Claims Supervisor - Workers CompensationPurpose and DescriptionResponsible for claims administration, management and direction of staff Claim Technicians and Claim Representatives specializing in workers compensation claims as well as injured on duty claims.
Essential Job Functions- Hire, train, and develop claims staff as assigned.
- Responsible for active caseload up to and not to exceed 50 claims.
- Responsible for the administration of assigned claims functions. Periodic performance evaluation of all claim's personnel, provide counseling and create an atmosphere encouraging employee growth and positive development.
- Assist in the development of job descriptions, claim handling procedures, and departmental standards.
- Attend and hold regular meetings including board meetings with clients and staff to gather input and ensure achievement of established goals.
- Review all claim forms and the workflow, with the goal of finding opportunities to improve the way the work is being done.
- Maintain effective ongoing communication with senior management to ensure a smooth efficient information flow.
- Undertake projects and additional duties that may be assigned by senior management.
- Provide all necessary management reports to keep senior management on achievement of objectives and operations.
- Assign claims daily with pre-assignment instructions.
- Review closed claims on a periodic basis.
- Review open claims on an ongoing basis.
- Set reserving and settlement authority levels for staff.
- Handle complaints while maintaining a complaint file.
- Maintain a balanced workload for staff while managing a workload distributions system.
Non-Essential Job Functions- Meet with accounts and clients
- Attend technical seminars
- May participate in soliciting new accounts
Minimum RequirementsThe following are required to enable the employee to perform the essential functions of the job.
- Skills/knowledge - Above average written and verbal communication skills with the ability to effectively motivate and lead staff. Sound interpersonal skills are essential. Must be able to conduct training on technical matters.
- Experience/education - Eight years of insurance claims or company experience or equivalent required. College degree or comparable work experience required. Professional designation and achievement of related insurance industry or management courses desired.
