Workers' Compensation Claim Supervisor

Workers' Compensation Claim Supervisor

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. Is accountable for the quality of claim services as perceived by CCMSI clients and within our Corporate Claim Standards.

Responsibilities :

• Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.
• Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.
• Reserve establishment and / or oversight of reserves for designated claims within established reserve authority levels.
• Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
• Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
• Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
• Assist designated claim staff in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
• 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.
• Supervision of all claim activity for specified accounts.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
• Performs other duties as assigned.

Qualifications :

Education and / or Experience :

10 + years claim experience is required.

Three years supervisory experience is preferred.

Bachelor Degree is preferred.

Active NY Adjusters' License required.

NY Adjusting experience required.

Computer Skills :

Proficient in Microsoft Office products such as Word, Excel, Outlook, etc.

Certificates, Licenses, Registrations :

Adjusters license may be required based upon jurisdiction

AIC, CPCU, or ARM preferred

Physical Demands :

Core Values & Principles :

Responsible for upholding the CCMSI Core Values & Principles which include : performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

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. Please contact our hiring team with any questions about compensation or benefits.

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.