Workers' Compensation Claims Supervisor

Posted 18 hours ago

This is a fully remote position, open to applicants in Texas.

📋 Description

• Directly report to the Claims Manager.

• Supervise the overall output of a claims team that includes Claims Specialists and Claims Assistants.

• Provide coaching, counseling, mentoring, and performance feedback to team members.

• Monitor work performance to ensure compliance with company standards and Labor Code regulations.

• Conduct timely performance evaluations for all personnel within the designated unit.

• Have monetary approval authority up to the assigned limit.

• Maintain selected files on personal diary, including those over $50,000, subrogation files, delayed or denied benefit files, SIU files, and files with unresolved coverage issues.

• Supply clients with requested information, reports, records, logs, and other materials.

• Ensure claims are processed in accordance with applicable statutes and company policies.

• Address personnel matters and keep the Claims Manager updated about any corrective actions taken.

• Identify and nurture at least one individual to serve as a supervisor backup.

• Conduct quarterly audits of 10% of each Claims Specialist's open inventory.

• Recognize opportunities to enhance claims management processes and outcomes.

• Foster teamwork and collaboration between claims staff and other departments.

• Execute additional responsibilities as assigned by the Claims Manager.


⛳️ Requirements

• Bachelor’s degree (B.A.) from a four-year college or university; or one to two years of relevant experience and/or training; or an equivalent combination of education and experience.

• Minimum of five years of progressive technical claims experience.

• High level of judgment and discretion.

• Capability to provide adequate guidance on complex claim cases.

• Proficient in negotiating settlements effectively.

• Working knowledge of the Labor Code of California as it applies to workers' compensation claims and the legal requirements for handling them.

• Project management skills, including the ability to develop project plans, coordinate projects, communicate changes and progress, and complete projects within time and budget constraints.

• Change management skills, including the development of implementation plans, effective communication of changes, commitment building, and transition monitoring.

• Leadership and people management skills, including the ability to motivate staff, provide constructive feedback, develop subordinate skills, and enhance supervisory processes.

• Capability to perform each essential duty satisfactorily.

• Ability to fulfill the essential functions of the role with reasonable accommodation if necessary.


🏝️ Benefits

• Comprehensive medical, dental, and vision coverage.

• Company contributions to HSA and FSA plans.

• Employer-paid life and disability insurance.

• 401(k) plan with company matching.

• Paid time off (PTO) and company-paid holidays.

• Opportunities for learning and development that promote genuine career advancement.

• Access to employee assistance resources and a supportive culture that prioritizes balance and wellbeing.

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