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Workers Compensation Program Manager Jobs in Virginia

Metis

Workers' Compensation Claims Associate

Roanoke, VA · On-site

$19.75 - $22.50/hr

We are currently hiring a Workers' Compensation Claims Associate to join our Roanoke owned ... Ability to manage sensitive information with discretion What We Offer: * Comprehensive benefits ...

Constellis

Program Manager

Herndon, VA · On-site

$150K - $160K/yr

PAY TRANSPARECY/COMPENSATION $150,000-$160,000 RESPONSIBILITIES * Ensure employees perform all ... Supervise all individuals working under this contract. * Manage the operational schedule to ensure ...

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Workers Compensation Program Manager information

What are the key skills and qualifications needed to thrive as a Workers Compensation Program Manager, and why are they important?

To thrive as a Workers Compensation Program Manager, you need expertise in insurance claims management, regulatory compliance, and risk assessment, typically supported by a bachelor’s degree in business, human resources, or a related field. Familiarity with claims management software, OSHA reporting systems, and certifications like ARM (Associate in Risk Management) or WCCA (Workers’ Compensation Claims Administration) are commonly required. Strong analytical skills, attention to detail, and effective communication are essential soft skills for coordinating stakeholders and resolving claims efficiently. These competencies are crucial to minimize organizational risk, control costs, and ensure legal compliance in workplace injury cases.

What are some common challenges faced by Workers Compensation Program Managers, and how can they be effectively addressed?

Workers Compensation Program Managers often face challenges such as balancing cost control with employee advocacy, staying updated on regulatory changes, and managing complex claims efficiently. Effective communication with stakeholders—including employees, insurance carriers, and healthcare providers—is crucial to resolving claims swiftly and fairly. Leveraging data analytics and maintaining up-to-date knowledge of legal requirements can help anticipate issues and streamline processes. Building strong relationships across departments and fostering a culture of safety also contribute to program success.

What is a Workers Compensation Program Manager?

A Workers Compensation Program Manager is a professional responsible for overseeing an organization’s workers compensation program, ensuring compliance with relevant laws and regulations, and managing claims processes. They work to minimize workplace injuries, coordinate employee return-to-work programs, and collaborate with insurance providers, healthcare professionals, and internal teams. Their goal is to protect both the company and its employees by administering claims efficiently, reducing costs, and promoting workplace safety.

What is the difference between Workers Compensation Program Manager vs Claims Adjuster?

AspectWorkers Compensation Program ManagerClaims Adjuster
CredentialsRelevant certifications (e.g., CPCU, ARM), industry experienceAdjuster licenses, insurance certifications
Work EnvironmentOffice-based, management of programs and policiesField or office-based, handling individual claims
Employer & Industry UsageInsurance companies, large corporations, government agenciesInsurance carriers, third-party administrators

The Workers Compensation Program Manager oversees the entire workers' compensation program, focusing on policy development, compliance, and strategic management. In contrast, Claims Adjusters handle individual injury claims, assessing damages and settling cases. Both roles require industry-specific knowledge and certifications but differ in scope and responsibilities.

What are popular job titles related to Workers Compensation Program Manager jobs in Virginia? For Workers Compensation Program Manager jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Workers Compensation Program Manager jobs in Virginia look for? The top searched job categories for Workers Compensation Program Manager jobs in Virginia are:
What cities in Virginia are hiring for Workers Compensation Program Manager jobs? Cities in Virginia with the most Workers Compensation Program Manager job openings:
Workers Compensation Program Manager jobs near you

Medical Case Manager - Workers' Compensation

ForzaCare

Herndon, VA • On-site

Full-time

Posted 17 days ago

Key responsibilities

  • Coordinate care between medical providers, employers, insurance carriers, and injured workers.

  • Attend appointments with injured workers, including visits to their place of employment.

  • Develop, document, and monitor individualized recovery goals and return-to-work plans.

Job description

ABOUT US:
Founded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. Our name reflects our mission - Forza means "strength," representing the power of our team, and Care reflects our compassion for those we serve.
ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative and risk mitigation solutions. Together, we're expanding our reach and strengthening our ability to deliver exceptional service across the workers' compensation industry.
JOB SUMMARY:
As a Field Medical Case Manager at ForzaCare, you'll help injured workers navigate their recovery and return to work. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management.
KEY RESPONSIBILITIES:
  • Coordinate care between medical providers, employers, insurance carriers, and injured workers.
  • Attend appointments with the injured workers, which may include visiting employers and injured workers at their place of employment.
  • Develop, document, and monitor individualized recovery goals and return-to-work plans.
  • Provide consistent communication and detailed progress reports to clients and stakeholders.
  • Ensure all case management work meets or exceeds customer and compliance requirements.
  • Build and maintain strong relationships with clients, providers, and internal team members.

QUALIFICATIONS:
Education & Licensure:
  • Active Registered Nurse (RN) is required.
  • Additional certifications such as CCM, CIRS, or other case management credentials are preferred.
  • Maryland WCCM is preferred.
  • Must comply with all state-specific licensure and certification requirements.
  • Prior experience in workers' compensation case management is strongly preferred.
  • Valid driver's license, reliable transportation, and auto insurance with ability to travel to appointments.

Skills & Attributes:
At ForzaCare, we look for professionals who embody our values and thrive in a collaborative, purpose-driven environment:
  • Motivated -You take pride in exceeding goals and continuously improving.
  • Organized - You can manage a fast-paced workload and multiple priorities with ease.
  • Collaborative - You communicate clearly and work well with diverse teams and stakeholders.
  • Committed - You uphold ForzaCare's mission to deliver high-quality, compassionate care and comply with all safety, ethical, and professional standards.

ForzaCare is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.

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