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Worker's Compensation Claims Supervisor

Worker's Compensation Claims Supervisor

Highview National Insurance CompanyRockland County, NY, US
30+ days ago
Job type
  • Full-time
  • Quick Apply
Job description

Worker’s compensation insurance is a headache.

We make it simple, smooth, and stress free.

Join us in redefining workers’ comp.

Job Summary :

  • The Workers' Compensation Claims Supervisor oversees a team of claims adjusters responsible for managing workers' compensation claims.
  • This role ensures compliance with jurisdictional regulations, adherence to best practices, and attainment of performance targets.
  • The Supervisor is responsible for technical guidance, training, quality assurance, and operational efficiency.

Please note :

  • This job description outlines general duties and expectations and is not intended to be exhaustive.
  • Duties may change based on business needs.

    • Essential Job Functions :

  • Supervise daily activities of assigned workers' compensation claims adjusters.
  • Triage new files to ensure assignments are appropriate.
  • Review first diary within 7 days of assignment for coverage, compensability, damages, compliance, reserves, and plan of action.
  • Monitor caseload distribution monthly and ensure appropriate workloads.
  • Use appropriate metrics for Return to Work, New / Reopened claims, claim closures per month, penalties, and timely contact.
  • Review claim files for quality assurance, reserve accuracy, and compliance.
  • Conduct quality assurance audits (5-7 claims per adjuster monthly) and reserve accuracy audits per jurisdiction.
  • Ensure all state forms are filed correctly and timely with zero penalties.
  • Provide coaching, mentoring, and technical guidance to adjusters through monthly one-on-ones.
  • Ensure timely and appropriate reserving and settlement authority adherence.
  • Facilitate regular file audits and roundtables on complex or high-exposure claims.
  • Coordinate training for new hires and continuing education for the team.
  • Develop training modules and onboarding tasks for new adjusters.
  • Serve as an escalation point for complex or litigated claims.

    • Authority level :

  • 50,000 for reserve and settlement; roundtable claims with managers for amounts ≥ $100,000; settlements ≥ $50,000.
  • Communicate with insured and brokers on claims above $25,000 and work with the account manager to set up claim reviews.
  • Collaborate with internal departments (Legal, Compliance, Risk Management).
  • Generate reports for management including performance metrics and trends.
  • Conduct monthly one-on-ones with the manager to review team metrics, audit scores, trends, and staffing.
  • Identify process improvements to enhance claims efficiency and outcomes.
  • Maintain knowledge of applicable jurisdictional regulations (e.g., NY, NJ, PA).
  • Seek training opportunities with vendors and law firms to enhance knowledge and performance.

    • Required Skills / Abilities :

  • Excellent oral and written communication skills—able to convey complex information effectively.
  • Detail-oriented with a high accuracy rate, ensuring precision in claim processing.
  • Strong critical thinking and problem-solving skills to assess claims efficiently and make informed decisions.
  • Flexible and tech-savvy, comfortable navigating various software tools and adapting to new processes.
  • Highly adaptable, able to adjust to evolving laws and industry changes with ease.
  • Thrives in a dynamic environment—willing to embrace change and contribute to continuous improvement.
  • Self-motivated with excellent time management, capable of handling multiple priorities effectively.

    • Education and Experience :

  • Bachelor’s degree preferred or equivalent work experience.
  • Minimum 5 years of experience in workers' compensation claims handling.
  • Prior leadership or supervisory experience 1-3 years preferred.
  • Strong understanding of state-specific WC laws and regulations.
  • Excellent communication, organization, and problem-solving skills.
  • Proficient in claims management systems and Microsoft Office.
  • Ability to use metrics as a tool to manage performance.

    • Physical Requirements :

  • Prolonged periods sitting at a desk and working on a computer.
  • Prolonged periods of standing, walking, and / or sitting and reaching with hands and arms.
  • Must be able to lift 10 pounds at a time.

    • Additional Requirements :

  • Due to the nature of our business, and urgency of our clients' needs, you may be required to participate in the company’s on-call program and work on holidays / weekends according to the on-call schedule.

    • Additional Details :

  • This is a full-time in office position in Rockland County, NY.
  • We offer a competitive salary ranging from $110-165k with generous PTO and Benefits.

    • We are an Equal Opportunity Employer We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation.

  • We intend that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.
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    Compensation Supervisor • Rockland County, NY, US