Job Details
Workers' Compensation Claims Supervisor
POSITIONS SUPERVISED : Directly : Claims Examiners, Claims Assistants; may supervise File / Mail Clerks and Administrative Assistants
POSITION SUMMARY : This position requires considerable interaction with the client, management, other Claims Examiners, and other TRISTAR staff in the office;
therefore, consistently being at work in the office, in a timely manner, is inherently required of this position. (Hybrid in / out of office, depending on requirements for the office)
DUTIES AND RESPONSIBILITIES :
- Directly supervises examiners and clerical staff. Includes monitoring attendance, job performance, evaluations, and disciplinary issues.*
- Reviews and addresses scheduled claims issues, such as initial and periodic reviews, delays, denials, etc.*
- Reviews and approves reserve changes, awards, and payments within Company and Client guidelines.*
- Performs file reviews to monitor compliance with policies and laws.*
- Establishes appropriate supervisory diaries on claim files and completes pending diaries on or before scheduled due dates.*
- Prepares for claim audits, reviews audit results, and provides appropriate rebuttal feedback.*
- Coordinates and leads training sessions for staff on updated laws, policies, and procedures.*
- Ensures daily caseload staffing requirements are met.*
- Responds to claimant and vendor concerns and issues as needed.*
- Ensures client servicing instructions are being adhered to.*
- Analyzes monthly client reports. *
- Facilitates internal and external audits. *
- Attends client file-staffing meetings in-person or telephonically. *
- Other duties as assigned.
- Essential job function.
EQUIPMENT OPERATED / USED : Computer, 10-key, printer, copier, fax machine, and other office equipment.
SPECIAL EQUIPMENT OR CLOTHING : Appropriate office attire.
Qualifications
QUALIFICATIONS REQUIRED :
Education / Experience : Bachelor’s degree in a related field (preferred); three (3) to five (5) years related experience;
or equivalent combination of education and experience.
Knowledge, Skills and Abilities :
- Technical knowledge of statutory regulations.
- Ability to work on a diary system, prioritize tasks and meet strict deadlines.
- Strong analytical skills.
- Proficient in Word and Excel.
- Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients, and staff.
- Ability to manage employees of various skill levels.
- Excellent interpersonal skills.
Other Qualifications :
AK certification. Preferably domiciled in Alaska
Here are some of the benefits you can enjoy in this role :
- Medical, Dental, Vision, Disability & Life Insurance 401(k) plan Paid time off. Paid holidays.
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