InterMed Cost Containment Services · 3 hours ago
Workers Compensation Claims Supervisor
Glendale,CA,US
Full-time
Onsite
Senior Level
5+ years expInterMed Cost Containment Services is seeking a Workers Compensation Claims Supervisor who will report directly to the Claims Manager. The role involves overseeing a claims unit, providing coaching and performance feedback, and ensuring compliance with company standards and regulations.
BillingMedicalProfessional Services
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
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
Company
InterMed Cost Containment Services
InterMed Cost Containment Services offers network management, utilization review, and medical bill review for workers' compensation.
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase