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Workers' Compensation Claim Supervisor (NY)

Workers' Compensation Claim Supervisor (NY)

CCMSINeptune City, NJ, US
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Overview

Position Title : Workers' Compensation Claim Supervisor (NY)

Location : Wall Township, New Jersey (Hybrid / Remote Options)

Hours : Monday - Friday, 8 : 00 AM to 4 : 30 PM ET

Salary Range : $85,000-$95,000

Required : Active NY Adjusters' License and recent NY experience

At CCMSI , we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.

Reasons You Should Consider a Career With CCMSI

  • Culture : Our Core Values are embedded into our culture of how we treat our employees as a valued partner—with integrity, passion and enthusiasm.
  • Career development : CCMSI offers robust internships and internal training programs for advancement within our organization.
  • Benefits : 4 weeks paid time off in your first year, plus 10 paid holidays, and Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
  • Work Environment : We provide an environment where employees enjoy coming to work, are provided the resources needed to perform their job, and claims staff are assigned manageable caseloads.

The Workers' Compensation Claim Supervisor is responsible for the investigation, adjustment and supervision of assigned claims. This position may be used as an advanced training position for consideration for promotion to a management position. It is accountable for the quality of claim services as perceived by CCMSI clients and within our Corporate Claim Standards.

Responsibilities

  • Review, assign and supervise all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client-specific handling instructions and applicable laws.
  • Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.
  • Establish or oversee reserves for designated claims within established reserve authority levels.
  • Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine reasonableness and relation to designated claims; negotiate disputed bills or invoices for resolution.
  • Authorize and make payments of claims in accordance with procedures and within established payment authority.
  • Negotiate settlements in accordance with Corporate Claim Standards, client instructions and state laws when appropriate.
  • Assist designated claim staff in the selection, referral and supervision of outside vendors (e.g., legal, surveillance, case management).
  • Direct handling of designated litigated and complex claims.
  • Provide education, training and assist in the development of claim staff.
  • Review and maintain personal diary on claim system.
  • Supervise all claim activity for specified accounts.
  • Ensure compliance with Corporate Claim Handling Standards and client instructions.
  • Performs other duties as assigned.
  • Qualifications

  • Excellent oral and written communication skills.
  • Initiative to set and achieve performance goals.
  • Good analytic and negotiation skills.
  • Ability to cope with job pressures in a changing environment.
  • Knowledge of all lower level claim position responsibilities.
  • Detail oriented with strong organizational abilities; self-starter.
  • Ability to coordinate and prioritize required tasks.
  • Flexibility, accuracy, initiative and ability to work with minimum supervision.
  • Discretion and confidentiality required.
  • Reliable, predictable attendance within client service hours.
  • Responsive to internal and external client needs.
  • Clear verbal and written communication internally and externally.
  • Education and / or Experience : 10+ years claim experience required.
  • Three years supervisory experience preferred.
  • Bachelor's Degree preferred.
  • Active NY Adjusters' License required.
  • NY Adjusting Experience Required.
  • Computer Skills : Proficient in Microsoft Office (Word, Excel, Outlook, etc.).
  • Certificates, Licenses, Registrations : Adjuster license may be required by jurisdiction; AIC, CPCU, or ARM preferred.
  • Physical Demands

  • Work requires the ability to stoop, bend, reach and handle with arms and hands; manual dexterity.
  • Ability to sit or stand for extended periods.
  • Sufficient auditory and visual acuity to interact with others.
  • Core Values & Principles

    Responsible for upholding CCMSI Core Values and Principles including integrity, client service, collaboration, excellence and respectful workplace behavior.

    Compensation & Compliance

    The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process.

    Visa Sponsorship

    CCMSI does not provide visa sponsorship for this position.

    ADA Accommodations

    CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.

    Equal Opportunity Employer

    CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.

    Note : This description reflects information current at the time of posting and is not a contract of employment.

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