Worker's Compensation Claims Supervisor

TRISTAR Company; California; On-site; USD 85,000 - 125,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Plan

Paid Holidays

Paid Time Off

Referral bonus

Job summary

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.

Responsibilities

• 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.

Skills

Regulatory knowledge (CA)

Supervisory experience

Analytical skills

Written and verbal communication

People management

Interpersonal skills

Attention to deadlines

Client service orientation

Tools

Microsoft Word

Microsoft Excel

Job description

## Worker's Compensation Claims SupervisorPlease make sure to complete all the questions in the application and continue through to the end in order to sign and submit it.**POSITIONS SUPERVISED**:Directly supervise Claims Examiners and Claims Assistants; may provide oversight to File/Mail Clerks and Administrative Assistants as needed during the assignment.**POSITION SUMMARY:**Under minimal supervision, the Claims Supervisor manages and directs the activities of a dedicated claims unit, ensuring quality results and compliance with applicable state laws and company/client procedures. This assignment requires considerable interaction with the client, management, Claims Examiners, and other TRISTAR staff. Consistent attendance in the office, punctuality, and professional communication are essential to ensure continuity of operations during this leave coverage period.**DUTIES AND RESPONSIBILITIES:*** 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.\\***Essential job function.****EQUIPMENT OPERATED/USED**: Computer, 10-key, printer, copier, fax machine, and other office equipment.**SPECIAL EQUIPMENT OR CLOTHING:** Appropriate office attire.* 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.**Mental and Physical Requirements: [see separate attachment for a copy of the checklist of mental and physical requirements]** **MENTAL AND PHYSICAL REQUIREMENTS** | | | Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing. Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction. Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants. X Ability to compose original correspondence, follow technical manuals, and have increased contact with people. Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data. 2. Visual requirements necessary to perform the job: Far vision: clarity of vision at 20 feet or more X Near vision: clarity of vision at 20 inches or less X Mid-range vision: clarity of vision at distances of more than 20 inches and less than 20 feet Depth perception: the ability to judge distance and space relationships, so as to see objects where and as they actually are Color vision: ability to identify and distinguish colors Field of vision: ability to observe an area up or down or to the right or left while eyes are fixed on a given point | | | X Walking: Moving about on foot to accomplish tasks, particularly for long distances. X Hearing: Perceiving the nature of sounds with or without correction. Ability to receive detailed information through verbal communication, and to make fine discriminations in sound, such as when making find adjustments on machined parts.