Workers Compensation and Claims Specialist

Posted 4 Days Ago
Be an Early Applicant
Sanford, FL, USA
In-Office
Senior level
Professional Services • Transportation
The Role
Manage workers' compensation, general and auto liability claims end-to-end; coordinate medical care and return-to-work; conduct incident investigations and root cause analysis; liaise with carriers, TPAs, legal, and EHS; produce claims analytics and reports; recommend risk reduction and support insurance processes.
Summary Generated by Built In

Position Summary:

The Workers' Compensation & Liability Specialist is responsible for administering and managing the organization's workers' compensation, general liability, and auto liability claims programs. This position serves as the primary liaison between employees, operations, insurance carriers, third-party administrators (TPAs), legal counsel, healthcare providers, and regulatory agencies to ensure timely reporting, effective claims management, regulatory compliance, and cost containment.


The specialist works closely with Environmental, Health & Safety (EHS), Human Resources, Operations, Fleet, and Risk Management to reduce claim frequency and severity while supporting injured employees throughout the return-to-work process. This role is particularly important in transportation, infrastructure services, construction, utility, and field operations environments.


Requirements

Essential Duties and Responsibilities

Workers’ Compensation Administration

Manage the complete lifecycle of workers' compensation claims from initial injury through claim closure.

Ensure all occupational injuries and illnesses are reported promptly and accurately.

Coordinate with supervisors to obtain incident reports, witness statements, photographs, and supporting documentation.

Maintain compliance with state workers' compensation reporting requirements.

Communicate regularly with injured employees regarding claim status and return-to-work expectations.

Coordinate medical treatment with occupational health providers.

Monitor medical restrictions and facilitate modified-duty assignments.

Review reserves, treatment plans, indemnity payments, and claim strategies with TPAs.

Identify opportunities for early intervention to reduce claim costs.

Participate in claim review meetings with insurance carriers and TPAs.

Liability Claims Management

Manage general liability, automobile liability, and property damage claims.

Coordinate investigations involving:

Vehicle accidents

Third-party injuries

Property damage

Customer claims

Public liability incidents

Collect evidence including:

Photographs

Statements

Police reports

Dash camera footage

GPS and telematics data

Vehicle inspection records

Work with legal counsel regarding litigation matters.

Assist in preparing documentation for subrogation and recovery efforts.

Monitor litigation exposure and claim reserves.

Incident Investigation

Conduct thorough investigations into workplace injuries and liability incidents.

Perform root cause analyses.

Identify corrective and preventive actions.

Partner with EHS personnel to ensure corrective actions are implemented.

Track trends and recurring causes.

Recommend risk reduction initiatives.

Return-To-Work Coordination

Coordinate transitional duty assignments.

Communicate restrictions with supervisors.

Monitor employee recovery progress.

Coordinate fitness-for-duty evaluations.

Ensure compliance with ADA, FMLA, and applicable leave regulations.

Reduce lost workdays through effective return-to-work strategies.

Insurance & Claims Coordination

Serve as the primary contact with:

Insurance carriers

Third-party administrators

Defense attorneys

Medical providers

Nurse case managers

Adjusters

Review claim documentation for completeness and accuracy.

Monitor claims for reserve accuracy.

Assist during insurance audits.

Support annual renewal processes with loss information.

Compliance

Maintain compliance with:

OSHA recordkeeping requirements

State workers' compensation regulations

FMCSA regulations (when applicable)

DOT requirements

HIPAA privacy standards

Company reporting procedures

Insurance carrier requirements

Reporting & Analytics

Develop and maintain reports including:

Workers' compensation claim trends

Claim frequency and severity

Cost per claim

Open vs. closed claims

Return-to-work metrics

OSHA recordable statistics

Liability claim trends

Auto accident analysis

Loss runs

Reserve summaries

Provide monthly and quarterly executive reports to leadership.

Risk Reduction

Partner with EHS and Operations to:

Identify recurring injury trends

Analyze root causes

Recommend corrective actions

Reduce claim frequency

Lower insurance costs

Support enterprise risk management initiatives

Minimum Education and Experience

Bachelor’s degree in Occupational Safety, Risk Management, Insurance, or related field.  Master’s degree is preferred.

5-8 years of worker’s compensation claims administration

3+ years managing liability claims 

Experience working with TPAs and insurance carriers

Experience with incident investigations

Experience with return-to-work programs

Experience in construction, transportation, utilities, infrastructure services, or industrial operations.

Technical Skills and Certifications

Microsoft Office Suite, Excel, Claims Management Software, Risk Management Information Systems (RMIS), Velocity EHS, HRIS Platforms, Fleet Telematics, Document Management Systems, Vehicle Subrogation, and Power BI.

Associate In Claims (AIC), Associate In Risk Management (ARM), Certified Safety Professional (CSP), Certified Workers’ Compensation Professional (CWCP)


Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Short-Term Disability Insurance

Long-Term Disability Insurance

401k

Skills Required

  • Bachelor's degree in Occupational Safety, Risk Management, Insurance, or related field
  • Master's degree
  • 5-8 years of workers' compensation claims administration
  • 3+ years managing liability claims
  • Experience working with third-party administrators (TPAs) and insurance carriers
  • Experience conducting incident investigations and performing root cause analyses
  • Experience coordinating return-to-work programs and managing medical restrictions
  • Experience in construction, transportation, utilities, infrastructure services, or industrial operations
  • Proficiency with Microsoft Office Suite and Excel
  • Experience with Claims Management Software and Risk Management Information Systems (RMIS)
  • Experience with Velocity EHS and HRIS platforms
  • Familiarity with fleet telematics, vehicle subrogation processes, and document management systems
  • Experience using Power BI for reporting and analytics
  • Certifications such as AIC, ARM, CSP, or CWCP
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Fort Worth, TX
Year Founded: 2010

What We Do

TRP Infrastructure Services is a leading national provider of critical roadway pavement marking and traffic control solutions, offering comprehensive infrastructure services for transportation, utilities, and urban development.

Similar Jobs

In-Office or Remote
2 Locations
1987 Employees
53K-85K Annually
In-Office
Tampa, FL, USA
1987 Employees
53K-85K Annually
In-Office or Remote
Lake Mary, FL, USA
20002 Employees
62K-94K Annually

Similar Companies Hiring

Air Space Intelligence Thumbnail
Transportation • Software • Machine Learning • Logistics • Defense • Artificial Intelligence • Aerospace
Boston , Massachusetts
150 Employees
Blissway Thumbnail
Computer Vision • Fintech • Hardware • Internet of Things • Machine Learning • Software • Transportation
Denver, CO
24 Employees
Toro TMS Thumbnail
Cloud • Enterprise Web • Sales • Software • Transportation
Chicago, IL
80 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account