Leave of Absence Specialist

Role Overview Fashion Nova is an inclusive, fashion‑forward and trend‑driven apparel and lifestyle brand that celebrates all dimensions of confidence. We use our platform to spread positivity with brands for women, men, curves, luxe, sport, swim, beauty and kids. We are obsessed with creating the best experience available for our customers and employees. The Manager – Workers Compensation is responsible for supervising and monitoring Fashion Nova’s Workers Compensation program at all company‑owned and operated locations. The Manager will develop and collaborate on successful partnerships with our associates, Third‑Party Administrators (TPAs), internal stakeholders and service providers. Position Details Position is onsite in Santa Fe Springs. Hybrid remote work is not possible. Responsibilities Analyze and process complex or technically difficult workers’ compensation claims by investigating and gathering information to determine the exposure on the claim; manage claims through well‑developed action plans to an appropriate and timely resolution. Negotiate settlement of claims within designated authority. Calculate and assign timely and appropriate reserves to claims. Manage reserve adequacy throughout the life of the claim, providing Finance with monthly updates. Prepare necessary state filings within statutory limits. Manage the litigation process; ensure timely and cost‑effective claim resolution. Coordinate vendor referrals for additional investigation and/or litigation management. Use appropriate cost‑containment techniques, including strategic vendor partnerships, to reduce overall cost of claims. Manage claim recoveries, including but not limited to subrogation, Second Injury Fund, excess recoveries and Social Security and Medicare offsets. Report claims to the excess carrier; respond to requests of directions in a professional and timely manner. Communicate claim activity and processing with the claimant and Leadership; maintain professional client relationships. Ensure claim files are properly documented and claim coding is correct. Refer cases as appropriate to supervisor and management. Partner with multiple departments to coordinate and supervise the Return‑to‑Work program for team members to ensure work restrictions and transitional work guidelines are being adhered to. Availability to work evenings and weekends as dictated by business needs. Role Requirements Five plus years of experience processing lost‑time workers’ compensation claims, preferably for an employer with a high‑deductible program. Bachelor’s degree in Business Administration or Finance. IIA, AIC, AEI and/or CPCU Designations; Self-Insured Certification highly encouraged. Subject‑matter expert of appropriate insurance principles and laws for line‑of‑business handled recoveries, offsets and deductions, claim and disability duration, cost‑containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line‑of‑business. Excellent oral and written communication, including exceptional presentation skills. Advanced knowledge of Google Suite. Experience with fraud investigations. Knowledge of medical terminology. Analytical and interpretive skills. Strong organizational skills. Good interpersonal skills. Excellent negotiation skills. Ability to work in a team environment. Ability to meet or exceed Service Expectations. Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem‑solving, analysis and discretion; ability to handle work‑related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Notice at Collection Required Experience: IC About Us Fashion Nova was built on the backbone of individuality and inclusiveness. Our brands are worn and celebrated worldwide by customers, celebrities and influencers because of our uniquely creative and talented employees. Fashion Nova LLC and subsidiaries thereof is an Equal Opportunity Employer. We are steadfast in our commitment to equal employment opportunities and pledge that these objectives are reflected in all aspects of our daily operations. We will continue to recruit, hire, train and advance qualified individuals in all job titles without regard to race, color, national origin, gender, sexual orientation, gender identity, religion, age, status as a protected veteran, criminal history or status as an individual with a disability; and shall not discriminate against any individual or any such characteristic nor any other classification protected by local, state and/or federal law. #J-18808-Ljbffr