Xanterra Leisure Holding, LLC

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Corporate Occupational Nurse and Claims Manager

Corporate Occupational Nurse and Claims Manager

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This position serves as the Corporate Level Occupational Health Nurse and Claims Manager for the organization, providing support and oversight to operational locations throughout the company as well as to the cruise line and global touring companies that make up the Xanterra Travel Collection.  Work includes implementing medical surveillance programs related to regulatory requirements, training staff on compliance with programs, and managing the company First Responder Program.  As the Corporate medical expert, this person will be involved with the cruise line to provide support for ship clinics and doctors.  Work will also involve industrial hygiene assessments as necessary and support for insured casualty claims.  This position is a vital member of the Risk Management team, working closely with risk management in the field as well as key stakeholders at both the property and corporate level.  


Essential Functions:


  • Serves as the Company Occupational Health Nurse, providing medical and wellness consult as necessary throughout the organization.
  • Provides quantitative and qualitative industrial hygiene assessments as necessary and directed.
  • Manages all medical surveillance programs company-wide for compliance with OSHA and other regulatory agencies.
  • Provides occupational health oversight for regulatory medical certification requirements involving items such as DOT files, powered industrial equipment operation, respirator programs, etc.
  • Provides medical consult for oversight with Windstar ship medical operations.
  • Manages company regulatory First Responder Program.
  • Manages the claims intake and administration piece of the RMIS tool.
  • Serves as the Xanterra’s centralized resource to operations for all casualty claims, to include Windstar and touring companies.
  • Works with Third Party Administrator in adjusting and reserving practices and implementation of cost containment initiatives.
  • Works with Pharmacy Benefit Management Company on pharmacy spend initiatives and mitigation programs.
  • Conducts utilization reviews for medical necessity and pharm logical appropriateness within claim administration practices.
  • Reviews all Third Party Administrator billings for reasonableness approval to accounting.
  • Ability to use facilitative and diagnostic skills to assist Risk Management and operations in the identification of exposures and hazards.
  • Organizes and leads quarterly claims reviews for all lines of business.
  • Provides authorization on settlement requests and reserve changes at predetermined threshold.
  • Attends mediations trials and hearings as directed and necessary.
  • Acts as point of contact for property claim questions and return to work challenges.
  • Oversees risk management information system Electronic Claims Intake functionality.
  • Identifies key performance indicators and directs measurement of results, to include design, analysis and distribution of key performance reports.
  • Supports and facilitates a team environment of continuous feedback and idea sharing with all team members and stakeholders.



Job Qualifications:


  • Registered Nurse with no less than 5 years of experience in occupational health
  • 5-7 years claims management experience
  • Proficient in Excel and RMIS tools
  • Proficient in company sanctioned software and systems, as well as relevant use of internet
  • Identify problems and apply solutions (creativity)
  • Excellent communications (oral and written)
  • Attention to detail
  • Proficient in the English language
  • Ability to work with limited direction
  • Ability to gain consensus for projects and programs
  • Travel will be required, 20-25% estimated.



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