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Compensation Claims Leadership Role

2 months ago

Irvine, California, United States CCMSI Full time
Job Summary

The Workers' Compensation Claim Supervisor is a critical role within our organization, responsible for overseeing the investigation, adjustment, and supervision of assigned claims. This position requires a high level of expertise in claim handling, negotiation, and leadership.

Key Responsibilities
  • Claim Oversight: Review, assign, and provide supervision of all claim activity for designated claims to ensure compliance with corporate claim standards, client-specific handling instructions, and applicable laws.
  • Investigation and Adjustment: Investigate, evaluate, and adjust assigned claims in accordance with established claim handling standards and laws.
  • Reserve Management: Establish and oversee reserves for designated claims within established reserve authority levels.
  • Vendor Management: Assist designated claim staff in the selection, referral, and supervision of designated claim files sent to outside vendors.
  • Litigation and Complex Claims: Direct handling of designated litigated and complex claims.
  • Staff Development: Provide education, training, and assist in the development of claim staff.
  • Compliance: Ensure compliance with corporate claim handling standards and special client handling instructions as established.
Requirements
  • Experience: 10+ years of claim experience, with 3+ years of supervisory experience preferred.
  • Education: Bachelor's degree preferred.
  • Certifications: Adjusters license may be required based on jurisdiction, AIC, CPCU, or ARM preferred.
  • Skills: 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.
Core Values and Principles

As a representative of CCMSI, you will be expected to uphold our Core Values and Principles, which include performing with integrity, passionately focusing on client service, embracing a client-centered vision, and maintaining contagious enthusiasm for our clients.