Sr. Manager, Clinical Development Scientist accountable for scientific integrity and patient well - being in clinical trials. Collaborates with clinical and medical teams to ensure trial efficiency and compliance.
About the role
- Manager of Workers' Compensation at CVS Health overseeing claims management and team performance. Driving operational excellence and stakeholder partnerships to streamline claims handling.
Responsibilities
- Manage all aspects of the workers’ compensation program, including open claims handled by insurance carriers and third-party administrators
- Oversee TPA program operations and performance (scorecards, regular performance reviews, issue escalation and resolution)
- Manage defense counsel and vendor partners to drive timely claim resolution, reserving discipline, and high-quality claim handling
- Partner with other stake holders to remove barriers, maintain visibility into claim status and trends, to help streamline business improvements, and mitigate damages.
- Review contracts, establish/maintain program guidelines, and direct claims-handling expectations
- Conduct claim reviews and audits; review action plans to ensure appropriate strategy, reserving, and timely next steps
- Prepare high-level reporting on financial exposure and critical claim trends for senior leaders
- Responsible for insurance invoice processing as it relates to claims handled by various carriers. Submit and process North Dakota payroll and insurance premiums.; resolve exceptions and ensure on-time payment controls
- Lead, coach, and evaluate team performance (performance appraisals, development, accountability)
- Responsible for self-insurance renewals and related assessments/bonds in 8 states.
Requirements
- 5+ years of workers’ compensation claims experience (technical claims knowledge + program oversight).
- 5+ years of prior experience working with a Third Party Administrator.
- 5+ years of advanced computer proficiency, including strong working knowledge of operating systems, databases/reporting tools, and common hardware/software applications used to support claims operations.
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
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