Supervisor, WC Claims

Berkley•Saint Paul, MN

1d•Onsite

About The Position

Responsible for managing a caseload consisting of incoming and more complex workers’ compensation cases including extended disability cases, litigation, employer’s liability claims, and assigned claims. Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines. Investigate claims and make appropriate decisions regarding claim compensability and general claims management for assigned files. Document claim handling activities; create and document action plans. Establish appropriate case reserves. Actively manage medical treatment and disability while assisting the injured worker to return to work. Comply with all performance guidelines. Identify loss trends and communicate to supervisor and/or clients. Use automated diary system to issue indemnity payments and for claims management Investigate and manage claim subrogation and negotiate settlements. Manage coverage B or conflict of interest cases as assigned. Address customer complaints and inquiries in an exemplary and professional manner. Participate in client claim reviews when scheduled or requested. May perform other functions as assigned.

Requirements

Demonstrated working knowledge of workers’ compensation administration rules/laws.
Excellent communication and presentation skills.
Ability to interface with clients, legal counsel, health care professionals, etc.
Good math and analytical ability.
Excellent customer service skills.
Basic PC skills and a working knowledge of Windows environment.
Experience with a client/server based claims processing system.
BA/BS degree with three years’ experience, including litigation, subrogation, and complex medical/legal issues, OR two years post-high school education and five years’ experience in workers compensation claims management.

Responsibilities

Manage a caseload of incoming and complex workers’ compensation cases, including extended disability, litigation, employer’s liability, and assigned claims.
Oversee all technical aspects of claim management for assigned files, ensuring compliance with performance guidelines.
Investigate claims and make decisions on compensability and general claims management.
Document claim handling activities and create action plans.
Establish appropriate case reserves.
Actively manage medical treatment and disability to assist injured workers in returning to work.
Identify loss trends and communicate them to supervisors and/or clients.
Utilize an automated diary system for indemnity payments and claims management.
Investigate and manage claim subrogation and negotiate settlements.
Manage coverage B or conflict of interest cases as assigned.
Address customer complaints and inquiries professionally.
Participate in client claim reviews.
Perform other functions as assigned.