TRP Infrastructure Services→
Workers Compensation and Claims Specialist at TRP… · Sanford
Skills
Job Description
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.
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)
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Short-Term Disability Insurance
Long-Term Disability Insurance
401k