Claims Supervisor - Workers Compensation

Job Title : Claims Supervisor - Workers' Compensation

Location : Ontario, CA (Hybrid - 2 days / week onsite; first 3 days onsite for training)

Employment Type : Full-time, Direct Hire

Position Summary :

We are seeking an experienced and certified Workers' Compensation Claims Supervisor to join our team in Ontario, CA. This role is responsible for overseeing complex and high-exposure workers' compensation claims, ensuring compliance with California regulations, and mentoring a team of examiners. The ideal candidate will have a minimum of 5 years of California WC claims experience and hold a valid SIP certification.

Key Responsibilities :

• Analyze and manage complex or technically challenging workers' compensation claims.
• Develop and execute action plans to ensure timely and appropriate claim resolution.
• Approve and negotiate settlements within designated authority.
• Assign and manage reserves; ensure reserve adequacy throughout claim lifecycle.
• Authorize and process benefit payments and adjustments.
• Ensure timely and accurate state filings.
• Oversee litigation processes and coordinate with legal and investigative vendors.
• Apply cost containment strategies to reduce overall claim costs.
• Manage claim recoveries including subrogation and excess recoveries.
• Maintain professional communication with claimants and clients.
• Ensure accurate documentation and coding of claim files.
• Refer cases to management as needed per client service instructions.

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