports on claims trends for the executive leadership team
• Manage third-party claims administrator(s), including implementing proper claims handing instructions and period audits
• In accordance with Company approval authorities, settle claims and set (and monitor) claim reserves
• Collaborate with human resources department on employee return-to-work strategies
• Collaborate with safety department on loss control strategies
• Perform other duties or special projects as assigned

Qualifications

• A minimum of five (5) years of experience working in workers compensation is required. With a minimum of three (3) years of experience working in a leadership capacity is preferred.
• State of Florida Insurance Adjuster 5-20 license is required. Associate in Claims (AIC) or Certification in Workers Compensation (CWC) is preferred.
• An equivalent combination of education/training and experience may be considered.
• Knowledge of tribal regulations and business commercial laws and regulations is highly desirable. Possession of a valid Florida Driver’s License is required.
• Demonstrate excellent organizational and interpersonal skills.
• Demonstrate excellent written and verbal communication skills.
• Demonstrate proficiency utilizing Microsoft software packages.
• Ability to travel to all Seminole Gaming reservations or any other existing and/or prospective Hard Rock International properties, and work a flexible schedule including evenings, weekends and holidays is a requirement.

Work Environment:

• Duties and responsibilities are typically performed in a professional office setting, but there may be times where you will need to be in operating areas. In these areas, you may be exposed to environmental factors including, but not limited to, second hand smoke and excessive noise.
• While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms, talk or hear; and taste or smell. The employee must frequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close, distance, color, and peripheral vision, depth perception and ability to adjust focus.
• Ability to stoop, bend, reach and grab with arms and hands, manual dexterity.
• Ability to sit or stand up to 7.5 or more hours at a time.
• Sufficient auditory and visual acuity to interact with others.

Disclaimer While this is intended to be an accurate reflection of the current job, management reserves the right to revise the current job or to require that other or different tasks be performed when circumstances change, (e.g. emergencies, changes in personnel, workload, rush jobs or technical developments).