Insurance Program Managers Group · 1 day ago
Workers’ Compensation Team Leader
Greater Chicago Area
Full-time
Hybrid
Mid, Senior Level
$95K/yr - $115K/yr
2+ years expInsurance Program Managers Group (IPMG) is a dynamic company committed to innovation in the insurance sector. They are seeking a Workers’ Compensation Claims Team Leader to oversee the claims teams, ensuring quality outcomes and developing future leadership capabilities.
Financial ServicesInsurance
Hiring Manager
Katie N.
Responsibilities
Ensures Claims Best Practices guidelines are followed consistently with strong technical understanding of Worker’s Compensation Claim Handling
Ensures that defined processes, quality standards and procedures are followed
When appropriate, coaches to ensure contact with employers, injured employees, doctors, witnesses, and other parties are secured and obtain details about the loss
Coaches and determines appropriate action for each claim
Ensures file notes by team are in accordance with established procedures, maintains timely diary management, updates accurate coding and claim closing goals and coaches to same
Timely addresses direct intervention alerts with proper direction and documentation with oversight of subordinate adherence to same
Coaches to ensure adjuster provides timely information to clients, claimants, doctors, and others regarding the status of claims
Ensure team sets initial and on-going reserves for all indemnity, medical and expense exposures
Authorizes settlement authority requests and reserve authority requests
Properly and timely leverages management control reports for best practice adherence with further leveraging of Key Performance Indicator reports to ensure staff objectives are met
Ensures the staff efficiently utilizes Nurse Case Management as needed for complex claims and ensure Team follows through with agreed service level agreements (SLA) between departments by showing urgency in authorization requests
Ensures staff are efficiently leveraging risk management where warranted where lost time and or modified duty practices are not being utilized by program clients
Ensures staff are working with defense regarding questionable compensability scenarios and IME doctor selection to ensure optimal outcomes
Ensures staff are proactively managing defense counsel in line with best practices litigation handling guidelines with adherence to reporting and budget discipline
Ensures staff are consistently identifying subrogation opportunities with proper and timely referral to the unit subrogation specialist
Ensure staff are accurately and timely effectuating claim transfers to correct level adjuster as prescribed by client service plan and/or BP Guidelines
Ensures team consistently recognizes clients that participate in occupational health structures with compliance to their respective special protocols and coaches to ensure adherence to the same
Effectively assesses strengths and weaknesses of team for development and training opportunities to ensure optimal service standards are met and optimal outcomes achieved
Ensures staff are consistently executing Medicare and Section 111 requirements with proper leveraging of control reports to monitor outliers
Superior knowledge in multiple jurisdictions
Recognize client specific venues and related benefit adherence, including timely benefit payments and client workflow alterations where needed
Communicate effectively with all internal and external business partners
Written and verbal communication is professional and time
Communicate effectively by expressing oneself in a clear and concise manner in one-one and group discussions while listening attentively in collaborative discussions
Foster a sense of energy, urgency, ownership, and personal commitment to work
Ownership and coordination with stakeholders in client claim reviews and vendor in teleconferences or in person meetings with key role in discussions
Ensure client file reviews presentations are intelligent and in order
Occasional travel to clients for claim reviews is required
Timely follow-through on all agreed action items with internal and external stakeholders that have been committed to fully execute on commitments made
Achieves all metric goals for adjuster and leader outlined by department manager
Identify and assist with ongoing training needs in all areas of Workers’ Compensation Department with new and existing staff
Coordination claim discussions with appropriate stakeholders such as adjusters, underwriters, Director of Nurse Case Management, VP of Risk Management, and WC Leadership to drive calibration and alignment in file outcome
Share rationale for payments made over reserve set with required stakeholders
Collaborate internally before communicating decisions with business partners and clients
Manages PTO requests of their direct reports keeping in mind overall capacity of Unit and back up plans as needed
Reviews and analyzes other managerial control reports to determine outliers and takes the necessary action with staff as warranted
Ensure Excess Reinsurance Collect Reports are addressed with quality and urgency to ensure timely client reimbursement
