Manager, Workers Compensation Claims - Remote

Crum & Forster

$78K — $147K *
US-AnywhereRemote in Orange, CA
Finance & Insurance
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s degree or equivalent experience required.
  • 8+ years of experience, preferably in a WC Claims Supervisory and/or Management position.
  • Strong verbal and written communication skills.
  • Experience with Microsoft Office suite of programs and Lotus Notes software applications.
  • Strong preference for candidates in the PST time zone.

Responsibilities

  • Supervise a team of Claim Specialists handling complex claims.
  • Monitor and report trends in claims to department leadership.
  • Direct claims policies ensuring compliance with the best practices and regulations.
  • Collaborate with various departments to address claims trends and implement solutions.
  • Provide technical support to Claims Specialists and stay informed on industry developments.
  • Maintain prompt and fair claims disposition in alignment with laws and company policies.
  • Approve case reserve recommendations and analysis of claims reserve adequacy.

Benefits

  • Competitive compensation package
  • Generous 401K employer match
  • Employee Stock Purchase plan with employer matching
  • Generous Paid Time Off
  • Comprehensive wellness programs for physical, mental, and financial wellbeing
  • Tuition reimbursement and professional training
  • Dynamic and fun work environment
  • Opportunities for community involvement and corporate giving programs
Full Job Description

The manager is responsible for supervising a unit comprised of Claim Specialists that handle claims with varying degrees of complexity in the department. This person will monitor claims trends and will report out on a regular basis on identified trends and action plans to address unfavorable trends to department leadership.

Strong preference for candidates in the PST time zone.

What you will do for C26F:

  • Must be well versed in California Workers92 Compensation statute claims.
  • Direct policies and procedures to ensure claims handling is consistent with Crum & Forster92s claims handling best practices in addition to all legal and regulatory requirements.
  • Participate with the Assistant Vice President in the planning, processing and establishment of regional business objectives.
  • Work with risk engineering, underwriting, account executives, vendor management and legal departments to address any trends that may impact claims costs and implement guidelines that meet department and company objectives.
  • Provide technical support to the claims specialists in accordance with industry publications, seminars, groups, and other sources to stay well informed of key developments. Review legal decisions to keep abreast of current case law and trends.
  • Maintain an efficient claims staff to dispose of all claims promptly and fairly in accordance with applicable contract provisions, state laws and regulations, local conditions and company policies.
  • Identify coverage issues and reviews all coverage evaluation letters.
  • Approve case reserve recommendations, establish reserves and make recommendations on case reserves above authority levels; analyze and review on a continual basis, the reserve adequacy of claims handled within unit.
  • Provide guidance in the negotiations of claims and extend settlement authority to the Claims Specialist.
  • Recruit, acquire, mentor and retain qualified staff; develop and train direct reports to optimize individual growth, development and success within Crum & Forster; address performance management issues to ensure that Claims Handlers meets department and individual objectives.
  • Establish, implement and monitor regional office claims objectives in conformance with company objectives.
  • Ability and willingness to work on special projects outside normal responsibilities.
  • Meet with current and prospective customers to discuss C&F claims capabilities and address specific claim needs.
  • Provide excellent customer service to both external and internal customers.

What you will bring to C26F:

  • Bachelor92s degree or equivalent experience required.
  • 8+ years of experience, preferably in a WC Claims Supervisory and/or Management position.
  • Strong verbal and written communication skills.
  • Experience with Microsoft Office suite of programs and Lotus Notes software applications.
  • Some travel required.
What C26F will bring to you
  • Competitive compensation package
  • Generous 401K employer match
  • Employee Stock Purchase plan with employer matching
  • Generous Paid Time Off
  • Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family92s wellness, including your physical, mental and financial wellbeing
  • A core C26F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path
  • A dynamic, ambitious, fun and exciting work environment
  • We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community

At C26F you will BELONG

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