Claims Operations Supervisor

2 weeks ago

Dallas, Texas, United States Broadspire Full time
Commitment to Excellence
Position Overview

Under general supervision, oversees the assessment, management, and prompt resolution of Workers Compensation claims in accordance with organizational, carrier, and regulatory standards. Collaborates with the Vice President and/or Assistant Vice President of Claims to enhance the efficiency of the Service Center.

Key Responsibilities
  • Establishes and communicates performance benchmarks and objectives, conducting regular performance evaluations.
  • Implements corrective measures for performance issues in alignment with human resources policies.
  • Recommends and approves salary adjustments, promotions, transfers, and terminations.
  • Administers all company human resource policies, ensuring compliance among staff.
  • Guides team members on educational and professional development opportunities to foster career growth.
  • Maintains open communication regarding current trends and developments within the department through regular meetings.
  • Reviews, analyzes, and allocates claims to appropriate examiners, ensuring adherence to directives.
  • Balances workloads in accordance with established staffing models to optimize productivity.
  • Provides daily file reviews to identify further requirements based on best practice standards.
  • Assists with reserve recommendations and approvals, coaching staff on investigations and evaluations.
  • Ensures compliance with internal and external standards for large loss reporting.
  • Prepares staff for client, carrier, and broker claim reviews.
  • Keeps the Vice President/Assistant Vice President informed of activities and challenges within the area of responsibility.
  • Performs additional related tasks as necessary.
  • Utilizes the Risk Tech Claim System and ancillary systems to maximize workflow efficiency.
  • May assist in training new and existing staff on the operation of the Risk Tech claim system and other relevant systems.
Qualifications
  • Bachelor's degree or equivalent experience is required.
  • A minimum of five years of progressive experience as a Claim Examiner or equivalent, demonstrating the ability to manage complex cases with sound judgment.
  • Previous supervisory experience is preferred.
  • Industry designations such as IIA, AIC, AEI, and/or CPCU are advantageous but not mandatory.
  • Must meet state licensing requirements for the relevant lines of insurance.
Settlement Authority:
As outlined in internal, client, and carrier guidelines.
Skills and Competencies
  • Exceptional verbal and written communication abilities.
  • Strong analytical skills.
  • Proficient mathematical aptitude.
  • Excellent organizational and interpersonal skills.
  • Ability to effectively manage, supervise, and develop team members.
  • Comprehensive knowledge of services provided by the branch office.
  • In-depth understanding of insurance coverages, practices, and negotiation techniques.
  • Familiarity with legal, medical, and technical disciplines.

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