Workers Compensation Claims Supervisor

njm; Hammonton (NJ); On-site; USD 90,000 - 120,000; Full time

Job summary

NJM in Hammonton, NJ is seeking a senior claims professional to lead the WCC department and supervise staff. The role requires coordinating with legal, SIU, and medical services to resolve cases efficiently and within policy guidelines. Travel to other NJM locations is expected to support collaboration.

The position emphasizes leadership, negotiation, and strategic planning, with a focus on quality assurance, diary management, and timely settlements across multiple jurisdictions.

Qualifications

• Minimum HS diploma or GED.
• 5 to 8 years claims handling experience with WC regulations and case law.
• Strong litigation management, negotiation, and settlement skills.
• Excellent written and oral communication.
• Leadership, coaching, and teamwork abilities.

Responsibilities

• Develop and implement departmental objectives aligned with company goals.
• Lead WCC department goals and staff development.
• Use QA and KPI reports to maximize performance and address issues.
• Lead team meetings and trainings with staff coaching.
• Direct claims staff through technical aspects to close cases.
• Collaborate with NJM legal, SIU, and Medical Services to resolve cases timely.
• Provide diary management and guidance, negotiate settlements within authority.
• Maintain case reserves for 90 Day and Credit Reviews.
• Assist with Claim Reviews and large account management with Claim Account teams.
• Maintain knowledge of jurisdictional requirements and case law for each state served.

Skills

Leadership

Negotiation

Customer service

Communication skills

Regulatory knowledge

Education

HS Diploma or GED Equivalent

Bachelor's degree in a related field (preferred)

Tools

MS Office

Claims processing system

Job description

Schedule:

Monday-Friday, specific hours are subject to selected start times between 8:00am-9:00am pending supervisory approval.

This role is based in the NJM Hammonton office, and occasional travel to other NJM locations is expected to support collaboration and business objectives.

Essential Duties and Responsibilities:

• Develop, recommend, and implement departmental objectives consistent with company business goals, guidelines, and programs


• Assist with developing and executing strategic and operational goals and objectives for the WCC department


• Recommend process improvement where applicable to best improve the department and staff's efficiency, work product, and service commitment to interested parties


• Utilize quality assurance and KPI reports to effectively maximize performance, identify, and correct performance issues, and provide staff development opportunities


• Lead team meetings and facilitate training, inclusive of one-one staff meetings to ensure and coach to staff success and promote effective communication with employees


• Direct claims staff through technical aspects and supporting proactive execution of action plans to resolve claim issues and concerns to move cases toward closure


• Recognize and investigate subrogation opportunity for recovery of third party funds and direct staff to pursue further information


• Ensure quality management of claims in accordance with claims best practices and company guidelines, and timely, accurate documentation of claim activity


• Collaborate with internal resources such as NJM legal staff, SIU, and Medical Services to successfully resolve and/or settle cases in a timely fashion


• Provide technical direction and ongoing guidance through effective diary management


• Negotiate settlements within granted authority, with periodic attendance at claim mediations and settlement conference to effectively resolve cases


• Ensure appropriate case reserves for 90 Day and Credit Reviews consistent with company guidelines


• Assist staff with preparation, attendance, and conducting Claim Reviews


• Partner with Claim Account teams to manage large account (assignments) and develop rapport, trust, and manage expectations of servicing requirements


• Maintain a working knowledge of jurisdictional requirements, forms and applicable case law for each state serviced


• Participate in outside defense counsel evaluation process and firm selection


• Apply critical thinking skills and multiple perspectives to different situations and strategically consider a systematic way to mitigate exposures by collaborating with staff and establishing a plan of action


• Demonstrate a commitment to NJM's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards, and laws applicable to job responsibilities in the performance of work

Required Qualifications:

Knowledge, skills & abilities, experience, minimum & desired education, certification and/or license requirements.

• HS Diploma or GED Equivalent


• 5 to 8 years claims handling experience with a sound knowledge of WC regulations and case law


• Sound litigation management skills and demonstrated ability to evaluate, negotiate, and settle litigated claims, inclusive of or developing knowledge of alternative settlement techniques such as CP liens, medical liens, medical set-asides, and annuity options


• Excellent ability to assist, support, and strategically manage complex legal cases


• Customer service oriented with excellent written and oral communication skills


• Demonstrated leadership, coaching, mentoring, and teamwork skills


• Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details


• Experience utilizing an automated claim processing system and the Microsoft Office suite of tools (Word, Excel, PowerPoint)


• Strong organizational skills with demonstrated ability to work independently and prioritize responsibilities


• Ability to travel occasionally for business purposes


• Multi-state experience and/or licensing (including MD, CT, DE, PA and/or NY)

Preferred Qualifications:

• Bachelor's degree and/or five to eight years of equivalent work experience preferred in an insurance related industry require


• Previous experience in a l