Workers' Compensation Claim Supervisor Technical

3 weeks ago

Reading, United States CCMSI Full time

Overview:

At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.

Reasons you should consider a career with CCMSI:

    • Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
    • Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
    • Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
    • Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.

We are seeking a Workers Compensation Claim Supervisor, Technical to oversee and manage the investigation, adjustment, and supervision of assigned workers compensation claims in Massachusetts, Connecticut, and Rhode Island. This role specifically focuses on claims supervision and technical oversight, without direct people management responsibilities.

The ideal candidate will hold a Connecticut and/or Rhode Island claims adjuster license. This position is a hybrid role, requiring in-office presence three days per week and remote work two days per week. Minimal travel is expected for claim reviews, meetings, and training sessions.

Responsibilities include ensuring the quality and accuracy of workers compensation claim services aligned with CCMSI clients expectations and Corporate Claim Standards. This role may serve as advanced training for future leadership opportunities within our organization.

If you are detail-oriented, possess strong claims handling expertise, and thrive in a collaborative environment, we invite you to apply.

Responsibilities:
  1. Review, assign and provide supervision of all workers compensation claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws and State licensure requirements.
  1. Investigate, evaluate and adjust assigned workers compensation claims in accordance with established claim management standards and laws.
  1. Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
  1. Responsible for providing litigation management oversight, direction and analysis including: attorney identification and selection criteria, litigation planning and budgeting, status reporting, strategic resolution facilitation and overall direction of litigated claim files.
  1. Provide oversight of medical and miscellaneous invoices to determine if reasonable and related to the designated claim. Negotiate any disputed bills or invoices for resolution.
  1. Authorize and make payments of workers compensation claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
  1. Direct handling of designated complex claims.
  1. Supervision of all claim activity for specified accounts.
  1. Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
  1. Performs other duties as assigned.


Qualifications:

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Excellent oral and written communication skills. Initiative to set and achieve performance goals. Good analytic and negotiation skills. Ability to cope with job pressures in a constantly changing environment. Knowledge of all lower-level claim position responsibilities. Must be detail oriented and a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, accuracy, initiative and the ability to work with minimum supervision. Discretion and confidentiality required.

Reliable, predictable attendance within client service hours for the performance of this position.

Responsive to internal and external client needs.

Ability to clearly communicate verbally and/or in writing both internally and externally.

Education and/or Experience

Seven (7) years of Workers' Compensation claim adjusting experience is required.

Three years supervisory experience preferred.

Computer Skills

Proficient with Microsoft Office programs.

Certificates, Licenses, Registrations

CT and/or RI Adjusters License if required.

AIC preferred.

WORKING CONDITIONS

CORE VALUES & PRINCIPLES

Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

CCMSI is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package included Medical, Dental, Vision, Prescription Drug, Flexible Spending, Life, ESOP and 401K.

#CCMSICareers #CCMSI #ESOP #EmployeeOwned #GreatPlaceToWork #ClaimManager #WorkersCompensation #WorkLifeBalance #TPA #Insurance #InsuranceCareers #Hiring #MAJobs #NewEnglandClaims #Hybrid #ClaimSupervision #CareerOpportunity #ManagementRole #ClaimsSupervisor #CareerDevelopment #ClaimsManagement #InsuranceCareers #CareeGrowth #CareerOpportunity #IND123

  • Workers' Compensation Claim Manager

    1 month ago

    Reading, Pennsylvania, United States Cannon Cochran Management Services, Inc. (CCMSI) Full time

    At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding...

  • Workers' Compensation Claim Adjuster

    1 month ago

    Reading, United States CCMSI Full time

    Overview: At **CCMSI**, **we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development...

  • Workers' Compensation Claim Adjuster

    1 month ago

    Reading, United States CCMSI Full time

    Overview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...

  • Multi-Line Claim Supervisor

    1 week ago

    Reading, United States CCMSI Full time

    Overview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...

  • Multi-Line Claim Supervisor

    1 day ago

    Reading, United States CCMSI Full time

    Overview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...

  • Complex Claims Consultant

    1 day ago

    Reading, United States CNA Financial Corp. Full time

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under general direction, and...

  • General Liability Claims Consultant

    2 weeks ago

    Reading, United States CNA Full time

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under general direction, and...

  • Claim Quality Review Consultant

    1 week ago

    Reading, United States CNA Full time

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Under technical direction, conducts on-site Claim audits, monitors...

  • Claim Quality Review Consultant

    1 month ago

    Reading, United States CNA Full time

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Under technical direction, conducts on-site Claim audits, monitors...

