Regional Claims Supvr - De Witt, NY

Davita Inc.; Town of De Witt (NY); Remote; USD 80,000 - 110,000; Full time

Job summary

A leading company in healthcare is seeking a Regional Claims Supervisor in De Witt, New York. The role involves overseeing claims staff, ensuring compliance with industry regulations, and providing guidance to achieve business goals. Ideal candidates will possess strong leadership skills along with extensive knowledge of the insurance industry.

Qualifications

• Minimum three years of work experience in an insurance-related industry.
• Extensive knowledge of WC regulations in New York and adjusting techniques.
• Previous supervisory experience is required.

Responsibilities

• Manage claims staff to ensure appropriate claim outcomes.
• Train and mentor unit personnel while directing activities.
• Ensure compliance with legal statutes and company guidelines.

Skills

Leadership

Coaching

Mentoring

Decision Making

Problem Solving

Organization

Negotiation

Communication

Customer Service

Collaboration

Education

Bachelor's degree

Tools

MS Office Suite

Job description

Back

Regional Claims Supvr

#4594

De Witt, New York, United States

Apply

Apply for this job now! Apply

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.

#LI-Remote

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 in New York, 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%