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Award-winning: Sentara is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering more than 500 sites of care including 12 hospitals, PACE (Elder Care), home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!
When you join Sentara in a professional or management role, you become part of a progressive team of business leaders and operational experts. Our organization and our people are highly respected for the knowledge and innovation that we demonstrate each day. Working with us is an opportunity to have a positive influence on our growth and the communities we serve.
Overview
Sentara Health is seeking to hire a qualified individual to join our team as a Workers' Compensation Manager.
Position Status: Full-time, Days
Standard Working Hours: Monday – Friday, 7am – 3:30pm (EST)
Work Location: Norfolk, VA
Minimum Requirements:
Bachelor's level degree Required
Minimum of 10 years professional experience in the workers compensation field with a combination of management and direct claim handling experience to include complex claims Required
Knowledge of multi-jurisdictional workers compensation regulations and claims administration practices
Knowledge of Medicare-Set-Aside and SCHIP, Section 111 requirements and regulations
Knowledge of medical nurse case management processes
Skilled in risk identification, analysis, financing, and control
Proficient with Microsoft Office Suite, risk management information systems, electronic claims administration systems, email, intranet, and internet
Job Description:
The Workers' Compensation Manager (WCM) organizes, directs and maintains the operations and procedures of the Workers Compensation Program. Responsible for preparing the annual budget and monitoring expenditures. Collaborates with the Third Party Administrator, attorneys, physicians, actuarial team, insurance broker and workers compensation excess insurance carrier for the purpose of maintaining, monitoring and measuring the appropriate business model to insure a successful self-insured program. Oversees preparation and distribution of injury data, to include statistical and financial analysis to identify injury trends. Provides injury and financial reports related to employee injuries to the workers compensation excess insurance carrier for annual analysis and preparation of the Annual Benchmark Study. Identifies areas of focus in order to promote a safe workplace environment and implements innovative best practices.
Diversity and Inclusion at Sentara
Our vision is that everyone brings the strengths that come with diversity to work with them every day. When we are achieving our vision, we have team members that feel they belong and can be their authentic selves, and our workforce is reflective of the communities we serve.
We are realizing this vision through our Diversity and Inclusion strategy, which has three pillars: A diverse and talented workforce, an inclusive and supportive workplace, and outreach and engagement with our community. We have made remarkable strides in these areas over the past several years and, as our world continues to evolve, we know our work is never done.
Our strategies focus on both structural inclusion, which looks at our organizational structures, processes, and practices; as well as behavioral inclusion, which evaluates our mindsets, skillsets, and relationships. Together, these strategies are moving our organization forward in an environment that fosters a culture of mutual respect and belonging for all.
Please visit the link below to learn more about Sentara’s commitment to diversity and inclusion:
https://www.sentara.com/aboutus/mission-vision-and-values/diversity.aspx
Sentara Overview
For more than a decade, Modern Healthcare magazine has ranked Sentara Health as one of the nation's top integrated healthcare systems. That's because we are dedicated to growth, innovation, and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.
Sentara Benefits
As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
Medical, Dental, and Vision Insurance
Paid Annual Leave, Sick Leave
Flexible Spending Accounts
Retirement funds with matching contribution
Supplemental insurance policies, including legal, Life Insurance and AD&D among others
Work Perks program including discounted movie and theme park tickets among other great deals
Opportunities for further advancement within our organization
Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For information about our employee benefits, please visit: Benefits – Sentara (sentaracareers.com)
Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!
Note: Sentara Health offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.
Responsibilities
The Workers Compensation Manager (WCM) organizes, directs and maintains the operations and procedures of the Workers Compensation Program. Responsible for preparing the annual budget and monitoring expenditures. Collaborates with the Third Party Administrator, attorneys, physicians, actuarial team, insurance broker and workers compensation excess insurance carrier for the purpose of maintaining, monitoring and measuring the appropriate business model to insure a successful self-insured program. Oversees preparation and distribution of injury data, to include statistical and financial analysis to identify injury trends. Provides injury and financial reports related to employee injuries to the workers compensation excess insurance carrier for annual analysis and preparation of the Annual Benchmark Study. Identifies areas of focus in order to promote a safe workplace environment and implements innovative best practices. Experience in managing workers compensation program in a health care system is preferred. Minimum of 10 years professional experience in the workers compensation field with a combination of management and direct claim handling experience to include complex claims. Knowledge of multi-jurisdictional workers compensation regulations and claims administration practices. Knowledge of Medicare-Set-Aside and SCHIP, Section 111 requirements and regulations. Knowledge of medical nurse case management processes. Skilled in risk identification, analysis, financing, and control. Proficient with Microsoft Office Suite, risk management information systems, electronic claims administration systems, email, intranet, and internet.
Qualifications
License/Certification
Education
- Bachelor’s Level Degree
Experience
- Worker’s Compensation Claims 10 years
- Speaking
- Systems Analysis
- Systems Evaluation
- Active Learning
- Active Listening
- Communication
- Complex Problem Solving
- Coordination
- Critical Thinking
- Judgment and Decision Making
- Leadership
- Learning Strategies
- Mathematics
- Mgmt of Financial Resources
- Mgmt of Material Resources
- Technology/Computer
- Mgmt of Staff Resources
- Microsoft Excel
- Time Management
- Microsoft Word
- Troubleshooting
- Monitoring
- Writing
- Persuasion
- Project Management
- Quality Control Analysis
- Reading Comprehension
- Science
- Service Orientation
- Social Perceptiveness
Sentara prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
