Claims Supervisor

Chesapeake Employers Insurance•Towson, MD

3d•Onsite

About The Position

Provides technical and supervisory guidance, and training to teammates of the Claims unit regarding investigating, evaluating, and general claims management in accordance with Maryland Workers’ Compensation Law and internal guidelines. This position also works with claims management to ensure best practices are properly developed and implemented throughout the department.

Requirements

Minimum of 7 years' experience in workers' compensation claims handling.
Successful experience in supervision, training and leading projects.
Demonstrate professional writing and PC skills.
Strong working knowledge of MD Workers' Comp Law.
Ability to manage caseload at various levels of complexity.
Knowledge of medical terminology.
Thorough understanding of workers compensation calculations, including but not limited to average weekly wage, disability ratings and reserves.

Nice To Haves

Bachelor's Degree preferred and industry related designation or other commiserate education.
Bilingual skills preferred.

Responsibilities

Coaches, trains, mentors, develop and provides direction and guidance to claims adjusters at various levels of experience.
Supervises and independently reviews cases for proper handling and reserving in accordance with the Claims Operating Guidelines, Audit Protocols and best practices established within the company for assigned claims personnel.
Demonstrates the ability to review and provide recommendations for claims with various levels of complexity.
Demonstrates an understanding of the impact of Medicare on workers compensation claims to include Medicare-Set Asides and Conditional payments.
Establishes and maintains an open line of communication with teammates, claimants, and attorneys to address and resolve issues.
Supervises the performance management process for all assigned teammates.
Reviews and approves proposals for claim resolution, including settlement or stipulation.
Provides appropriate analysis of same when authority requested is above theirs.
Review and adhere to Claims Operating Guidelines and communicate to staff regularly any updates or modifications to such.
Participates in phases of recruitment and interviewing.
Assists claims management in various projects, including training and other departmental projects.
Assists as needed in Corporate Projects.
Provides professional representation and conducts on-site visits to policyholders or state agencies to review claims and services when appropriate.
Analyze and exhibit a higher level of understanding of claims financial exposure directly impacting the business and stakeholders.
Inspires a culture of change and role modeling the behaviors needed to drive and embed change.
Develop a strong, collaborative relationship within claims and all other support stakeholders to identify areas for improvement and engage in cross-departmental development to support overall claims and corporate goals.
Contributes to the achievement of established department goals and objectives; adheres to departmental policies, procedures, quality and safety standards, and consistently exhibits Chesapeake’s Values and Behaviors.
Performs other duties as assigned.