Workers' Compensation Claim Supervisor

Ccmsi•Reading, MA
•Hybrid

About The Position

The Workers' Compensation Claims Supervisor investigates, adjusts, and supervises assigned workers' compensation and multi-line claims. The role is accountable for the quality of claim services delivered to clients and compliance with CCMSI Corporate Claim Standards, client-specific instructions, and applicable laws. It may also serve as advanced training for consideration for promotion to a management position. The supervisor oversees claim activity for designated accounts and supports claim staff through training, education, and development. The position is based in Manchester, New Hampshire, with hybrid reporting, and has a stated schedule of 8:00 a.m. to 4:30 p.m. ET.

Requirements

  • At least 8 years of claims experience.
  • Active adjuster licenses in New Hampshire and Vermont.
  • Excellent oral and written communication skills.
  • Initiative to set and achieve performance goals.
  • Good analytical and negotiation skills.
  • Ability to cope with job pressures in a constantly changing environment.
  • Knowledge of responsibilities associated with lower-level claim positions.
  • Detail-oriented, self-starting, and strongly organized.
  • Ability to coordinate and prioritize work.
  • Flexibility, accuracy, initiative, and ability to work with minimal supervision.
  • Discretion and confidentiality.
  • Reliable, predictable attendance during client service hours.
  • Responsive to internal and external client needs.
  • Proficiency with Microsoft Office programs.

Nice To Haves

  • At least 3 years of supervisory experience.
  • Bachelor’s degree.
  • Bilingual Spanish proficiency.
  • AIC, CPCU, or ARM designation.

Responsibilities

  • Review, assign, and supervise claim activity for designated claims to ensure compliance with corporate standards, client instructions, and applicable laws.
  • Investigate, evaluate, and adjust assigned claims according to established standards and laws.
  • Establish reserves or oversee reserves for designated claims within reserve authority levels.
  • Review medical, legal, damage-estimate, and miscellaneous invoices for reasonableness and relation to claims; negotiate disputed bills or invoices.
  • Authorize and make claim payments according to procedures, industry standards, and payment authority.
  • Negotiate settlements in accordance with corporate standards, client instructions, and state laws, when appropriate.
  • Assist claim staff with selecting, referring, and supervising outside vendors, including legal, surveillance, and case-management providers.
  • Direct the handling of designated litigated and complex claims.
  • Provide education and training and assist in developing claim staff.
  • Review and maintain a personal diary in the claim system.
  • Supervise all claim activity for specified accounts and ensure compliance with corporate claim-handling standards and special client instructions.

Benefits

  • Four weeks of paid time off accruing throughout the year in accordance with company policy.
  • 10 paid holidays in the first year.
  • Medical insurance.
  • Dental insurance.
  • Vision insurance.
  • Life insurance.
  • Disability insurance.
  • 401(k) retirement plan.
  • Employee Stock Ownership Plan (ESOP).
  • Internal training and advancement opportunities.
  • Supportive, team-based work environment.
  • The role may qualify for bonuses or additional forms of pay.
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