Claims Operations Supervisor
2 weeks ago
Job Type:
Full-time
Position Overview:
Reporting directly to the Claims Manager, the Claims Operations Supervisor is accountable for the overall performance of a claims unit consisting of Claims Specialists and Claims Assistants. This role involves guiding and mentoring the team to ensure compliance with company standards and relevant regulations.
Key Responsibilities:
- Oversee the timely execution of performance evaluations for all team members.
- Authorize monetary approvals within designated limits.
- Maintain oversight of critical files, including high-value claims and those with unresolved issues.
- Provide necessary documentation and reports to clients as required.
- Offer continuous guidance and constructive feedback to all team members.
- Ensure that all claims are processed in accordance with applicable laws and company policies.
- Address personnel issues promptly and keep management informed of any necessary corrective actions.
- Project a professional image and maintain a positive attitude on behalf of the company.
- Identify and develop a suitable backup for the supervisory role.
- Conduct regular audits of claims to ensure accuracy and identify areas for improvement.
- Promote teamwork and collaboration within the claims unit and across departments.
- Possess a solid understanding of the Labor Code as it relates to workers' compensation claims.
- Perform additional duties as assigned by the Claims Manager.
Qualifications:
The ideal candidate will demonstrate the ability to fulfill each essential duty effectively. Reasonable accommodations may be made for individuals with disabilities to perform essential functions.
Education and Experience:
A Bachelor’s degree from an accredited institution or equivalent experience in a related field is required. A minimum of five years of progressive experience in claims management, showcasing strong judgment and negotiation skills, is essential.
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