Workers Compensation Claims Supervisor

$107,000 - $126,000/Yr

System 1 Staffing

Full-time - Mid Level

Remote

About the position

The Claims Supervisor will oversee the Workers Compensation department, ensuring the accuracy, timeliness, and quality of casework within the assigned unit. This role involves developing positive relationships with clients and supervising a team of claims examiners. The position requires a strong understanding of workers' compensation laws and the ability to lead and train staff effectively.

Responsibilities

• Supervise daily activities of the team.
• Coordinate and perform training for staff.
• Interview, hire, and train new employees.
• Provide general guidance to staff and review their performance.
• Resolve team and workflow problems.
• Lead staff unit meetings and attend client meetings remotely.
• Authorize release of payment and settlement decisions.
• Make daily claims decisions regarding plans of action and payment handling.
• Review claim files for accuracy and run reports.
• Approve payments and reserve increases above Examiner's authority level.
• Collaborate with company executives and clients' senior management.
• Provide information to clients, attorneys, doctors, investigators, and injured workers.
• Work with attorneys to draft settlements and assist with litigation strategies.
• Discuss medical treatment appropriateness with the medical case manager.
• Ensure consistent and accurate claims coding throughout the organization.

Requirements

• High School Diploma or equivalent (GED) required; AA/AS or BA/BS preferred.
• Current Experienced Indemnity Claims Adjuster Designation as defined in California regulations.
• Administrators Certificate from Self-Insurance Plans required within one year of employment.
• Completion of IEA or equivalent courses.
• Solid knowledge of workers' compensation laws, policies, and procedures.
• 3+ years of recent workers compensation claims handling experience.
• 2+ years of supervisory experience in a Workers' Comp claims environment preferred.
• Proficiency in determining case value and negotiating settlements.
• Prior Third-Party Administrator (TPA) experience preferred.
• Understanding of medical and legal terminology.
• Strong attention to detail and organizational skills.
• Ability to research and resolve problems and meet multiple deadlines.
• Proficiency in applying business and technical acumen to support business initiatives.
• Ability to plan, prioritize, and organize claims workload for a unit.
• Skilled at presenting in small and large group settings.
• Ability to create reports using available tools or custom documents.
• Ability to develop and maintain effective relationships with stakeholders.

Nice-to-haves

• ClaimsXpress program experience preferred.

Benefits

• Full-time position with a salary range of $107,000 - $126,000 per year.
• Remote work location available.
• 8-hour shifts from Monday to Friday.