Claims Supervisor

1 month ago

Charlotte, United States Sedgwick Full time

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. 

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.


Great Place to Work®
Most Loved Workplace® 
Forbes Best-in-State Employer

Claims Supervisor - Workers' Compensation

PRIMARY PURPOSE:  To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES  

Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical/jurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. 

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned. Supports the organization's quality program(s). 

SUPERVISORY RESPONSIBILITIES

Administers company personnel policies in all areas and follows company staffing standards and training recommendations. Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. Provides support, guidance, leadership and motivation to promote maximum performance.

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.

Experience

Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.

Skills & Knowledge

Thorough knowledge of claims management processes and procedures for multiple product lines Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership/management/motivational skills Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:  Computer keyboarding, travel as required

Auditory/Visual:  Hearing, vision and talking

NOTE : Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

  • Claims Management Supervisor

    7 days ago

    Charlotte, North Carolina, United States Sedgwick Claims Management Services Full time

    About the RoleSedgwick Claims Management Services is seeking a highly skilled Claims Supervisor to oversee the operation of multiple teams of examiners and technical staff for workers compensation claims. As a key member of our team, you will be responsible for monitoring colleagues' workloads, providing training, and monitoring individual claim...

  • Claims Supervisor

    16 hours ago

    Charlotte, North Carolina, United States CorVel Corporation Full time

    Job SummaryCorVel Corporation is seeking a highly skilled Claims Supervisor to join our team. As a Claims Supervisor, you will be responsible for overseeing a team of claims professionals, ensuring that all quality, productivity, and customer service standards are met while adhering to company policies and procedures.Key ResponsibilitiesSupervise claims...

  • Claims Administration Supervisor

    2 weeks ago

    Charlotte, North Carolina, United States CorVel Corporation Full time

    The Claims Administration Supervisor plays a crucial role in overseeing a dedicated team, ensuring that all standards for quality, efficiency, and customer satisfaction are achieved while complying with organizational policies and regulations. This position is vital for the operational success of CorVel Corporation and necessitates consistent attendance to...

  • Claims Operations Supervisor

    1 week ago

    Charlotte, North Carolina, United States CorVel Corporation Full time

    The Claims Services Supervisor plays a pivotal role in overseeing a dedicated team, ensuring that all quality, efficiency, and customer satisfaction benchmarks are achieved while strictly following company protocols and regulations. This position is essential for the operational success of CorVel Corporation and necessitates consistent attendance to support...

  • Claims Resolution Analyst

    3 months ago

    Charlotte, United States Acosta Full time

    Job Description This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be responsible for analyzing claims and making decisions about their validity. The position will be a communicator to internal and external business partners and a problem solver/agent for change to...

  • Senior Claims Coordinator

    1 week ago

    Charlotte, North Carolina, United States CorVel Corporation Full time

    The Claims Administration Supervisor plays a crucial role in overseeing a team of claims professionals, ensuring that all standards for quality, efficiency, and customer satisfaction are achieved while complying with corporate policies and guidelines. This position is vital to the operational success of CorVel Corporation and necessitates regular attendance...

  • Claims Team Leader

    2 weeks ago

    Charlotte, North Carolina, United States CorVel Corporation Full time

    The Claims Administration Supervisor plays a crucial role in overseeing a dedicated team, ensuring that all quality, efficiency, and customer service standards are upheld while complying with corporate policies and procedures. This position is vital to the operational success of CorVel Corporation and necessitates regular attendance to support the...

  • Claims Oversight Manager

    2 weeks ago

    Charlotte, North Carolina, United States CorVel Corporation Full time

    The Claims Administration Supervisor plays a pivotal role in overseeing a dedicated team, ensuring that all quality, efficiency, and customer service standards are upheld while complying with organizational policies and procedures. This position is crucial for the operational success of CorVel Corporation and necessitates consistent attendance to support...

  • Claims Management Specialist

    1 week ago

    Charlotte, North Carolina, United States CorVel Corporation Full time

    The Claims Operations Supervisor plays a crucial role in overseeing a dedicated team, ensuring that all quality, efficiency, and customer service standards are upheld while complying with company regulations and procedures. This position is vital for the success of CorVel Corporation and necessitates regular attendance to support the objectives of the...

  • ESIS Claims Specialist, WC

    1 month ago

    Charlotte, United States CHUBB Full time

    ESIS is seeking an experienced Workers Compensation Claims Specialist. The person in this role will handle and maintain all workers’ compensation claims and file reviews under the general supervision of a supervisor and as part of the ESIS team. Note: This is a hybrid position requiring 3 days in the office and 2 days working from home. Minimum...

