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As the Program Manager for Workers Comp and Health Wellness, manages policies, vendors, and programs for the workers compensation department. Oversees all aspects of work injury claims including reporting, tracking, and investigation. Collaborates with third party administrator (TPA), and any monopolistic state workers' compensation programs. Analyzes claims for risks, trends, and provides strategic recommendations to mitigate potential risks. Partners with management to cultivate a safe and positive work environment focused on reducing poor experiences, outcomes, and exposure to litigation. Responsible for ensuring that workers compensation information is provided to the appropriate individual(s). Also works closely with government officials to ensure that the organizations corporate workers compensation policies are compliant.

WHAT YOU WILL DO:

Oversees the full life cycle of workers' compensation claims and develops strategies to handle specific cases in consultation with the proper parties.
Enforces workers' compensation programs in alignment with department and company policies and procedures.
Discusses appropriateness of medical treatment with medical case manager.
Partners with internal teams on overlapping matters related to individual claims for leaves, return to work, accommodations, employee relations, grievances, and performance management concerns with a goal of positive employee experience and outcomes, and reducing liability for litigation.
Reviews claim file reserves and makes recommendations to TPA based on evaluation.
Participates in claims review with TPA, legal counsel and internal partners to discuss case updates and legal strategy towards cost effective and timely case resolution.
Conducts return to work and interactive processes with injured employees, oversees outside disability management vendors on litigated cases.
Identifies potential risk exposures and analyzes injury claims for potential risk trends to develop short and long-term resolution in partnership with appropriate parties to support mitigation of injuries and claims.
Partners with Environmental Health & Safety (EHS) to evaluate employee worksites and identify potential work injury job hazards including indication of safety, ergonomics, or additional risk trends. Brings forward concerns and discusses potential causes with EHS and management to identify and explore solutions.

WHAT YOU WILL NEED:

Bachelor's degree in Business Administration plus 5 years of workers compensation claim and disability management experience to include 3 years of increasing levels of responsibility OR High school diploma or State-issued equivalency certificate plus 9 years of workers compensation claim and disability management experience to include 3 years of increasing levels of responsibility.
Expert knowledge of workers compensation laws, policies and procedures.
Experience responding to common inquiries or complaints from customers, regulatory agencies or members of the business community.
Experience effectively presenting information to customers, employees or management within an organization.
Experience overseeing vendors and advising on plan design adherence and standard work.
Basic knowledge of medical and legal terminology.
Required to travel to company offices, sites, and/or meeting locations for onboarding, training, meetings, and events for development, department needs, and business delivery up to 5% of the time, with or without reasonable accommodation. This may be in addition to travel requirements, if applicable, as listed in this job description.
Required to be 18 years or older. This may be in addition to other age requirements, if applicable, as listed in this job description.

WHAT WILL SET YOU APART:

Bachelor's degree in Business Administration plus 7 years of workers compensation claim and disability management experience to include 3 years of increasing levels of responsibility OR High school diploma or State-issued equivalency certificate plus 11 years of workers compensation claim and disability management experience to include 3 years of increasing levels of responsibility.
Claims Adjuster license or Workers' Compensation Claims Administration (WCCA) certification.

COMPENSATION

Hiring Salary Range Posted: $97,020 - $161,800
Actual compensation paid within the range will be determined by factors such as the education, experience, knowledge, skills and abilities of the applicant, internal equity, and alignment with market data.

PERKS & BENEFITS

This position includes a competitive benefits package.
Winery - Please click here to view our full list of benefits or click here to watch our video.

Anticipated close date: December 30, 2024

Gallo does not sponsor for employment based visas for this position now or in the future.

To view a full job description, please click here.

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Job Id - 105340

Gallo's policy is to afford equal employment opportunity to all applicants and employees and not to discriminate on the basis of race, traits historically associated with race, including but not limited to, hair texture and protective hairstyles (such as braids, locks, and twists), color, national origin, ancestry, creed, religion, physical disability, mental disability, medical condition as defined by applicable state law (including cancer and predisposing genetic characteristics), genetic information, marital status, familial status, sex, gender, gender identity, gender expression, sexual orientation (actual or perceived), transgender status, sex stereotyping, pregnancy, childbirth or related medical conditions, reproductive health decision making, age, military or veteran status, domestic violence or sexual assault victim status, or any other basis protected by applicable law. Nor will Gallo discriminate based on a perception that an individual has any of the foregoing characteristics or is associated with a person who has, or is perceived to have, any of those characteristics.

Gallo will comply with state and local laws prohibit discrimination for lawful out-of-work behavior, such as off-duty use of cannabis away from the workplace (subject to federal and state law exceptions), the existence of non-psychoactive cannabis metabolites in hair, blood, urine, or other bodily fluids as determined by a drug screening test (subject to federal and state law exceptions).

We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. Gallo is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know at [redacted].

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Program Manager, Workers Compensation & Heath Wellness