WC Claims Manager

1 week ago

Chandler, United States Vensure Employer Solutions Full time

About Us

Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). The company and its service providers collectively serve over 95,000 businesses and process over $135B in annual payroll. As a 'One Employer Solution headquartered in Chandler, Arizona, Vensure helps thousands of businesses streamline and grow their operations with custom strategies that benefit both employers and employees. Find out more by visiting www.vensure.com

Position Summary

Under the supervision of the VP of WC Claims, the Workers' Compensation Claims Manager is responsible for the monitoring and oversight of claims activity by working directly with carriers and TPA's to ensure that appropriate and efficient claim adjudication is being pursued by the assigned adjuster. Provides leadership to the claim's supervisors and claims specialists, which includes training/development and effective coaching.

Essential Duties and Responsibilities

  • Implements improvements based on legislative changes or Court decisions.
  • Analyze and report financial data.
  • Monitors claims activity to identify early negative claims trends.
  • Perform annual reviews for staff.
  • Prepare and analyze loss runs.
  • Serve as technical resource to company. Identify claims, schedule and participate in quarterly claim reviews with the carrier/TPA.
  • Reviews more complex cases or initiates further action within approved authority limits.
  • Handle complaints, disputes and negotiate alternative solutions.

Knowledge, Skills, and Abilities

  • Verbal and written communication skills at the executive level.
  • Understand impact of losses on a corporation's financial performance.
  • Proven leadership, coaching, motivation, and conflict resolution skills.
  • Ability to research and interpret information for the completion of projects, self-starter.
  • Demonstrated ability to prioritize and handle multiple tasks while maintaining flexibility.
  • Ability to maintain a professional demeanor and confidentiality.

Education and Licenses

  • Bachelor's degree in insurance or relevant field preferred.
  • Supplemental insurance education/designations.
  • Minimum 3 years in a position leading a team plus 7 years' experience in multi-state workers' compensation claims with an emphasis in CA.
  • Experience in interviewing, hiring and termination of employees.
  • Solid background in coverage analysis, reserving, claims investigation and litigation management.

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