Workers' Comp Claims Supervisor | Hybrid Leader & Coach

Texas PRIMA; Houston (TX); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical benefits

401(k) with match

PTO & holidays

Job summary

AvonRisk is a leading risk management firm delivering workers’ compensation, liability, and risk management services. The role is hybrid, requiring in-office presence one day per week in Houston, TX, with oversight of a Claims unit and coaching for performance improvements.

The successful candidate will supervise a team of Claims Specialists and Assistants, ensure compliance with statutes and company rules, mentor staff, and drive corrective actions when needed.

Qualifications

• Bachelor's degree from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience.
• Five or more years of progressive technical claim experience, demonstrating a high degree of judgment and discretion, capable of providing guidance on complex claim cases and negotiating settlements.

Responsibilities

• Responsible for the timely completion of performance reviews for all personnel within the assigned unit.
• Provides monetary approval authority up to assigned authority level.
• Maintains selected files on personal diary including all files reserved over $50,000, all subrogation files, all files with delayed or denied benefits, all files formally assigned to the SIU, and all files with unresolved coverage issues.
• Provides all information, reports, records, logs, and other information our clients may require upon request or per contract.
• Provides ongoing advice, mentoring, coaching, counseling and performance feedback to all personnel in assigned unit.
• Responsible for assuring that all claims are handled in accordance with applicable statutes and company rules.
• Deals quickly and decisively with personnel issues as they arise and keeps the manager informed on corrective action progress.
• Exhibits a knowledgeable and helpful attitude and projects a professional image on behalf of the company.
• Identifies and develops at least one individual to serve as supervisor backup.
• Performs quarterly audits of 10% of the open inventory of each claims specialist for accuracy and process improvement.
• Insists on teamwork between claims personnel and other departments.
• Requires working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them.
• Handles other duties and tasks as deemed appropriate by the Claims Manager.

Skills

Project Management

Change Management

Leadership

Managing People

Education

Bachelor's degree

Job description

AvonRisk is a leading risk management firm delivering workers’ compensation, liability, and risk management services. The role is hybrid, requiring in-office presence one day per week in Houston, TX, with oversight of a Claims unit and coaching for performance improvements.

The successful candidate will supervise a team of Claims Specialists and Assistants, ensure compliance with statutes and company rules, mentor staff, and drive corrective actions when needed.