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Claims Operations Supervisor
2 months ago
Job Details
Job Type
Full-time
Description
Overview:
This position reports directly to the Claims Manager and is tasked with overseeing the performance of a claims unit that includes Claims Specialists managing specific inventories of claims. The unit also encompasses Claims Assistants who provide essential clerical support. The role involves mentoring and guiding team members, ensuring adherence to company standards and relevant regulations, conducting performance assessments, and implementing corrective measures when necessary.
Key Responsibilities:
- Ensure timely completion of performance evaluations for all team members within the unit.
- Authorize monetary approvals within designated limits.
- Maintain a personal diary of selected files, including high-value claims, subrogation cases, and those with unresolved issues.
- Provide comprehensive information and documentation as required by clients.
- Offer continuous mentoring, coaching, and constructive feedback to all team members.
- Guarantee compliance with applicable laws and company policies in all claims handling.
- Address personnel issues promptly and keep the Claims Manager informed of any necessary corrective actions.
- Project a professional image and maintain a supportive and knowledgeable demeanor.
- Identify and develop a suitable backup for the supervisory role.
- Conduct quarterly audits of claims to ensure accuracy and identify process improvement opportunities.
- Promote teamwork and collaboration within the claims unit and across other departments.
- Possess a solid understanding of California's Labor Code as it pertains to workers' compensation claims.
- Perform additional duties as assigned by the Claims Manager.
Essential Skills:
Project Management - Ability to develop and manage project plans, communicate changes effectively, and ensure timely completion of projects.
- Change Management - Capable of developing implementation plans, effectively communicating changes, and supporting those affected by transitions.
- Leadership - Demonstrates confidence and inspires others, fostering a culture of respect and trust.
- People Management - Involves staff in decision-making processes, provides regular feedback, and encourages professional growth.