Team Manager - WC

Crawford•Las Vegas, NV
•Remote

About The Position

Under general direction, the Team Manager supervises the investigation, management, and timely disposition of Workers Compensation claims within account, carrier, and company guidelines. The role also assists the VP and/or Assistant VP of Claims in managing the Service Center. The Team Manager oversees employee performance and development, claim assignment and file review, workload balance, compliance, and productivity. The position works within the Risk Tech Claim System and ancillary systems, organizing workflows to maximize productivity and potentially training staff in their use.

Requirements

  • Bachelor's degree or equivalent experience.
  • Five or more years of progressive experience as a Claim Examiner, or equivalent, demonstrating technical expertise handling highly complex cases with 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 delivered by the branch office.
  • In-depth knowledge of insurance coverages, practices, and negotiating skills.
  • Familiarity with legal, medical, and technical disciplines.
  • Where applicable, must have passed state licensing requirements for the line(s) of insurance handled.

Nice To Haves

  • Previous supervisory experience is desirable.
  • Industry designations preferred but not required, such as IIA, AIC, AEI, and/or CPCU.

Responsibilities

  • Establish and communicate performance standards and objectives, and conduct performance appraisals.
  • Administer corrective action for performance deficiencies in accordance with human resource policies and procedures.
  • Recommend or approve salary adjustments, promotions, transfers, and dismissals.
  • Administer company human resource policies and procedures, communicate them to staff, and ensure compliance by staff and self.
  • Counsel team members on educational and job opportunities that support career development; keep staff informed of department and company trends, changes, and developments through periodic meetings.
  • Review, analyze, and assign losses to appropriate claim examiners with directives, and ensure directives are executed appropriately.
  • Ensure workloads are balanced and consistent with defined staffing models; recommend improvements to productivity and timely claim closures.
  • Review files daily and provide instructions on further requirements based on best-practice standards.
  • Assist with reserve recommendations and approvals.
  • Coach personnel on investigations, damage and medical evaluations, reserving evaluations, and settlement techniques.
  • Ensure staff adherence to internal and external compliance standards and large-loss reporting protocols.
  • Attend and prepare staff for claim reviews with clients, carriers, and brokers.
  • Keep the VP or Assistant VP of Claims informed verbally and in writing about activities and problems within the assigned area; refer matters beyond the role’s authority or expertise for direction.
  • Perform other related work as required or requested.
  • Use the Risk Tech Claim System and ancillary systems, and organize workflows in those systems to maximize productivity.
  • May assist in training new and existing staff to operate and use the Risk Tech Claim System and other systems.
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