Workers' Compensation Claim Supervisor

Ccmsi•Concord, CA

3d•Remote

About The Position

The California Workers' Compensation Claim Supervisor is responsible for leading and developing a team of claims professionals handling California workers' compensation claims across multiple client accounts. This role oversees claim quality, service delivery, compliance, and staff performance while ensuring exceptional outcomes for clients and injured workers. The Supervisor serves as a technical resource, mentor, and client partner, promoting adherence to CCMSI's claim handling standards and fostering a culture of accountability, collaboration, and continuous improvement. Occasional travel may be required for client file reviews and meetings as needed.

Requirements

10+ years of Workers’ Compensation claims handling experience , including full claim investigation, evaluation, and resolution.
3+ years Prior supervisory or people-lead experience within Workers’ Compensation.
Demonstrated ability to lead and oversee adjusters in a fast-paced, compliance-driven environment while maintaining quality and service standards.
Active Workers’ Compensation adjuster license in California .
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.

Nice To Haves

Bachelor’s degree or equivalent combination of education and experience.
SIP - Not required, but may be asked to obtain.
Experience supporting multiple accounts.
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.