Ensures with staff the understanding of the organization’s goals and how they contribute to the company’s overall success with clarity on objectives
Establishes action plans and strategies to help individual and Team achieve goals
Uses influence skills to provide sound rationale for recommendations using data to support recommendation when relevant
Provide honest, helpful and actionable feedback seeking validation of execution
Cultivates an inclusive environment that allows all to feel valued and do their best
Assesses performance of capabilities and job fit to track performance against objectives
Gathers and analyzes data to aid in problem solving to understand root cause and best solution
Convey clear expectations and follow up for ensured execution
Holds people accountable for achieving goals
Identifies and communicates action steps needed to accomplish objective
Identifies all key stakeholders as warranted
Completes quality reviews and feedback through direct supervisory reviews/audits in compliance with our Best Practices
Shares strengths and opportunities with Sr. Leadership, including weaknesses and vulnerabilities with recommended solutions
Support and assist in strategy development and implementation of initiatives
Promotes culture of collaboration and teamwork across all organizational boundaries
Directly participates in the identification, recruiting, interviewing, and hiring for future employees
Owns evaluation and feedback of employees for performance reviews for all adjuster and Team Leader direct reports, including salary budget responsibilities
Providers oversight review on all claims over adjuster authority
Teaches strong leadership capabilities to Team Leader through continued development
Directly responsible for strategy development and implementation of all new client WC Service Plans and required changes to unit workflows
This role does not require the handling of any direct claims
Qualification
Required
2+ years management experience
Strong technical expertise in Workers' Compensation Claim Handling
Ability to ensure Claims Best Practices guidelines are followed consistently
Ability to coach team members effectively
Timely addressing direct intervention alerts with proper direction and documentation
Ability to ensure team sets initial and on-going reserves for all indemnity, medical and expense exposures
Ability to authorize settlement authority requests and reserve authority requests
Ability to leverage management control reports for best practice adherence
Ability to ensure staff efficiently utilizes Nurse Case Management for complex claims
Ability to ensure staff are working with defense regarding questionable compensability scenarios
Ability to ensure staff are proactively managing defense counsel in line with best practices
Ability to ensure staff are consistently identifying subrogation opportunities
Ability to ensure staff are accurately and timely effectuating claim transfers
Ability to ensure team consistently recognizes clients that participate in occupational health structures
Ability to assess strengths and weaknesses of team for development and training opportunities
Superior knowledge in multiple jurisdictions
Ability to communicate effectively with all internal and external business partners
Professional written and verbal communication
Ability to foster a sense of energy, urgency, ownership, and personal commitment to work
Ability to manage PTO requests of direct reports
Ability to review and analyze managerial control reports
Ability to establish action plans and strategies to help individual and Team achieve goals
Ability to provide honest, helpful and actionable feedback
Ability to cultivate an inclusive environment
Ability to hold people accountable for achieving goals
Ability to identify and communicate action steps needed to accomplish objectives
Ability to complete quality reviews and feedback through direct supervisory reviews/audits
Ability to directly participate in the identification, recruiting, interviewing, and hiring for future employees
Ability to provide oversight review on all claims over adjuster authority
Ability to teach strong leadership capabilities to Team Leader
Directly responsible for strategy development and implementation of all new client WC Service Plans
Benefits
20 days of PTO each year
2025 includes 13 paid holidays and YOUR BIRTHDAY OFF!
Medical, dental, and vision coverage on day one of full-time employment
Telemedicine is free for you and your family (day one) if you are covered under our medical plan
401k match
Professional development support
Flexible time off with an encouraged minimum time away to support a healthy work-life balance
Life Insurance, Short term, and long-term disability on day one of full-time employment
Onsite fitness center and showers, in our St. Charles, IL HQ
Company
Insurance Program Managers Group
At IPMG, we are committed to helping independent agents/brokers and their clients thrive by delivering superlative products and services that can bring transformative change.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Gregg Peterson
President/CEO
Matt Reed
CFO
Company data provided by crunchbase