Senior Workers’ Compensation Specialist

Title: Senior Workers’ Compensation Specialist

Reports To: Workers' Compensation Claims and Risk Manager

Location: East Lansing, MI

Department: Property Casualty/Workers’ Compensation

SET SEG is looking for a Senior Workers’ Compensation Specialist who is responsible for providing expert oversight, guidance, and strategic support for the SEG Self-Insurer Workers’ Compensation Fund. This role serves as a key liaison between internal stakeholders, members, and a Third-Party Administrator (TPA), ensuring claims are handled in compliance with the Michigan Workers’ Disability Compensation Act and aligned with organizational best practices.

The position plays a critical role in claims governance, member support and service, continuous improvement, and future-focused risk control initiatives.

School Employers Trust (SET) is a non-profit company that was created after a monumental shift in school funding happened in 1965. SET, which began in 1971, served as an employee benefits association focused on offering comprehensive and affordable employee benefit solutions to Michigan public schools and their employees. Two years later, its partner organization School Employers Group (SEG) was formed to administer compensation and fringe benefits for SET.

As schools were faced with more challenges related to insurance, SEG evolved and grew into a company that provides workers’ compensation and property/casualty services for Michigan public schools.

Today, SET SEG continues to expandand find creative ways to meet the specialized needs of its members. This, coupled with superior member experience, is why SET SEG has maintained its position as an industry leader in the school insurance market.

We value those who proactively solve challenges, simplify the complex, thrive in a fast-paced setting, have a customer-first mentality, and seek a collaborative and inclusive work environment. We offer 100% employer paid insurance (medical, dental, and vision), Paid Time off (PTO), and paid parental leave.

Our passion is delivering peace of mind to Michigan public schools, and we look for team members who are motivated by our cause. To learn more, visit: (Use the "Apply for this Job" box below)..org

You are energized by working with a collaborative team and industry peers to support Michigan public schools through their challenges. You seek understanding and are motivated to tackle projects and problems with the customer in mind. You anticipate needs and preempt challenges and concerns, delivering increasingly relevant customer experiences over time. You value a culture that is rooted in mutual respect, where you can learn from different perspectives and roles.

• Serve as the primary relationship lead for member districts, conducting in-person claim reviews, strategic consultations, and ongoing engagement to support strong outcomes and an exceptional service experience.
• Present claim insights, trends, and strategic recommendations to leadership and member districts.
• Design and deliver member-facing training programs, including regional workshops, group sessions, and one-on-one coaching for district workers’ compensation contacts.
• Provide responsive, empathetic interaction with claimants and district representatives, ensuring clarity, professionalism, and trust on complex, high-impact, or escalated claims.
• Oversee and evaluate TPA claims performance, including lost time claims handling, reserving practices, and claim outcomes.
• Analyze claim trends, loss drivers, and performance metrics to deliver data-driven insights that inform proactive risk control initiatives and long-term workers’ compensation strategy.
• Partner with internal leadership and the TPA to refine and elevate claims handling best practices, strengthening governance, consistency, and service quality across the Fund.
• Identify compliance risks and recommend forward-thinking process enhancements.
• Drive continuous improvement through claims administration, member service, and cost containment, identifying opportunities to enhance efficiency and effectiveness.
• Conduct internal claims audits and coordinate corrective actions, ensuring accountability and sustained…