Workers' Compensation Claims Supervisor
Company: Intercare Holdings Insurance Services
Posted on: May 14, 2022
Under the direction of the Claims Manager, the Claims Supervisor
responsible for the overall work product of a claims unit comprised
of Claims Specialists who manage assigned inventories of claim
files. The unit also includes Claims Assistants who are responsible
for providing clerical support to the Claims Specialists. The
nature of the work involves coaching and counseling, monitoring
work performance to assure compliance with company standards and
Labor Code rules and regulations, conducting performance
evaluations, and instituting corrective action when
Essential Duties and Responsibilities:
- Responsible for the timely completion of performance reviews for
all personnel within the
- Provides monetary approval authority up to assigned authority
- Maintains selected files on personal diary including all files
reserved over $50,000, all subrogation
files, all files with delayed or denied benefits, all files
formally assigned to the SIU, and all files with
unresolved coverage issues.
- Upon request or in accordance with the applicable claims handling
contract provides all
information, reports, records, logs, and other information our
clients may require.
- Provides ongoing advice, mentoring, coaching, counseling and
performance feedback to all
personnel in assigned unit.
- Responsible for assuring that all claims are handled in
accordance with applicable statutes and
- Deals quickly and decisively with personnel issues as they arise
and keeps the manager informed
with regards to the need for or the progress of any corrective
- Exhibits a knowledgeable and helpful attitude and projects a
professional image on behalf of the
- Identifies and develops at least one individual to serve as
- Performs quarterly audits of 10% of the open inventory of each
claims specialist for the purpose
of validating the accuracy and completeness of the claims
management process as well as to
identify opportunities for improving the process as well as the
- Responsible for insisting upon a spirit of teamwork and
cooperation between claims personnel in
assigned unit and the personnel of other departments.
- Requires a working knowledge of the Labor Code of the State of
California as it pertains to
workers compensation claims and the legal requirements for handling
- Handles other duties and tasks as deemed appropriate by the
To perform the job successfully, an individual should demonstrate
the following competencies:
Project Management - Develops project plans; Coordinates projects;
Communicates changes and progress; Completes projects on time and
budget; Manages project team activities.
Change Management - Develops workable implementation plans;
Communicates changes effectively; Builds commitment and overcomes
resistance; Prepares and supports those affected by change;
Monitors transition and evaluates results.
Leadership - Exhibits confidence in self and others; Inspires and
motivates others to perform well; Effectively influences actions
and opinions of others; Inspires respect and trust; Accepts
feedback from others; Provides vision and inspiration to peers and
subordinates; Gives appropriate recognition to others; Displays
passion and optimism; Mobilizes others to fulfill the vision.
Managing People - Includes staff in planning, decision-making,
facilitating and process improvement; Takes responsibility for
subordinates' activities; Makes self available to staff; Provides
regular performance feedback; Develops subordinates' skills and
encourages growth; Solicits and applies customer feedback (internal
and external); Fosters quality focus in others; Improves processes,
products and services; Continually works to improve supervisory
To perform this job successfully, an individual must be able to
perform each essential duty satisfactorily. The requirements listed
below are representative of the knowledge, skill, and/or ability
required. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential
Education and/or Experience:
Bachelor's degree (B. A.) from four-year college or university; or
one to two years related experience and/or training; or equivalent
combination of education and experience. Five or more years of
progressive technical Workers' Compensation claim experience,
demonstrating a high degree of judgment and discretion, is capable
of providing adequate guidance on complex claim cases and can
negotiate settlements effectively.
Certificates and Licenses:
Attainment of the IEA Certificate, Self-Insured Certificate, and
successful completion of, or active study for the WCCP designation,
or the equivalent in related studies or work experience.
Directly supervises 7-10 employees in the Claims Department.
Carries out supervisory responsibilities in accordance with the
organization's policies and applicable laws. Responsibilities
include interviewing, hiring, and training employees; planning,
assigning, and directing work; appraising performance; rewarding
and disciplining employees; addressing complaints and resolving
Our benefits include medical, dental, vision, life insurance, short
and long term disability, an employee assistance program, flexible
spending and 401K.
Keywords: Intercare Holdings Insurance Services, Glendale , Workers' Compensation Claims Supervisor, Other , Glendale, Arizona
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