Workers Compensation Claims Supervisor

Tristar Insurance•Irving, TX

1d•$92,000 - $102,000•Onsite

About The Position

Under minimal supervision, oversees the daily operations of a workers’ compensation claims unit, ensuring timely, accurate, and high-quality claims handling in compliance with applicable state laws, client requirements, and company policies and procedures. Provides technical guidance, training, and performance oversight to assigned staff. Collaborates regularly with clients, management, Claims Examiners, and other TRISTAR staff across office locations to resolve claims and service issues.

Requirements

Bachelor’s degree in related field (preferred); five (5) plus years related experience; or equivalent combination of education and experience.
Strong technical knowledge of Texas workers’ compensation laws, regulations, and medical terminology.
Ability to maintain a claims diary system, prioritize work, and meet strict deadlines.
Strong analytical and problem-solving skills.
Proficiency in Microsoft Word and Excel.
Excellent written and verbal communication skills, including the ability to explain technical claims information clearly to claimants, clients, and staff.
Ability to supervise, coach, and develop employees with varying levels of experience and technical ability.
Strong interpersonal skills and the ability to maintain effective working relationships.
Ability to manage competing priorities and remain effective under pressure.
Ability to model a positive, professional attitude for direct reports.
Ability to respond promptly to client requests and service needs.
Logical or scientific thinking to solve problems; several abstract and concrete variables.
Arithmetic calculations involving fractions, decimals, and percentages.
Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data.
Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
Near vision: clarity of vision at 20 inches or less
Repetitive Motion: Substantial movements (motions) of the wrists, hands, and/or fingers.
Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which workers must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.
Hearing: Perceiving the nature of sounds with or without correction. Ability to receive detailed information through verbal communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.
Fingering: Picking, pinching, typing, or otherwise working with fingers rather than with the whole hand or arm as in handling.
Grasping: Applying pressure to an object with the fingers and palm.

Nice To Haves

Bachelor’s degree in related field

Responsibilities

Monitors daily staffing needs and distributes caseloads as equitably as practical among direct reports.
Reviews and approves priority payments and signs checks as authorized.
Responds to claimant and vendor concerns and facilitates timely resolution.
Evaluates vendor effectiveness and modifies vendor panels as needed within TRISTAR and account guidelines.
Ensures staff follows client service instructions.
Provides claims handling coverage during examiner absences and position vacancies.
Prepares and evaluates monthly client reports.
Coordinates and supports internal and external audits.
Conducts and documents internal and external educational sessions.
Participates in client file reviews and addresses resulting action items.
Partners with the corporate office and sales and service teams on requests for proposals (RFPs) and client service issues.
Adheres to TRISTAR’s Supervisor Best Practice Guidelines.
Performs other duties as assigned.