Claims Operations Supervisor jobs in United States
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LWCC · 4 weeks ago

Claims Operations Supervisor

LWCC, Louisiana Workers' Compensation Corporation, is a private mutual workers’ comp company dedicated to excellence in execution and compassionate care for injured workers. The Claims Operations Supervisor will lead a multidisciplinary team, develop training programs, and ensure excellence in recovery and customer experience while collaborating with senior management to align departmental goals.

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Responsibilities

Leads the development and delivery of training programs across all claims functions; this includes: Workers’ Recovery Professional Associate (WRPA) program, new hire onboarding, 360Care, and external training
Responsible for the leadership of a multidisciplinary Claims Operations Team that includes Recovery and Claims Service Representatives
Responsible for tracking team goals, mentoring staff, and enhancing overall job performance of the team
Supports the Operations Manager in managing departmental functions and ensures excellence in recovery and customer experience
Collaborates with the VP of Claims Operations to align departmental strategies with broader operational and claims objectives
Collaborates with the VP of Claims Operations to develop and communicate goals to team members, making clear connections to departmental and corporate vision and strategic direction
Develops, coordinates, and implements claims training programs
Directs and assists in the training and development of the claims staff
Leads structured onboarding for new hires across the claims department
Responsible for creating and maintaining training materials, manuals, job aids, and e-learning modules
Partners with Claims Supervisors and Managers to identify performance gaps and deliver targeted training
Ensures training aligns with company policies, industry standards, and regulatory requirements
Elevates training effectiveness using key performance indicators, feedback, and post-training assessments
Oversees the recovery team
Provides timely claim service on subrogation and Second Injury Fund matters within the operations disciplines and complies with sound claim handling techniques in compliance with statutory and regulatory requirements
Oversees the Claims Services Representatives and team lead
Provides continuous training and feedback that focuses on enhancing the customer experience
Manages the team’s expenses within specified budgetary considerations
Provides effective communication to the team to include regular departmental meetings and monthly one-on-ones
Serves as a member of the Claims Management Team and provides input on strategic initiatives and goals
Assists with management of technology projects that impact the way claims are processed
Continuously seeks methods to improve the use of technology to deliver exceptional customer service and move the department forward
Leverages technology like artificial intelligence (AI) and learning management systems (LMS) to enhance self-study learning
Assists with leading the effort of future digitization to enhance the customer experience with 360 Claims
Provides regular and consistent feedback to claims staff on customer experience
Trains staff to explain benefits, timelines, and decisions in plain language to promote a better experience for the customer
Promotes the 360Care service model in all trainings
Continuously reviews industry trends like telemedicine, AI triage, and digital self-service to evolve the experience for customers
Holds a high-level understanding of state workers’ compensation coverage and United States Longshore and Harbor (USL&H) Workers’ Compensation Act coverage
Has a thorough understanding and knowledge of workers’ compensation claims processes and regulations to provide guidance and training to the claims teams, representatives and operations
Holds a high-level understanding of Second Injury Fund and subrogation
Leads the development and execution of a comprehensive claims training program for the claims staff
Performs other duties as directed or required

Qualification

Workers' compensation claimsClaims training programsSubrogation knowledgeSecond Injury Fund knowledgeCPCU certificationARM certificationAIC certificationLeadershipEffective communicationCustomer experience focusProblem-solvingTeam management

Required

Bachelor's degree and at least five (5) years' experience handling workers' compensation claims
Knowledge of subrogation and Second Injury Fund required
Ability to evaluate and make decisions regarding problem situations; set priorities and adapt to multiple demands with minimal supervision
Strong character alignment with company values, mission, and vision
Trustworthy and honest
Curious and persistent
Creative
Self-starter and capable of working independently
Willingness to learn
Adaptive to change (tolerance for ambiguity)
Desire to collaborate to achieve corporate goals
Ability to define problems, collect data, establish facts, and draw valid conclusions
Ability to rapidly assimilate and work with the organization's business systems
Effective communication skills
Empathetic listener and open-minded
Commitment to accountability

Preferred

Minimum of two (2) years as a Sr. Claims Representative/Claims Specialist strongly preferred
Knowledge of Medicare and NCCI reporting strongly preferred
CPCU, ARM, AIC preferred
Willingness to obtain CPCU designation or other Master programs preferred
Preferred candidate should also have a working knowledge of Louisiana Jones Act Coverage, and USL&H Workers' Compensation Act Coverage

Benefits

Health, dental, vision, life and disability insurance
A 401(k) savings plan
Educational assistance
An on-site fitness center

Company

LWCC

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LWCC is a mutual insurance company that offers a full range of services as per the unique needs of businesses to polocyholders.

Funding

Current Stage
Growth Stage

Leadership Team

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Kristin Wall
President & CEO
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Gary Sanders
Senior Vice President and Chief Information Officer
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