Senior Worker's Compensation Claims Supervisor

TRISTAR Company; California; Sur place; USD 85 000 - 125 000; Plein temps

Avantages offerts par ce poste

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Plan

Paid Holidays

Paid Time Off

Referral bonus

Résumé du poste

TRISTAR Company in California is seeking a Worker’s Compensation Claims Supervisor to lead a dedicated claims unit under minimal supervision. You will supervise Claims Examiners and Assistants, ensuring quality results and compliance with state laws and company procedures.

This role requires strong supervisory, analytical, and communication skills, with duties including audits, diary management, staff training, and collaboration with clients and vendors to resolve claims efficiently.

Qualifications

• Technical knowledge of statutory regulations, including rules and procedures relating to California.
• Ability to work on a diary system, prioritize tasks, and meet strict deadlines.
• Strong analytical skills.
• Proficient in 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 of various skill levels.
• Excellent interpersonal skills.
• Medical, Dental, Vision Insurance.
• Life and Disability Insurance.
• 401(k) Plan
• Paid Holidays
• Paid Time Off.
• Referral bonus.

Responsabilités

• Directly supervise examiners and clerical staff. Includes monitoring attendance, job performance, evaluations, and disciplinary issues.
• Reviews and addresses scheduled claims issues, such as initial and periodic reviews, delays, denials, etc.
• Reviews and approves reserve changes, awards, and payments within Company and Client guidelines.
• Performs file reviews to monitor compliance with policies and laws.
• Establishes appropriate supervisory diaries on claim files and completes pending diaries on or before scheduled due dates.
• Prepares for claim audits, reviews audit results, and provides appropriate rebuttal feedback.
• Coordinates and leads training sessions for staff on updated laws, policies, and procedures.
• Ensures daily caseload staffing requirements are met.
• Responds to claimant and vendor concerns and issues as needed.
• Ensures client service instructions are being adhered to.
• Analyzes monthly client reports.
• Facilitates internal and external audits.
• Attend client file-staffing meetings in person or telephonically.
• Other duties as assigned.

Connaissances

Regulatory knowledge (CA)

Supervisory experience

Analytical skills

Written and verbal communication

People management

Interpersonal skills

Attention to deadlines

Client service orientation

Outils

Microsoft Word

Microsoft Excel

Description du poste

TRISTAR Company in California is seeking a Worker’s Compensation Claims Supervisor to lead a dedicated claims unit under minimal supervision. You will supervise Claims Examiners and Assistants, ensuring quality results and compliance with state laws and company procedures.

This role requires strong supervisory, analytical, and communication skills, with duties including audits, diary management, staff training, and collaboration with clients and vendors to resolve claims efficiently.