- Accountable for the timely completion of all performance reviews in the department.
- Provides monetary approval authority up to assigned authority level.
- Works closely with representatives of our clients to assure that contractual provisions are being followed and that client/customer related issues are addressed promptly.
- Provides ongoing advice, mentoring, coaching, counseling and performance feedback to the supervisors and to others within the claims department as needed or in response to a request for assistance from a supervisor.
- Responsible for assuring that all claims handled by the department are handled in accordance with applicable statutes and company rules.
- Assists the supervisors with customer and personnel issues when needed and keeps the Vice President of Claims informed with regards to any corrective action activities within his/her department.
- Exhibits a highly knowledgeable and helpful attitude and projects a professional image on behalf of the company.
- Identifies and develops at least one supervisor to serve as claim manager backup.
- Represents the company at industry functions when needed and when appropriate.
- Responsible for developing and sustaining a spirit of teamwork and cooperation among claims personnel and between claims and the personnel of other departments.
- Responsible for monitoring productivity and compliance trends within the assigned claims department and for implementing procedural adjustments as necessary to enhance or improve productivity and results.
- Responsible for managing department operating expenses within the approved department budget.
- Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims.
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Workers Compensation Claims Manager - Rocklin, United States - Intercare Insurance
Description
Job Description
Job DescriptionWorker Compensation Claims ManagerJob DetailsJob Type
Full-time
Rocklin, CADescription
Summary:
Reports directly to the Vice President of Claims. Under the general direction of the Vice President of Claims, is responsible for managing a claims department comprised of claims supervisors, claims specialists, claims assistants, and possibly other personnel involved directly in the claims function. Has overall responsibility and accountability for the work product of the claims department to include the quantity of work processed as well as the quality. The nature of the work involves coaching and counseling of the claims supervisors as well as other department staff when required, monitoring department work product to assure compliance with Labor Code provisions as well as company rules and regulations, conducting performance evaluations, and instituting corrective action when appropriate. It also includes monitoring, controlling, and planning.
Essential Duties and Responsibilities:
Supervisory Responsibilities:
Manages 3 to 7 subordinate supervisors who supervise a total of 7 to 10 employees in the Claims Department. Is responsible for the overall direction, coordination, and evaluation of these units. Also directly supervises one non-supervisory employee. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Competency:
To perform the job successfully, an individual should demonstrate the following competencies:
Qualification Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience:
Bachelor's degree (B. A.) from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience. Eight or more years of progressive technical claim experience, demonstrating a high degree of judgment and discretion, is capable of providing adequate guidance on complex claim cases and can negotiate settlements effectively.
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