Workers' Compensation Claim Supervisor

CcmsiChicago, IL
Hybrid

About The Position

The Workers’ Compensation Claim Supervisor is responsible for the oversight, investigation, adjustment, and supervision of workers’ compensation claims across Midwest jurisdictions, including Kansas, Missouri, Illinois, Iowa, Nebraska, and Indiana, with a strong concentration in Illinois. This role provides leadership and technical guidance to a team of approximately 4–6 claim professionals while maintaining responsibility for designated complex and litigated claims. The Supervisor ensures compliance with CCMSI claim handling standards, client-specific instructions, jurisdictional requirements, and service expectations while fostering employee development and delivering exceptional client service. This position is ideal for experienced workers’ compensation professionals with 10+ years of claims handling experience, strong Illinois jurisdictional expertise, and a passion for coaching and developing others. Success in this role requires balancing claim quality, client satisfaction, operational performance, and employee engagement. This is a leadership role within a TPA environment requiring a blend of technical claim expertise, people leadership, accountability, and collaboration.

Requirements

  • 10+ years of Workers’ Compensation claims handling experience, including full claim investigation, evaluation, and resolution.
  • Demonstrated ability to lead and oversee adjusters in a fast-paced, compliance-driven environment while maintaining quality and service standards.
  • Strong understanding of Illinois Workers’ Compensation regulations, claim practices, and compliance requirements.
  • Effective communication skills with the ability to engage professionally with adjusters, clients, and internal partners.
  • Working knowledge of entry- and mid-level WC adjusting roles and workflows.
  • Reliable attendance during established client service hours

Nice To Haves

  • Prior supervisory, team lead, or people management experience
  • Prior TPA experience handling national or multi-state accounts
  • IA and/or NE adjuster licenses
  • Industry designations such as AIC, CPCU, ARM, SIP, or WCP
  • Experience supporting national account programs
  • 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.
  • Provide supervision and technical guidance to a team of approximately 4–6 workers’ compensation adjusters
  • 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
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