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Workers' Compensation Claim Supervisor

2 months ago

Irvine, 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.

As a Workers' Compensation Claim Supervisor at CCMSI in Irvine, CA, you will play a pivotal role in overseeing the investigation, adjustment, and supervision of multiple workers' compensation claims within California jurisdiction. This hybrid role requires you to work in our Irvine office one day per week following an initial 60-day training period, with a standard work schedule of Monday to Friday, 8:00 am to 4:30 pm. You will be responsible for managing a team of 6 to 8 adjusters, ensuring high-quality claim services and adherence to CCMSI's Corporate Claim Standards.

In this role, you will:

  • Lead and Mentor: Provide guidance and support to your team, ensuring their professional development and success. Act as a mentor and advocate for your team members, fostering a collaborative and positive work environment.
  • Supervise Claims: Oversee the investigation and adjustment of claims, ensuring accuracy and compliance with industry regulations and client expectations.
  • Quality Assurance: Maintain high standards of claim service quality as perceived by CCMSI clients. Monitor and review team performance to ensure alignment with our corporate standards.
  • Travel: Be open to occasional travel (1 to 3 times per year) for claim reviews and training sessions to further your professional development and contribute to our collective success.

This position offers a potential career path for advancement into management roles within our organization. We seek a proactive leader who is passionate about mentoring, committed to delivering exceptional client service, and enthusiastic about contributing to a dynamic team.

Additional Qualifications:

  • Proven experience in supervising or managing teams within the workers' compensation industry.
  • Strong leadership and interpersonal skills with a track record of effective team mentorship and support.
  • Excellent organizational and problem-solving abilities, with a focus on maintaining high service standards.
  • Willingness to travel occasionally and adapt to a hybrid work environment.

If you are a dedicated professional ready to take on a leadership role and support a team in a hybrid work setting, we encourage you to apply and be part of our team at CCMSI.

Responsibilities
  • Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.
  • Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.
  • Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
  • Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
  • Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
  • Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
  • Assist designated claim staff in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
  • Direct handling of designated litigated and complex claims.
  • Provide education, training and assist in the development of claim staff.
  • Review and maintain personal diary on claim system.
  • Supervision of all claim activity for specified accounts.
  • Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
  • Performs other duties as assigned.
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   

10 + years claim experience is required.

Three years supervisory experience is preferred.

Computer Skills   

Proficient in Microsoft Office products such as Word, Excel, Outlook, etc.                           

Certificates, Licenses, Registrations

California SIP is preferred. 

AIC, CPCU, or ARM preferred

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.

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