Workers' Compensation Claims Manager - California, United States - Selby Jennings

Selby Jennings California, United States

1 week ago

Description

What you will do

Responsible for the overall management and coordination of a branch claims office consisting of two or more supervisory units.
Establishes department goals, project staff requirements, and budget requirements.
Evaluate training needs, draft plans, and implement solutions to address requisites via branch and corporate resources.
Assures compliance with corporate claim policy and performance standards.
Conducts personnel performance evaluations and manages branch salary budget.
Responsible for hiring, promotions, disciplinary actions, terminations, etc. of branch claim personnel.

Reviews and approves claim creations, reserve increases and 90-day reviews and reserve changes within designated authority delegated by Home Office Claims.

Establishes internal quality review program to monitor and manage demonstrated performance of claim staff by corporate and branch objectives.
Responsible for providing quality customer claim service to policyholders and agents.

Establishes ongoing, working relationships with clients and adjusts claim handling techniques to deliver quality customer service and meet corporate objectives.

Where applicable, with assistance from Assistant Claims Manager and Supervisor, supervises the daily operation of department technical and clerical staff.

Responsible for devising plans and implementing solutions for controlling adverse claim trends.
Participates in research and evaluative studies as requested.
Performs public relations, problem-solving, and educational functions for agents, policyholders, and other departments.
May be appointed account coordinator for high-profile insureds.
Performs other duties as assigned.
Education Qualifications
High School Diploma Or equivalent required
Bachelor's Degree or equivalent combination of training/experience required
Experience Qualifications

Claims experience managing claims technical and clerical staff. insurance experience handling workers' compensation claims.
Skills and Abilities

Expert technical workers' compensation claims knowledge or education acquired through seminars and classes is a plus.
Knowledge of the Labor Code of the State of California and prevailing case law.
Excellent verbal and written communication skills are necessary.
Good time management, organizational, and negotiation skills are a must.
Ability to integrate claims process with rehabilitation services.
Excellent managerial skills.

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