  • Parking Operations Supervisor

    3 days ago

    Charlotte, North Carolina, United States Preferred Parking Service, LLC Full time

    Parking Operations Supervisor Job DescriptionPreferred Parking Service, LLC is seeking a highly skilled and experienced Parking Operations Supervisor to join our team. As a key member of our operations team, you will be responsible for assisting the manager in coordinating and maintaining the efficient operation of our parking facilities.Key...

  • Credentialing Supervisor

    5 days ago

    Charlotte, North Carolina, United States Mosaic Pediatric Therapy Full time

    Job DescriptionMosaic Pediatric Therapy is seeking a highly skilled and detail-oriented Credentialing Supervisor to join our Revenue Cycle team. As a key member of our team, you will play a crucial role in ensuring the quality, compliance, and tactical delivery of day-to-day operations related to the enrollment and credentialing of new locations, providers,...

  • Compensation and Benefits Supervisor

    2 weeks ago

    Charlotte, North Carolina, United States Hueman PE Talent Solutions Full time

    Job OverviewHueman PE Talent Solutions is seeking a Compensation and Benefits Supervisor.The Compensation and Benefits Supervisor will manage payroll and benefits operations across various locations. Reporting directly to the Chief Financial Officer, this position is responsible for ensuring precise payroll processing in accordance with applicable federal,...

  • Housekeeping Supervisor- AM Shift

    2 months ago

    Charlotte, United States StepStone Hospitality Inc. Full time

    Job DescriptionJob DescriptionDescription:The Le Meridien Sheraton Charlotte Hotel is currently seeking individuals for the positions of Housekeeping Supervisor to join our Housekeeping team at our StepStone Hospitality managed hotel. The Supervisor will report to the Executive Housekeeper.The role is to ensure that the cleaning of guest rooms, public space...

  • Hydroelectric Power Plant Installation Supervisor

    3 days ago

    Charlotte, North Carolina, United States Andritz Full time

    Job SummaryWe are seeking a highly experienced and skilled Hydroelectric Power Plant Installation Supervisor to join our team at ANDRITZ. As a key member of our installation team, you will be responsible for overseeing the installation of hydroelectric power plant systems, ensuring safe and efficient execution of projects, and promoting the interests of...

  • Safety Operations Supervisor

    2 weeks ago

    Charlotte, North Carolina, United States Carowinds Full time

    Overview:Responsible for overseeing the daily risk management of the park, focusing on fire safety, injury prevention, first aid, and handling of workers' compensation and liability claims.Ensures adherence to all safety regulations, including OSHA and environmental standards. Develops and executes safety initiatives aimed at minimizing workplace accidents,...

  • Community Management Supervisor

    2 weeks ago

    Charlotte, North Carolina, United States Community Association Management Full time

    Job OverviewCore ObjectiveUnder the guidance of the Director of Operations, the Community Management Supervisor is responsible for providing exceptional leadership and community management services to the Self-Managed and Accounting-only Homeowner's Associations. This role encompasses both oversight of a team and management of a designated portfolio of...

  • Credentialing Supervisor

    5 days ago

    Charlotte, United States Mosaic Pediatric Therapy Full time

    Job DescriptionJob DescriptionCredentialing SupervisorThe Southeast’s Premier Autism Therapy Provider for Children.We are a values-driven company and are passionate about providing life-changing therapy services to our early childhood clients while promoting a positive and supportive culture for our team members.Top 5% nationally in employee...

  • Hydroelectric Installation Supervisor

    2 weeks ago

    Charlotte, North Carolina, United States Andritz Full time

    At ANDRITZ, we are dedicated to providing innovative solutions that drive success for our clients across the globe. Our passion for engineering excellence positions us at the forefront of future technologies, ensuring we meet the evolving needs of key industries shaping our world. ANDRITZ HYDRO USA specializes in the overhaul and rehabilitation of...

  • Community Management Supervisor

    1 week ago

    Charlotte, North Carolina, United States Community Association Management, Limited Full time

    Job OverviewPrimary Objective of the RoleReporting directly to the Operations Director, the Community Management Supervisor is responsible for providing exceptional leadership and comprehensive management services to Self-Managed and Accounting-only Homeowner's Associations. This position encompasses dual responsibilities, including oversight of a designated...