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Claims Management Supervisor
2 months ago
This position is eligible for Zenith's hybrid work model, allowing flexibility to work remotely on designated days based on the in-office schedule set by regional leadership.
Essential Qualifications:
Must possess experience in Workers' Compensation and hold the necessary state certifications.
Under general oversight, this role involves supervising a Claims unit and managing Claims processes. The individual will provide technical direction and training to team members, assessing their performance against corporate objectives.
Key Responsibilities:
- Oversee and guide the assigned Claims unit(s) with technical and supervisory support.
- Assess performance in alignment with Zenith's established standards.
- Conduct performance evaluations and recommend salary adjustments for team members in accordance with company policies.
- Engage in the recruitment process and provide training for new hires within the unit.
- Manage Claims for cases assigned to the unit, including special accounts, adhering to performance standards and regulatory requirements.
- Analyze Claims, establish reserves, determine liability, authorize benefit payments, and settle Claims within designated financial limits and company policies.
- Initiate timely investigations and rehabilitation referrals, including early return-to-work initiatives.
- Assign cases to the Special Investigations Unit as necessary.
- Optimize the use of company medical cost containment programs.
- Prepare litigation cases adequately for mediation and trials.
- Maintain professional communication with policyholders, injured workers, and other stakeholders.
- Assist in generating agent status reports and conducting policyholder claim reviews.
- May serve as the account coordinator for significant policyholders.
- Utilize logical reasoning to identify problems, gather data, establish facts, and draw valid conclusions.
- Collaborate effectively with colleagues consistently.
- Respond constructively to feedback and performance evaluations.
- Exhibit a consistently professional demeanor.
- Perform additional duties as assigned.
- High School Diploma or equivalent is required.
- Bachelor's Degree or a combination of relevant training and experience is required.
- A minimum of 6 years of experience in handling Workers' Compensation indemnity Claims, including negotiation of litigated Claims, is required.
- Demonstrated supervisory potential is essential; prior experience or education through seminars and classes is preferred.
- In-depth knowledge of regulatory requirements and current case law is required.
- Strong verbal and written communication skills are necessary.
- Proficiency in PC applications is required.
- Excellent time management, organizational, and negotiation skills are essential.
- Must meet all state regulatory standards regarding licensing, continuing education, and other requirements.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Individuals with disabilities or disabled veterans have the right to request accommodations if they are unable or limited in their ability to use or access our career center due to their disability. To request an accommodation, please contact a Human Resources Representative at Zenith Insurance Company.
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