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    Senior HR Analyst - Cleveland, United States - The Sherwin-Williams Company

    The Sherwin-Williams Company
    The Sherwin-Williams Company Cleveland, United States

    3 weeks ago

    The Sherwin-Williams Company background
    Description

    CORE RESPONSIBILITIES AND TASKS:

    - Strategic Oversight:

    • Maintain strategic oversight for workers' compensation claims with TPA.
    • Evaluate and coordinate information from field regarding special cases or issues.
    • Communicate claim issues with adjusters and local HR or EHS managers, as needed.
    • Ensure claim management and resources are utilized in accordance with best practices and service instructions.
    • Assess claim activity or recommendations for achieving final resolution.

    - Financial / Legal Activities:

    • Reviews and evaluates financial liability established by adjusters to ensure they are timely, appropriate and adequate
    • Review large medical and/or expense payments for accuracy and timelines and processed pursuant to service instructions, internal controls or state laws
    • Consider key cost drivers, recommendations or modifications to positively impact outcomes
    • Partner with TPA and WC HR Analyst to acquire data needed for various state filings, identifying pertinent information and requesting through internal departments to satisfy requirements

    - Claim Management:

    • Ensure the use of appropriate resources and strategic vendor partnerships to reduce overall cost and provide greater efficiencies and improved employee and employer outcomes.
    • Facilitate strategic claim discussions and resources to maximize opportunities for claim resolution including leveraging claim settlements,
    • Establish return to work opportunities and resolving claim issues, ensuring appropriate state administrative and federal laws, ADA, FMLA, HIPAA, and internal partnerships are considered
    • Engage and counsel LOA Team, HR or EHS Managers with recommendations, referencing and applying internal policies, processes, state laws or regulations
    • Maintain on-going communication addressing claim resolution, action plan/processing with appropriate HR, EHS, site/store management.
    • Establish periodic evaluation of electronic claim files to establish proper documented and claim coding/activity dates are correct based on most recent activity
    • Make strategic recommendations to the field for identifying trends or reducing claim frequency and/or severity using appropriate analytical tools

    - Workers Compensation Program Development/Communication/Training:

    • Assist with the WC program content, development, communication, and distribution of materials or posting information with various company electronic sites
    • Provide orientation and training to internal and field HR & EHS staff
    • Review potential modifications to various internal processes for increased efficiencies, as necessary
    • Assess development of integrated system efforts to improve overall management/department efficiency

    - Vendor Management:

    • Oversee third party adjusters to ensure proper claim handling and coordination of benefits
    • Schedule and coordinate discussions with interested internal and external resources for solving or improving performance or services
    • Identify and advise Manager of trends, problems, and issues as well as recommended course of action; recommend new procedures or ideas for continuous process improvement
    • Interact with vendor providers/resources for ensuring and increasing program effectiveness

    FORMAL EDUCATION:

    Required:

    • Bachelors' Degree

    Preferred:

    • Bachelors' Degree in Finance, Risk Management, Human Resources
    • Professional certifications (Workers Compensation or Disability Management)

    KNOWLEDGE & EXPERIENCE:

    Required:

    • Minimum of 1 year Insurance/Claims Management

    Preferred:

    • 3-5 years Workers' Compensation or Claims Management
    • Non-occupational Disability Management (STD or LTD)
    • Finance and/or Risk Management exposure
    • Supervision

    TECHNICAL/SKILL REQUIREMENTS:

    Required:

    • Excellent oral and written communication, including presentation skills
    • Proficient in Microsoft Office tools including Outlook, Word, Excel, Powerpoint and Sharepoint
    • Leadership/management/motivational skills
    • Analytical and interpretive skills
    • Strong decision-making skills
    • Strong organizational skills
    • Excellent interpersonal skills
    • Excellent negotiation skills
    • Ability to work a fast-paced environment
    • Preferred:
    • Thorough knowledge of claims management processes and procedures
    • Knowledge of appropriate insurance principles and laws and
    • Employee Benefits / Disability Plans / ADA / FMLA / Social Security and Medicare
    • Supervision

    Travel 10%

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