Gap Claim Representative Jobs (NOW HIRING)

Founded in 1963 by Don Fessler & George Bowman, Fessler & Bowman, Inc. has grown from a residential flatwork & basement wall contractor to a top 100 Commercial Concrete Contractor recognized across the nation. Keeping customer satisfaction as our fundamental core value has allowed Fessler & Bowman, Inc. to prosper for more than six decades.

Our Culture & Philosophy:

Fessler & Bowman is a fast-paced and culture-focused industry leader in specialty concrete and civil earthwork. When we talk about culture at F&B, it is not just a plaque hanging in our lobby.Our values are our driving force and have allowed us to build a phenomenal team delivering best in class products to our customers.

• Open & Constructive
• Take Pride in Our Product
• Relentless Commitment
• Care About Our Customers
• Team Success

Summary:

The Risk & Claims Manager is the person who ensures that every F&B team member with an active workers' compensation claim or a work restriction is managed with care, consistency, and the discipline that protects both the individual and the organization. Every injured team member who has a clear point of contact throughout their claim, every modified duty placement that gets a crew member back to contributing before full medical release, every claim that closes at the right outcome because someone was actively managing it from day one - this role is accountable for those outcomes. The descriptions below are representative of, but not limited to, the duties and responsibilities for this position.

Key Roles of the Risk & Claims Manager:

Active Claim Management & Team Member Advocacy

Manages all active workers' compensation claims from intake through closure.

• Serves as the primary point of contact for injured team members - ensures they understand the claims process, have access to appropriate medical care, and are treated with the dignity F&B's values require.
• Monitors claim status, treatment progress, and work status updates; communicates proactively with injured team members throughout their recovery rather than waiting for them to initiate contact.
• An injured team member who feels uninformed or unsupported is not an acceptable outcome regardless of the financial status of the claim.

Return-to-Work & Modified Duty Coordination

Leads F&B's return-to-work program with disciplined placement discipline.

• Identifies modified duty opportunities for team members with work restrictions; coordinates placement with field supervisors and operational leaders and communicates restriction parameters clearly to all parties.
• Develops and maintains modified duty job offerings across F&B's operational functions; follows up regularly to ensure placements are working and restrictions are being honored.
• A team member who is medically able to perform modified duty and is sitting at home is a return-to-work failure - this role closes that gap proactively.

Work Restriction & Accommodation Tracking

Maintains accurate, current records of all team members with active work restrictions.

• Tracks restriction parameters, expiration dates, treating physician instructions, and accommodation status across all regions; communicates restriction changes to supervisors and HR promptly when medical status updates are received.
• Coordinates with HR on ADA and FMLA intersections with workers' compensation leaves.
• A supervisor who allows a restricted team member to perform work outside their restriction because this role did not communicate a change is a documentation and communication failure.

Claims Documentation & Carrier Coordination

Maintains complete and accurate claim files and coordinates with carriers and TPAs.

• Ensures incident reports, medical records, treatment authorizations, work status notes, and correspondence are organized and current in the claims management system.
• Coordinates with the workers' compensation carrier or TPA on claim status, treatment authorizations, medical management, and adjuster communications.
• Provides the Director of Risk Management with regular claim status summaries, emerging exposure flags, and documentation needed for reserve reviews and carrier meetings.

Incident Response Coordination

Coordinates F&B's response to workplace injuries from the moment of report.

• Ensures the incident is documented accurately, the injured team member accesses appropriate medical care promptly, and the workers' compensation carrier is notified within required timeframes.
• Partners with the Safety team on incident investigation so the cause of injury informs both the claim and the prevention response.
• First-report-of-injury quality sets the trajectory of every claim - this role ensures that trajectory starts well.

Leave & Absence Coordination

Coordinates workers' compensation leave with HR-administered leave programs.

• Ensures FMLA is designated concurrently when applicable; communicates leave status and return dates to HR and payroll; flags situations where leave intersection requires HR or legal guidance.
• Maintains clear records of leave periods, return-to-work dates, and accommodation status; ensures payroll has accurate information on leave pay status for workers' compensation benefit coordination.

Supervisor & Field Leadership Support

Serves as the primary resource for field supervisors managing team members with active claims or restrictions.

• Provides clear, timely guidance on what a restricted team member can and cannot do, how to document accommodation compliance, and how to respond when a team member's condition changes.
• Builds the operational awareness among field leaders that early reporting, modified duty engagement, and consistent communication produce better outcomes for team members and for F&B.

Program Reporting & Director Support

Provides the Director of Risk Management with regular reporting on the active claims portfolio.

• Delivers active claim counts, claim status summaries, return-to-work metrics, restricted team member population data, and emerging trends requiring Director attention.
• Supports the Director's carrier meetings, reserve reviews, and program stewardship activities with accurate, organized claim data.
• Identifies patterns in claim frequency, duration, or injury type that suggest operational or safety interventions and escalates them to the Director and Safety team.

Education, Experience & Qualifications:

• 5+ years of workers' compensation claims management experience with active caseload across multiple states
• Demonstrated return-to-work and modified duty program coordination in a field-intensive environment;
• Working knowledge of the FMLA, ADA, and workers' compensation intersection
• Advanced experience with WC carrier or TPA coordination including treatment authorization and adjuster communication
• Advanced proficiency with claims management systems and case file documentation standards
• Ability to communicate clearly and compassionately with injured team members while maintaining documentation discipline.
• Strong knowledge of employment laws, compensation structures, and benefits administration.
• Bilingual (Spanish-speaking) preferred.

Travel:

Travel is required for this position- this could include but is not limited to professional development and regional office visits. F&B will compensate for travel when applicable.

Work Environment:

As a Risk & Claims Manager, you will be subject to various work environments. These environments include office and field settings. Team Member must be comfortable with sitting for an extended period.

Benefits:

Fessler & Bowman is proud to provide eligible Team Members with the following benefits:

• Medical, dental and vision insurance
• 401k with company contributions
• Paid Holidays and Paid Time Off

Recruitment Process:

The recruitment process will include a phone screen, in-person meeting, and a pre-employment background check and drug test.

Fessler & Bowman is an Equal Opportunity Employer