Team Manager - WC

Crawford & CompanyDallas, TX
62d

About The Position

Under general direction, supervises the investigation, management, and timely disposition of Workers Compensation claims within account, carrier and/or company guidelines, and assists the VP and/or Assistant VP of Claims in managing the Service Center.

Requirements

  • Bachelor's degree or equivalent experience required
  • Five or more years of progressive experience as a Claim Examiner, or the equivalent, demonstrating the technical expertise to handle the most complex cases with a high degree of judgment and discretion.
  • Excellent verbal and written communication skills.
  • Analytical ability.
  • Good mathematical aptitude.
  • Good organizational and interpersonal skills.
  • Ability to effectively manage, supervise, and develop employees.
  • Thorough knowledge of services being delivered by branch office.
  • In-depth knowledge of insurance coverages, practices and negotiating skills.
  • Familiarity with legal, medical and technical disciplines.
  • Where applicable, has passed state licensing requirements for line(s) of insurance handled.
  • Settlement Authority: As noted in internal, client and or carrier guidelines.

Nice To Haves

  • Previous supervisory experience desirable
  • Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU)

Responsibilities

  • Establishes and communicates performance standards and objectives and conducts performance appraisals.
  • Administers corrective action with regards to any performance deficiencies in line with human resource policies and procedures.
  • Recommends/approves salary adjustments, promotions, transfers and dismissals.
  • Administers all company human resource policies and procedures, communicates to staff, and ensures compliance both for staff and self.
  • Counsels team members on educational and job opportunities which will enhance their career development; keeps staff informed of current trends, changes or new developments in the department and company with periodic meetings.
  • Reviews, analyzes, and assigns losses to the appropriate claim examiner with directives. Ensures all directives are executed appropriately.
  • Ensures workloads are balanced and in line with defined staffing models.
  • Makes recommendations to improve productivity and ensure timely closures.
  • Reviews files daily to provide instruction for further requirements needed based on best practice standards.
  • Assists with reserve recommendations and approvals.
  • Coaches personnel on investigations, damage/medical evaluations, trains on reserving evaluations and settlement techniques.
  • Ensures staff adheres to both internal and external compliance standards and protocols for large loss reporting guidelines.
  • Attends and prepares staff for claim reviews with clients, carriers and brokers.
  • Keeps VP/Assistant Vice President of Claims informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to VP/Assistant VP of Claims for direction.
  • Performs other related work as required or requested.
  • Works within the Risk Tech Claim System and all ancillary systems.
  • Organizes workflows of the Risk Tech Claim System and all ancillary systems to provide maximum productivity.
  • May assist in the training of new and existing staff in the operation and use of the Risk Tech claim system and other various systems.
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