Supervisor Claims - Workers Compensation

PMA Companies

$80K — $95K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or 3+ years in an insurance-related role.
  • In-depth knowledge of WC regulations in VT, RI, CT, and NH.
  • Proven supervisory experience is essential.
  • Familiarity with medical terminology is required.
  • Strong leadership, coaching, and teamwork abilities.
  • Advanced judgment, analysis, and decision-making skills needed.
  • Excellent verbal, written, and customer service communication skills are a must.
  • Proficiency in MS Office, including Word, Excel, and PowerPoint is necessary.
  • CPCU or AIC designation is preferred.
  • Willingness to travel approximately 15% for business.

Responsibilities

  • Manage claim assignments and provide ongoing guidance through diary management.
  • Ensure timely and accurate documentation of claims activities.
  • Select, train, and mentor claims staff.
  • Plan and direct staff responsibilities to meet departmental goals.
  • Develop staff capabilities to align with departmental and individual career goals.
  • Ensure appropriate case reserves following company guidelines.
  • Extend settlement authority for claims exceeding adjuster's limit.
  • Identify and analyze trends in the claims portfolio and report findings.
  • Administer salary and personnel programs as guided by management.
  • Utilize performance management processes to enhance employee performance.

Benefits

  • Comprehensive health insurance and wellness programs.
  • Career development opportunities and training.
  • Emphasis on work-life balance with flexible working hours.
  • Employee assistance programs for personal support.
  • Retirement savings plans with company contributions.
Full Job Description
As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, policy provisions and company guidelines while fostering a culture of communication.

Responsibilities:
  • Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management.
  • Ensures timely, accurate documentation of claim activity.
  • Selects, trains, coaches and mentors unit personnel.
  • Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accordance with approved plans and budgets.
  • Develops staff to respond to current and anticipated needs of department as well as determining career development goals of individuals.
  • Ensures appropriate case reserves consistent with company guidelines.
  • Extends settlement authority on claims exceeding adjuster's granted authority.
  • Develops, recommends and implements short range objectives consistent with company business goals, guidelines and programs.
  • Recognizes and analyzes trends across the claims portfolio at the adjuster, unit and account levels.
  • Reports on observations and recommends remedial action as needed.
  • Administers salary and personnel programs under guidance of manager.
  • Utilizes quality assurance programs and develops training agenda based on opportunities for improvement.
  • Utilizes performance management process effectively, on an ongoing basis, to maximize performance of employees, correct performance problems, provide development opportunities, and promote effective communication with employees.
  • Manages the account management process and resolves service issues.
  • Promotes effective communication among and between work groups, and between management and employees.
  • Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.


  • Bachelor's degree and/or a minimum of three years of work experience in an insurance related industry required.
  • Extensive knowledge of WC regulations VT, RI, CT and NH, insurance contracts, applicable law and adjusting techniques.
  • Previous supervisory experience.
  • Familiarity with medical terminology.
  • Demonstrated leadership, coaching, mentoring and teamwork skills
  • Advanced skills in applying sound judgment/analysis, decision making/problem solving, planning and organization and negotiation.
  • Excellent verbal and written communication skills.
  • Excellent customer service and collaboration skills gained through previous work experience.
  • Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint.
  • Chartered Property Casualty Insurance (CPCU); Associate in Claims (AIC) designation or similar professional designation desired.
  • Ability to travel for business purposes; approximately 15%

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