AvonRisk ยท 20 hours ago
Workers Compensation Claims Supervisor
Orange, CA
Full-time
Onsite
Senior Level
$105K/yr - $118K/yr
5+ years expAvonRisk is a company focused on effective claims management, and they are seeking a Workers Compensation Claims Supervisor. This role involves overseeing a claims unit, providing coaching and feedback, and ensuring compliance with company standards and regulations.
CommercialRisk ManagementService Industry
Responsibilities
Responsible for the timely completion of performance reviews for all personnel within the assigned unit
Provides monetary approval authority up to assigned authority level
Maintains selected files on personal diary including all files reserved over $50,000, all subrogation files, all files with delayed or denied benefits, all files formally assigned to the SIU, and all files with unresolved coverage issues
Upon request or in accordance with the applicable claims handling contract provides all information, reports, records, logs, and other information our clients may require
Provides ongoing advice, mentoring, coaching, counseling and performance feedback to all personnel in assigned unit
Responsible for assuring that all claims are handled in accordance with applicable statutes and company rules
Deals quickly and decisively with personnel issues as they arise and keeps the manager informed with regards to the need for or the progress of any corrective action activities
Exhibits a knowledgeable and helpful attitude and projects a professional image on behalf of the company
Identifies and develops at least one individual to serve as supervisor backup
Performs quarterly audits of 10% of the open inventory of each claims specialist for the purpose of validating the accuracy and completeness of the claims management process as well as to identify opportunities for improving the process as well as the claim result
Responsible for insisting upon a spirit of teamwork and cooperation between claims personnel in assigned unit and the personnel of other departments
Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them
Handles other duties and tasks as deemed appropriate by the Claims Manager
Qualification
Required
Bachelor's degree (B. A.) from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience
Five or more years of progressive technical claim experience, demonstrating a high degree of judgment and discretion, is capable of providing adequate guidance on complex claim cases and can negotiate settlements effectively
Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them
Project Management - Develops project plans; Coordinates projects; Communicates changes and progress; Completes projects on time and budget; Manages project team activities
Change Management - Develops workable implementation plans; Communicates changes effectively; Builds commitment and overcomes resistance; Prepares and supports those affected by change; Monitors transition and evaluates results
Leadership - Exhibits confidence in self and others; Inspires and motivates others to perform well; Effectively influences actions and opinions of others; Inspires respect and trust; Accepts feedback from others; Provides vision and inspiration to peers and subordinates; Gives appropriate recognition to others; Displays passion and optimism; Mobilizes others to fulfill the vision
Managing People - Includes staff in planning, decision-making, facilitating and process improvement; Takes responsibility for subordinates' activities; Makes self available to staff; Provides regular performance feedback; Develops subordinates' skills and encourages growth; Solicits and applies customer feedback (internal and external); Fosters quality focus in others; Improves processes, products and services; Continually works to improve supervisory skills
Company
AvonRisk
AvonRisk is a provider of risk management, claims administration, and managed care services for carriers, employers, and public entities.
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase