Senior Manager, Workers' Compensation Claims

Location: New York, New York; hybrid office arrangement

Salary: $131,000–$169,000 per year

Company

hirify.global provides HR and PEO solutions that help businesses manage employment-related operations and focus on running their businesses.

What you will do

• Supervise a small workers’ compensation claims team through daily direction, workload oversight, performance coaching, onboarding, and training.
• Manage a personal caseload of complex, litigated, and high-severity claims from first notice of loss through closure.
• Review coverage decisions, reserves, settlement recommendations, and claim financial components for accuracy and consistency.
• Act as the escalation point for difficult claims, coverage disputes, and customer concerns.
• Conduct file audits and quality reviews while identifying process improvement opportunities and reporting loss trends.
• Coordinate with TPAs, carriers, defense counsel, medical providers, and nurse case managers to resolve claims efficiently.

Requirements

• 7+ years of experience in third-party claims administration or PEO claims.
• Experience mentoring, training, or informally leading claims associates.
• Working knowledge of workers’ compensation regulations across multiple states and jurisdictional differences.
• Strong reserving skills and understanding of indemnity, medical, and expense claim components.
• Experience with claims management systems or RMIS platforms, return-to-work programs, managed care coordination, and vendor management.
• Strong communication, organization, analytical judgment, time management, and cross-functional collaboration skills.

Culture & Benefits

• Welcoming, casual, and supportive working environment.
• Benefits and wellness program offerings.
• Company retreats and opportunities to learn from leaders in the startup community.
• Culture centered on camaraderie, openness, grit, integrity, and simplicity.
• Commitment to diversity, equity, inclusion, accessibility, and reasonable accommodations.