Workers Comp Claim Supervisor

Our Story

Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.

We are looking for a Workers Comp Claim Supervisor. The Claims Supervisor ensures a high-quality work product by providing leadership and supervision to adjusters, nurse case managers, and team assistants. This role focuses on effective claim handling, employee development, and client satisfaction, while maintaining compliance with workers' compensation laws, rules, and procedures.

• Complete initial review of First Report of Injury (FROI) for coverage, compensability issues, red flags, and recovery potential; assign claims to adjusters and nurse case managers with initial instructions.
• Provide direct training and assign mentors to employees for further development.
• Develop and implement action plans to improve employee performance.
• Supervise and instruct team assistants.
• Handle employee complaints, grievances, and personnel issues, escalating to Claims Manager when appropriate.
• Ensure claims are managed appropriately.
• Maintain a claim closure ratio of 97%.
• Conduct routine diary reviews and maintain daily interaction with adjusters and nurse case managers.
• Update client profiles and complete contact logs for supervised accounts.
• Ensure proper communication of claims issues with clients through monthly calls and quarterly meetings.
• Attend supervisor meetings and lead monthly team meetings.
• Educate staff on case law updates via continuing education sessions.
• Interview applicants for employment.
• Assist with research of No Record Mail.
• Ensure coverage during vacations and extended absences.
• Perform other duties as assigned by Claims Manager, QA Manager, Training Coordinator, Director of TPA Operations, or Executive Vice President.

• Extensive knowledge of workers' compensation law, rules, procedures, and case law.
• Understanding of liability principles, medical terminology, and medical procedures.
• Strong organizational and communication skills (verbal and written).
• Ability to work eight hours daily in front of a computer screen.
• Attend claims meetings at client locations.
• Client visits, seminars for CEU credits.
• Cover hearings or mediations if adjuster is unavailable.
• Travel to prospect locations for presentations as needed.

Benefits

At Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes:

• Medical, dental, and vision plans to ensure your health and that of your family.
• A 401k plan with employer matching to help you build a secure financial future.
• Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.
• Paid holidays.
• Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.

Diversity and Inclusion

Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.

Compensation Transparency:

The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.

We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses.

We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management.

Our global team of more than 8,000 professionals operate across ten countries, including the UK & the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research & development, innovation & automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.