  • Claim Quality Review Consultant

    1 day ago

    Reading, United States CNA Full time

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Under technical direction, conducts on-site Claim audits, monitors...

  • Electromechanical Technician

    3 days ago

    Reading, United States Nationwide Technical & Executive Search Full time

    Electromechanical TechnicianReading, PAOnsite, Permanent, Full Benefits2nd or 3rd ShiftApplies best practice electromechanical principles to efficiently troubleshoot, repair, and perform preventative maintenance tasks on plant processing, packaging and supporting utility systems, to ensure they are ready to operate when scheduled and operate at their...

  • Nurse Supervisor

    4 weeks ago

    Reading, United States Encompass Health Full time

    Job DescriptionJob DescriptionDay & Night Shifts AvailableCompensation Range $34. 00 - $50. 00 / hourCompetitive pay based upon years of experience and applicable certifications, with competitive shift differential!Leading with Heart: Your Journey Starts HereSeeking a career that's both personally enriching and professionally rewarding, close to home?...

  • Nurse Supervisor

    1 day ago

    Reading, United States Encompass Health Full time

    Job DescriptionJob DescriptionDay & Night Shifts AvailableCompensation Range $34. 00 - $50. 00 / hourCompetitive pay based upon years of experience and applicable certifications, with competitive shift differential!Leading with Heart: Your Journey Starts HereSeeking a career that's both personally enriching and professionally rewarding, close to home?...

  • Camp Assistant Supervisor

    1 week ago

    Reading, United States YMCA of Reading & Berks County Full time

    Job DescriptionJob DescriptionAre you ready for a summer adventure like no other? Join us as a Seasonal Camp Assistant Supervisor at YMCA of Reading & Berks County and let's make this summer a memorable one together! As a Camp Assistant Supervisor, you will have the opportunity to be at the heart of all the action, working onsite at our vibrant and...

  • Cafeteria Worker

    2 weeks ago

    Reading, United States Muhlenberg School District Full time

    Position Type: Classified/Cafeteria Date Posted: 11/21/2023 Location: Muhlenberg School District Administration Building Please note this position may be assigned to any of our district buildings. 4.5 hours per day. MUHLENBERG SCHOOL DISTRICT Laureldale, Pennsylvania I. Position Guide and Job Description General Cafeteria Worker II. Organizational...

  • Cafeteria Worker

    1 month ago

    Reading, United States Muhlenberg School District Full time

    Position Type: Classified/CafeteriaDate Posted: 11/21/2023Location: Muhlenberg School District Administration BuildingPlease note this position may be assigned to any of our district buildings. 4.5 hours per day. MUHLENBERG SCHOOL DISTRICT Laureldale, PennsylvaniaI. Position Guide and Job Description General Cafeteria Worker II. Organizational Position ...

  • Cafeteria Worker

    1 day ago

    Reading, United States Muhlenberg School District Full time

    Position Type: Classified/CafeteriaDate Posted: 11/21/2023Location: Muhlenberg School District Administration BuildingPlease note this position may be assigned to any of our district buildings. 4.5 hours per day. MUHLENBERG SCHOOL DISTRICT Laureldale, PennsylvaniaI. Position Guide and Job Description General Cafeteria Worker II. Organizational Position ...

  • Nurse Supervisor

    2 weeks ago

    Reading, PA, United States Encompass Health Corp Full time

    Nurse Supervisor Day & Night Shifts Available Compensation Range $34.00 - $50.00 / hour Competitive pay based upon years of experience and applicable certifications, with competitive shift differential! Leading with Heart: Your Journey Starts Here Seeking a career that's both personally enriching and professionally rewarding, close to home?...

  • Youth Care Worker

    4 weeks ago

    Reading, United States The Childrens Home of Reading Youth & Family Services Full time

    The Children's Home of Reading Youth & Family Services, located at 1010 Centre Ave, Reading, PA, is seeking **Full-Time Youth Care Workers **to cover various staffing schedules. We are specifically looking to cover our **_2nd Shift (2PM-10PM_**) schedule with**_ limited availability in 1st (6AM-2PM) & 3rd Shift (10PM-6AM)._** **Position Requirements**: -...

  • Developmental Services Worker Ii

    1 day ago

    North Reading, United States DMR-Northeast Region Full time

    **This position is located in North Reading, MA** The Department of Developmental Services (DDS) seeks a caring and compassionate applicant for the role of Direct Care Worker II (DSW II) who is committed to building meaningful relationships in order to provide outstanding care and service. The Direct Care Worker II provides direct care services and aid to...