Regional Claims Supervisor - Workers Compensation - Remote

PMA Companies; Plano (TX); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Claims Manager to lead a dynamic team in achieving optimal claims outcomes. This role involves supervising claims staff, ensuring compliance with legal and company guidelines, and fostering a culture of communication and development. The ideal candidate will possess strong leadership and coaching skills, along with extensive knowledge of insurance regulations and practices. If you're passionate about driving performance and enhancing team capabilities in a supportive environment, this opportunity is perfect for you.

Qualifications

• Bachelor's degree or 3 years of experience in insurance required.
• Extensive knowledge of WC regulations and insurance contracts.

Responsibilities

• Manage claims staff to ensure compliance with best practices.
• Develop and implement objectives consistent with business goals.

Skills

Leadership

Coaching

Communication

Problem Solving

Decision Making

Customer Service

Negotiation

Planning and Organization

Education

Bachelor's Degree

Professional Designation (CPCU, AIC)

Tools

MS Office Suite

Job description

As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, policy provisions and company guidelines while fostering a culture of communication.

Responsibilities :

• Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management.
• Ensures timely, accurate documentation of claim activity.
• Selects, trains, coaches and mentors unit personnel.
• Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accordance with approved plans and budgets.
• Develops staff to respond to current and anticipated needs of department as well as determining career development goals of individuals.
• Ensures appropriate case reserves consistent with company guidelines.
• Extends settlement authority on claims exceeding adjuster's granted authority.
• Develops, recommends and implements short range objectives consistent with company business goals, guidelines and programs.
• Recognizes and analyzes trends across the claims portfolio at the adjuster, unit and account levels.
• Reports on observations and recommends remedial action as needed.
• Administers salary and personnel programs under guidance of manager.
• Utilizes quality assurance programs and develops training agenda based on opportunities for improvement.
• Utilizes performance management process effectively, on an ongoing basis, to maximize performance of employees, correct performance problems, provide development opportunities, and promote effective communication with employees.
• Manages the account management process and resolves service issues.
• Promotes effective communication among and between work groups, and between management and employees.
• Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

Requirements :

• Bachelor's degree and / or a minimum of three years of work experience in an insurance related industry required.
• Extensive knowledge of WC regulations (jurisdiction-specific), insurance contracts, applicable law and adjusting techniques.
• Previous supervisory experience.
• Familiarity with medical terminology.
• Demonstrated leadership, coaching, mentoring and teamwork skills
• Advanced skills in applying sound judgment / analysis, decision making / problem solving, planning and organization and negotiation.
• Excellent verbal and written communication skills.
• Excellent customer service and collaboration skills gained through previous work experience.
• Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint.
• Chartered Property Casualty Insurance (CPCU); Associate in Claims (AIC) designation or similar professional designation desired.
• Ability to travel for business purposes; approximately 15%