Supervisor, Claims Medical Only

DaMar Staffing; Princeton (NJ); Hybrid; USD 67,000 - 92,000; Full time

Benefits offered by this job

Medical & Dental Plans

Life Insurance

Health Care Flexible Spending

Dependent Care

401k Savings Plans

Paid Time Off

Job summary

AmTrust Financial Services, a fast-growing commercial insurance company, is seeking a Workers' Compensation Claims, Medical Only Supervisor in a hybrid role based in Princeton, NJ. This leadership position oversees the WC claims unit and staff, ensuring quality, timely handling and regulatory compliance.

The role requires a Bachelor's degree (or equivalent) and 5+ years in workers' compensation insurance, with a valid adjusters license or ability to obtain one.

Qualifications

• Bachelor's degree or equivalent combination of work experience and education required.
• 5+ years' experience in workers' compensation insurance industry preferred.
• Valid adjusters license in appropriate jurisdictions or ability to obtain such.
• Basic understanding of laws, principles of coverage, liability, and insurance industry in general, with specific emphasis on workers' compensation.
• Leadership skills: ability to plan, organize, delegate, and develop corporate human resources.
• Ability to work with little supervision and direction.
• Ability to operate business technology.
• Ability to manage personnel administration including employee evaluations and salary administration.

Responsibilities

• Oversee handling of claims including reserving, communication, documentation, evaluation, and resolution.
• Ensure claims conform to quality, production standards, and specifications.
• Ensure claim processing aligns with policies, procedures and guidelines.
• Analyze and approve workers' compensation claims.
• Conduct regular quality audits and counsel staff to maintain standards.
• Prepare periodic reports and monitor system reports for compliance.
• Establish controls to ensure work meets standards.
• Review processes to identify efficiency improvements.

Skills

Leadership

Independent work

Tech proficiency

People management

Education

Bachelor's degree

Valid adjusters license

Job description

Workers' Compensation Claims, Medical Only Supervisor

AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Workers' Compensation Claims, Medical Only Supervisor. The Workers' Compensation Claims, Medical Only Supervisor, is responsible for supervising activities within the worker compensation lost time claims department. This may encompass supervision of administrative tasks and staff or oversight of the investigation of insurance claims involving workers compensation, property or casualty claims based on coverage, appraisal and verifiable injury or damage. This position involves the direct handling of tasks and/or claims in addition to supervision of staff. The WC Claims, Medical Only Supervisor, reports to the WC Claims Director.

This is a hybrid-based position in our Princeton, NJ office.

Responsibilities

• May oversee the handling of all aspects of the claims assigned to the unit including reserving, communication, documentation, evaluation, and resolution
• Ensures all claims eligible or ineligible for payment conform to quality, production standards, and specifications
• Ensures claim processing is consistent with applicable policies, procedures and department guidelines
• Analyzes and approves workers' compensation claims
• Completes regular quality audits of staff's work, records results and counsels' staff to bring work to or above standards
• Prepares regular periodic reports and monitors system reports to ensure adherence to corporate and regulatory standards
• Establishes and executes controls to ensure that the quality of the work meets or exceeds standards
• Reviews and analyze processes, procedures, and workflows to identify opportunities for process improvement and efficiency

Qualifications

• Bachelor's degree or equivalent combination of work experience and education required
• 5+ years' experience in workers' compensation insurance industry preferred
• Valid adjusters license in appropriate jurisdictions or ability to obtain such
• Basic understanding of laws, principles of coverage, liability, and insurance industry in general, with specific emphasis on workers' compensation
• Leadership skills: ability to plan, organize, delegate, and develop corporate human resources
• Ability to work with little supervision and direction
• Ability to operate business technology
• Ability to manage personnel administration including employee evaluations and salary administration

The expected salary range for this role is $66,900.00-$92,000.00.

Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.

What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities.

Our benefits include:

• Medical & Dental Plans
• Life Insurance, including eligible spouses & children
• Health Care Flexible Spending
• Dependent Care
• 401k Savings Plans
• Paid Time Off

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.