Claims Unit Supervisor (Workers Compensation)

LEADERSHIP RESPONSIBILITIES

• Leads a unit of five to seven Claims Professionals of varying experience levels.  Establishes a workplace culture of professionalism, collaboration and inclusion, and excellence in service, aligning with our corporate mission and shared values.
• Establishes common goals.  Provides effective performance feedback through employee recognition, rewards, and disciplinary action, with the assistance of Human Resources as necessary.
• Able to transition between Supervisor and Claims Professional roles to effectively complete tasks and accomplish goals.
• Actively supports Company programs and initiatives focused on strategic and tactical innovation and improvement.
• Facilitates discussions and brainstorming for ideas to improve process efficiency.  Memorializes and disseminates essential information regarding the results of these activities.

ADDITIONAL RESPONSIBILITIES AND PRINCIPAL ACCOUNTABILITIES

• Ensures claims are managed in compliance with applicable statutes, regulations, case law, and Company standards.
• Ensures unit achieves organizational goals via prompt claim closures, high client satisfaction with service, timely medical management decisioning, and strategic cost containment.
• Ensures claim reserves and settlements are appropriate and timely.
• Monitors and directs the management of individual claims within the unit in accordance with Company standards.
• Manages the workflow of the unit including planning, assigning, and directing work.
• Fosters and guides the professional development of individual Claim Professionals of varying levels of experience to help them build successful and satisfying careers while producing excellent results in their work and exhibiting exemplary workplace behavior.
• Identifies and communicates training needs.  Assists with facilitating training topics and continually reinforces adherence to the concepts and techniques adopted.
• Aids in the development of vendor panels via continual feedback to management as to effectiveness of defense counsel, medical providers (physicians, medical facilities, nurse case managers), and vendors (durable medical equipment vendors, translators, copy services, and vocational rehabilitation service providers).
• Ensures continuing education requirements are met.
• Performs special assignments and projects as assigned.

REQUIRED QUALIFICATIONS

• Minimum of High School Diploma or equivalent certificate required; Bachelor’s degree from four-year college or university is preferred.
• Minimum of five years of prior claims adjusting experience at a workers' compensation carrier is required.
• CA Self-Insurance Administrator's (SIP) Certification required (upon hire).
• Prior supervisory experience is a plus.
• Completion of mandated training (and continuing education) requirements to adjust workers' compensation claims in the State of California is required.

WHAT WE OFFER

• Work-Life Balance
• Work From Home Program (up to 2 days per week upon eligibility)
• Modern Office Setting
• Free On-Site Fitness Facility
• Free downtown shuttle route
• Two-minute walk from Walnut Creek BART Station
• Three-minute car ride from CA-24 and I-680
• Free On-Site Garage Parking
• Paid Time Off
• Paid Holidays
• Retirements Savings Match
• Group Health Insurance (Medical, Dental, and Vision)
• Life and AD&D Insurance
• Long Term Disability Insurance
• Accident and Critical Illness Insurance
• Flexible Savings Accounts
• Paid Community Volunteer Day
• Employee Assistance Program
• Tuition Reimbursement Program
• Employee Referral Program
• Diversity, Equity and Inclusion Program