Manager, Claims

SteadPoint•Birmingham, AL

1d•$90,000 - $110,000

About The Position

The Claims Manager is responsible for leading and developing a team of adjusters to ensure workers' compensation claims are administered in accordance with established best practices, company standards, and regulatory requirements. This role fosters strong client relationships through exceptional service, effective communication, and proactive claims management while promoting a collaborative, high-performing team environment. Responsibilities include recruiting, coaching, evaluating, and developing staff; monitoring claim quality and performance; and providing ongoing guidance to ensure consistent and effective claims handling. The Claims Manager operates with the highest level of authority and accountability, overseeing claims involving significant technical complexity and coordination. This position maintains expert knowledge of insurance coverage, policy interpretation, claims administration practices, and applicable industry laws and regulations. The role requires exceptional analytical, negotiation, and problem-solving abilities to evaluate complex claim issues, direct claim strategy, and support timely, cost-effective claim resolutions. Additionally, the Claims Manager ensures adherence to all company policies, procedures, controls, and best practices while identifying opportunities for operational improvement. The individual regularly communicates claim trends, significant case developments, and departmental performance to the Director of Claims and collaborates on strategic initiatives to enhance claim outcomes and service delivery. Strong organizational, interpersonal, and leadership skills are essential, as is the ability to manage sensitive and confidential information with discretion. Recognized as a subject matter expert within the organization, the Claims Manager serves as a trusted resource to leadership and staff, providing technical expertise, mentorship, and strategic direction to support departmental and organizational success.

Requirements

Claims experience of at least 10 years
Appropriate ICA continuing education coursework
Experience within Core Footprint (AL, GA, MS, TN, AR, NC, & SC) and willingness to learn new jurisdictions

Nice To Haves

Bachelor's degree preferred

Responsibilities

Manages the delivery of workers' compensation claims.
Partners with other business units to develop and implement vendor service arrangements designed to assist with cost containment of medical, indemnity and expense; ensures timely delivery of services to customers and program compliance with statutory and regulatory requirements for each state serviced.
Performs and participates in quarterly file reviews and annual supplemental audits.
Creates and implements effective actions plans associated to areas of opportunity identified.
Measures, monitors, and ensures technical accuracy, customer service expectations and timely reporting to state and other regulatory agencies.
Monitors and drives appropriate utilization of loss cost reducing vendor relationships to ensure customers receive timely and appropriate services at appropriate costs.
Partners with director to appoint new outside counsel in emerging or growth areas.
Maintains knowledge of electronic data interchange (EDI) regulatory reporting requirements unique to each state serviced.
Monitors and tracks key performance measures and ensures compliance with previously identified objectives and targets.
Delivers a positive customer experience to all internal, external, current, and prospective Nationwide customers.
Oversees and ensures timely and professional responses to all customer and state agency inquiries.
Maintains accurate and detailed claim files, including all correspondence, reports and settlement agreements.
May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports