Workers' Compensation Claims Supervisor

3 weeks ago

Florence, Colorado, United States Davies Group Full time

About Davies Group

Davies Group is a specialist professional services and technology firm working in partnership with leading insurance, highly regulated, and global businesses. We help clients to manage risk, operate core business processes, and to transform and grow. Our team is dedicated to delivering operations, consulting, and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation, customer experience, human capital, transformation, and change management.

Job Overview

We are seeking an experienced Workers' Compensation Claims Supervisor to join our growing team. As a key member of our team, you will be responsible for ensuring a quality work product through the supervision of Adjusters, Nurse Case Managers, and Team Assistants. You will work closely with our Workers' Compensation Manager to develop and implement strategies to improve employee performance and ensure timely and accurate payments of medical and indemnity benefits.

Responsibilities and Duties

  • Complete initial review of First Report of Injury for coverage or compensability issues, red flags, and recovery potential; confirm assignment to an adjuster and nurse case manager with initial instructions
  • Provide additional training via personal instruction or assignment of employee to mentor for further development
  • Develop a plan of action to improve employee performance
  • Ensure appropriate handling of claims through routine diary review and daily interaction with Adjusters and Nurse Case Managers, including but not limited to compensability issues, recovery (Excess and Subrogation), appropriate medical treatment, Return to Work, timeliness and proper completion in filing State forms via EDI, timeliness in responding to legal documents, demonstrating timeliness in reporting to excess and requesting reimbursement, setting of appropriate reserves, maintaining claim closure ratio of 97%, and ensuring timely and accurate payments of medical and indemnity benefits
  • Attend supervisor meetings and lead monthly team meetings
  • Educate Adjuster and/or Nurse Case Manager in case law updates with regular continuing education sessions
  • Provide supervision of and instruction to Team Assistant(s)
  • Inform the Claims Manager of personnel issues including chronic absenteeism, poor work performance, staffing problems, and client concerns and recommend appropriate remedial action and measures
  • Assist with research of No Record Mail
  • Ensure vacations and extended absences are covered by other qualified team members
  • Handle employee complaints and grievances
  • Update client profiles as changes are implemented
  • Ensure proper communication of claims issues with clients through monthly telephone contact and quarterly claims meetings
  • Exhibit company values of We are Dynamic, We are Innovative, We are Connected, and We Succeed Together
  • Perform other duties as assigned

Experience and Qualifications

Required

  • 5+ years of experience handling Workers' Compensation claims
  • Possess FL-All Lines Adjuster or Workers' Compensation License and maintain CEU credits
  • Previous experience settling Workers' Compensation claims
  • Prior experience in a supervisory role or equivalent work experience
  • Proficiency with Microsoft Office Suite

Knowledge, Skills, and Abilities

  • Proactive, independent, dependable, and takes initiative with consistent follow through
  • Superb written and verbal communication skills conducted in a timely manner with diverse audiences
  • Superior time management skills with capability of working with and meeting deadlines
  • Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment
  • Excellent team player with interpersonal skills
  • High level attention to detail with ability to utilize decision making and problem-solving skills
  • Capable of working collaboratively and independently with minimal supervision
  • Exhibit discretion with sensitive and confidential information
  • Display a comfort level working with key people at all levels within an organization

Essential Requirements

  • Must have US work rights
  • Must speak English
  • 5+ years of experience handling Workers' Compensation claims
  • Possess FL-All Lines Adjuster or Workers' Compensation License and maintain CEU credits
  • Previous experience settling Workers' Compensation claims
  • Prior experience in a supervisory role or equivalent work experience
  • Proficiency with Microsoft Office Suite

Other Duties

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the individual for this job and are subject to change with or without notice.

Diversity and Inclusion

Davies Group is committed to being a diverse and inclusive workplace. We welcome candidates of all genders, gender identity and expression, neurodiversity, sexual orientation, disability, physical appearance, body size, race, age, nationality, and belief (or lack thereof).

Rewards and Recognition

We embrace innovation and run an annual competition available for all colleagues to submit their ideas. The top finalists travel to the current year's competition site where they pitch their ideas to our investors. The winner receives funding to bring their idea to life and the runners up receive a reward for their involvement. Some of our colleagues have moved across into brand new positions to further develop their ideas/projects

Benefits

  • Medical, dental, and vision plans
  • 401k plan with employer matching
  • Discretionary Time Off (Vacation & Sick/Safety) and Paid Holidays
  • Life insurance, short term, and long-term disability plans
  • Amazing Executive and Senior leadership as well as fabulous colleagues

Position Type, Work Environment and Physical Demands

This is a hybrid, full time, salaried, exempt position that predominantly operates remotely from a professional home-based and onsite office environment routinely using standard office equipment such as computers, phones, printers, photocopiers, and scanners and requires prolonged periods of sitting at a desk while working on a computer. While performing the duties of this job, the individual will be required to regularly hear and talk. This is a largely sedentary role requiring the ability to sit at a desk, reach outward, use a phone, have use of fingers to operate office equipment such as a keyboard, mouse, phone, printer, copier, and to reach above the head, bend, or stand as necessary.

Location

Davies Group is currently able to support employees residing in the following US locations: Florida. If you live in—or are willing to relocate at your own expense to—any of the listed locations, we look forward to your application If there is a required or preferred location for an open role, it will be listed in the job description. Should your state not be listed, please visit to locate a subsidiary near you.

Application Information

Application deadline: October 11, 2024

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