Senior Manager, Global Medical Oncology, US Myeloid – MDS/MF
Bristol Myers Squibb
Senior Manager, Major Claims
ICW Group
full-time
Posted on:
Location: California, Illinois, Pennsylvania • 🇺🇸 United States
Visit company websiteSalary
💰 $119,749 - $201,948 per year
Job Level
Senior
Tech Stack
Tableau
About the role
- Lead a team of specialized complex claims professionals focused on catastrophic, high-dollar workers’ compensation injury claims
- Drive claims closure initiatives, ensure regulatory compliance, and optimize financial outcomes through oversight and resolution strategies
- Manage all aspects of high exposure claims including coverage determinations, investigations, risk transfer, negotiations and complex litigation management
- Identify emerging exposures and claims trends and develop strategic plans to accelerate claim closures
- Collaborate with legal, medical, and financial experts and leverage predictive analytics and severity modeling tools
- Present high exposure claim strategies, trends, and outcomes to executive leadership and enterprise risk stakeholders
- Oversee reserve accuracy, quality assurance, audits, and utilize data analytics to drive decision-making
- Coach, mentor, and build capabilities of MCU claims examiners; establish work cadence and high-performing culture
- Supervise hiring, training, performance management, staffing forecasting, and enforce department policies and procedures
Requirements
- Bachelor’s degree (or equivalent required) preferably in Business, Risk Management, or related
- Master’s degree preferred
- Minimum 8-10 years of claim experience (Workers’ Compensation preferred)
- Minimum 3-5 years in a leadership role overseeing high exposure/loss sensitive accounts
- Minimum 3-5 years of experience managing claims professionals
- Certification in Workers’ Compensation preferred (e.g., CPCU, CWCP, WCCA/WCCP)
- Experience working with claims analytics tools and dashboards (e.g., Tableau, PBI)
- Experience presenting to executive leadership, including financial and strategic claim outcomes
- Proven track record of mentoring others
- Proficiency in claims management systems and data reporting tools
- Expertise in workers’ compensation coverage interpretation within complex and high exposure claim scenarios
- Excellent verbal and written communication skills with the ability to influence cross functional teams and senior leadership
- Strategic thinker with a proven track record of proactive problem solving
- Strong knowledge of jurisdictional regulations, reserve practices and claim life cycle management
- Exceptional analytical, negotiation, and critical thinking skills
- Good working knowledge and familiarity with multi-jurisdictional claims management
- Ability to positively affect highest severity claims outcomes through investigation, negotiation and effectively leading litigation
- Ability to thrive in a fast-paced, dynamic environment
