Job summary
The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures.Supports Claims Manager in staff recruitment, interviews and training of new staff on procedures and job-related functionsSupervises claims staff in their day-to-day operations
Job seniority: mid-to-senior level
Responsibilities
• Ensures staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements• Functions as liaison, suggesting and implementing final resolution for clients and employees regarding claim-specific, procedural or special requests• Supports Claims Manager in staff recruitment, interviews and training of new staff on procedures and job-related functions• Provides technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues and service account instructions• Adheres to HIPAA regulations, policies, and procedures• Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)• Adheres to all company policies, best practices and procedures• Additional projects and duties as assigned
Requirements
• Bachelor's degree or a combination of education and related experience• Minimum of 5 years' experience handling claims• Knowledge of Oregon and Washington claims experience required• Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel• Self-Insured Certificate preferred• State Certification as an experienced Examiner
Key Skills Needed
• Excellent written and verbal communication skills• Ability to assist team members to develop knowledge and understanding of claims practice• Participate in Customer Claim Reviews and Presentations• Effective quantitative, analytical and interpretive skills• Strong leadership, management and motivational skills• Demonstrated, Strong Customer Service Skills• Ability to travel overnight and attend meetings if required• Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc.• Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets• Strong interpersonal, time management and organizational skills• Ability to work both independently and within a team environment• Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation
