Workers' Comp Claims Team Lead

Tristar-d43fac80; Rancho Cordova (CA); On-site; USD 90,000 - 110,000; 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-d43fac80 in Rancho Cordova, CA, seeks a Claims Supervisor to lead a dedicated claims unit with minimal supervision, ensuring quality results and compliance with state laws and company procedures.

You will supervise Claims Examiners and Clerks, manage diaries, and coordinate audits, training, and client communication while meeting daily caseload requirements. A related degree and 3–5 years of experience are preferred.

Qualifications

• Bachelor’s degree in related field preferred; 3–5 years related experience.
• Strong knowledge of statutory regulations and California rules and procedures.
• Proven ability to supervise claims examiners and clerical staff; manage diaries and deadlines.
• Proficient in Word and Excel; effective written and verbal communication.

Responsibilities

• Directly supervise examiners and clerical staff, monitor attendance, evaluate performance, and address disciplinary issues.
• Review and address scheduled claims issues, such as reviews, delays, denials, etc.
• Review and approve reserve changes, awards, and payments per guidelines.
• Perform file reviews to ensure policy and legal compliance; maintain supervisory diaries.

Skills

Statutory regulations

Diary system management

Analytical skills

Word and Excel

Communication skills

People management

Interpersonal skills

Education

Bachelor’s degree in related field

Tools

None

Job description

Tristar-d43fac80 in Rancho Cordova, CA, seeks a Claims Supervisor to lead a dedicated claims unit with minimal supervision, ensuring quality results and compliance with state laws and company procedures.

You will supervise Claims Examiners and Clerks, manage diaries, and coordinate audits, training, and client communication while meeting daily caseload requirements. A related degree and 3–5 years of experience are preferred.