Workers' compensation Claims Supervisor

Tristar Insurance•Lake Oswego, OR

23h•$105,000 - $115,000•Hybrid

About The Position

The Workers' Compensation Claims Supervisor directly supervises claims examiners and oversees claim handling, staff performance, client service, compliance, audits, and training. The role involves considerable interaction with clients, management, claims examiners, and other office staff. Consistent, on-time office attendance is required; the position is hybrid, with work both in and out of the office. An Oregon or Washington adjuster's license is required, or the employee must be willing to obtain the required license.

Requirements

Three to five years of related experience, or an equivalent combination of education and experience.
Oregon or Washington adjuster's license, or willingness to obtain the required license.
Technical knowledge of statutory regulations.
Ability to work with a diary system, prioritize tasks, and meet strict deadlines.
Strong analytical skills.
Proficiency in Microsoft Word and Excel.
Excellent written and verbal communication skills, including the ability to convey technical details to claimants, clients, and staff.
Ability to manage employees with varying skill levels.
Excellent interpersonal skills.

Nice To Haves

Bachelor's degree in a related field.
Certifications and/or licenses required by Oregon and Washington.
Certifications and/or licenses required by state regulation.

Responsibilities

Directly supervise examiners, including monitoring attendance and job performance and handling evaluations and disciplinary issues.
Review and address scheduled claims issues, including initial and periodic reviews, delays, and denials.
Review and approve reserve changes, awards, and payments in accordance with company and client guidelines.
Conduct file reviews to monitor compliance with policies and laws.
Establish supervisory diaries on claim files and complete pending diaries by their scheduled due dates.
Prepare for claim audits, review audit results, and provide appropriate rebuttal feedback.
Coordinate and lead staff training on updated laws, policies, and procedures.
Ensure daily caseload staffing requirements are met.
Respond to claimant and vendor concerns and issues as needed.
Ensure client servicing instructions are followed.
Analyze monthly client reports.
Facilitate internal and external audits.
Attend client file-staffing meetings in person or by telephone.
Perform other duties as assigned.