Pennsylvania Workers' Compensation Claims Supervisor (Remote)

Ccmsi • Pittsburgh, PA

4d • Remote

About The Position

This role supervises approximately seven Workers' Compensation adjusters handling Pennsylvania claims and is responsible for driving claim quality, technical excellence, employee development, and operational performance. The Supervisor serves as a trusted resource for adjusters, leadership, and business partners while ensuring compliance with Pennsylvania Workers' Compensation regulations and Corporate Claim Standards. The position combines leadership responsibilities with technical oversight, requiring a strong understanding of compensability analysis, litigation management, reserving practices, return-to-work strategies, and claim resolution. The successful candidate will coach and develop adjusters, conduct file reviews, support complex claim strategy discussions, and help create a high-performing team environment focused on quality, accountability, and service.

Requirements

• 10+ years of Workers' Compensation claims handling experience
• Strong working knowledge of Pennsylvania Workers' Compensation laws, regulations, and claim handling practices
• Prior supervisory, leadership, mentoring, or team lead experience
• Experience handling claims from investigation through resolution
• Strong understanding of: Compensability determinations, Reserve management, Medical management, Litigation oversight, Return-to-work strategies, Settlement negotiations
• Ability to coach and develop claims professionals
• Strong organizational, problem-solving, and decision-making skills
• Excellent verbal and written communication abilities
• Ability to work independently in a remote environment
• Strong customer service and relationship management skills
• Proficiency with Microsoft Office applications
• Reliable attendance during established business hours

Nice To Haves

• Prior supervisory or people-lead experience within Workers’ Compensation.
• Bachelor’s degree or equivalent combination of education and experience.
• AIC, CPCU, or ARM preferred
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Responsibilities

• Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.
• Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.
• Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
• Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims.
• Negotiate any disputed bills or invoices for resolution.
• Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
• Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
• Assist designated claim staff in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
• Direct handling of designated litigated and complex claims.
• Provide education, training and assist in the development of claim staff.
• Review and maintain personal diary on claim system.
• Supervision of all claim activity for specified accounts.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.

Benefits

• 4 weeks PTO + 10 paid holidays in your first year
• Comprehensive benefits : Medical, Dental, Vision, Life, and Disability Insurance
• Retirement plans : 401(k) and Employee Stock Ownership Plan (ESOP)
• Career growth : Internal training and advancement opportunities
• Culture : A supportive, team-based work environment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree