Workers' compensation Claims Supervisor

TRISTAR RISK MANAGEMENT•Lake Oswego, OR

1d•$105,000 - $115,000•Hybrid

About The Position

The Workers' Compensation Claims Supervisor directly supervises claims examiners and oversees workers' compensation claim handling. The role involves regular interaction with clients, management, other Claims Examiners, and office staff. Consistent, on-time office attendance is required; the position is hybrid in and out of the office. The role requires an Oregon or Washington adjuster's license, or willingness to obtain the required license. The position is based in Lake Oswego, Oregon, and is a full-time, day-shift role with no travel. The listed salary range is $105,000 to $115,000. The supervisor reviews claim activity and file compliance, approves reserve changes, awards, and payments within company and client guidelines, and ensures client instructions and staffing requirements are met. The role also supports claim audits, staff training, client meetings, reporting, and responses to claimant and vendor concerns. Equipment used includes a computer, 10-key, printer, copier, fax machine, and other office equipment. Appropriate office attire is required.

Requirements

Three to five years of related experience, or an equivalent combination of education and experience.
A high school diploma or GED is listed as the education level; a bachelor's degree in a related field is preferred.
An Oregon or Washington adjuster's license, or willingness to obtain the required license.
Technical knowledge of statutory regulations.
Ability to work on 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.
Certifications and/or licenses required by state regulation.

Nice To Haves

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

Responsibilities

Directly supervise examiners, including monitoring attendance and job performance, conducting evaluations, and addressing disciplinary issues.
Review and address scheduled claims issues, including initial and periodic reviews, delays, and denials.
Review and approve reserve changes, awards, and payments within company and client guidelines.
Conduct file reviews to monitor compliance with policies and laws.
Establish appropriate 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 sessions 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.