Lead Workers’ Comp Claims Supervisor – CA Expert

AvonRisk; Glendale (CA); On-site; USD 110,000 - 120,000; Full time

Benefits offered by this job

Medical, Dental, Vision

HSA/FSA

Life Insurance

401(k) with match

PTO & Holidays

Learning & Development

Employee Assistance Program

Job summary

AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states. The Claims Manager reports directly to the manager and oversees a unit of Claims Specialists and Assistants, coaching performance and ensuring compliance with company standards and Labor Code rules.

The role focuses on supervision, performance reviews, audits, and mentoring while maintaining a

Qualifications

• Bachelor's degree from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience.
• Five or more years of progressive technical claim experience, demonstrating a high degree of judgment and discretion, is capable of providing adequate guidance on complex claim cases and can negotiate settlements effectively.

Responsibilities

• Responsible for the timely completion of performance reviews for all personnel within the assigned unit.
• Provides monetary approval authority up to assigned authority level.
• Maintains selected files on personal diary including all files reserved over $50,000, all subrogation files, all files with delayed or denied benefits, all files formally assigned to the SIU, and all files with unresolved coverage issues.
• Provides ongoing advice, mentoring, coaching, counseling and performance feedback to all personnel in assigned unit.
• Responsible for assuring that all claims are handled in accordance with applicable statutes and company rules.
• Deals quickly and decisively with personnel issues as they arise and keeps the manager informed with regards to the need for or the progress of any corrective action activities.
• Exhibits a knowledgeable and helpful attitude and projects a professional image on behalf of the company.
• Identifies and develops at least one individual to serve as supervisor backup.
• Performs quarterly audits of 10% of the open inventory of each claims specialist for the purpose of validating the accuracy and completeness of the claims management process as well as to identify opportunities for improving the process as well the claim result.
• Responsible for insisting upon a spirit of teamwork and cooperation between claims personnel in assigned unit and the personnel of other departments.
• Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them.
• Handles other duties and tasks as deemed appropriate by the Claims Manager.

Skills

Leadership

Change Management

Project Management

Managing People

Education

Bachelor's degree

Job description

AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states. The Claims Manager reports directly to the manager and oversees a unit of Claims Specialists and Assistants, coaching performance and ensuring compliance with company standards and Labor Code rules.

The role focuses on supervision, performance reviews, audits, and mentoring while maintaining a