TRISTAR Insurance Group · 17 hours ago
Workers' compensation Supervisor
Dallas - Irving, TX 75038
Full-time
Onsite
Mid Level
$85K/yr - $90K/yr
3+ years expTRISTAR Insurance Group is seeking a Workers' Compensation Supervisor to manage and direct the claims unit ensuring high-quality results in compliance with state laws and company procedures. The role involves supervising claims examiners and clerical staff, addressing claims issues, and ensuring adherence to client servicing instructions.
Financial ServicesInsuranceRisk Management
Responsibilities
Directly supervise examiners and clerical staff. Includes monitoring attendance, job performance, evaluations and disciplinary issues
Reviews and addresses scheduled claims issues, such as initial and periodic reviews, delays, denials, etc
Reviews and approves reserve changes, awards and payments within Company guidelines up to reserve authority of $250,000.00 and payment authority of $10,000
Performs file reviews to monitor compliance with policies and laws. This is completed file by file, monthly reviews as required by client and agency file reviews. Coordinates and leads training sessions for staff on updated laws, policies and procedures
Ensures daily caseload staffing requirements are met and as equal as possible among direct reports
Supervises and approves priority payments; sign checks as warranted
Responds to claimant and vendor concerns and issues as needed
Monitors effectiveness of vendors and modifies panels as needed within Tristar and Account guidelines
Ensures client servicing instructions are being adhered to
Provides coverage for examiner vacancies due to vacation or vacancies
Prepares and evaluates monthly client reports
Facilitates internal and external audits
Conducts and documents in-house and outside educational sessions
Attends client file reviews
Partners with corporate office and sales/service team for RFP’s and client service issues
Adheres to Tristar’s Supervisor Best Practice Guidelines
Other duties as assigned
Qualification
Required
High School Diploma or GED required
three (3) to five (5) years related experience; or equivalent combination of education and experience
Technical knowledge of statutory regulations (TX) and medical terminology
Ability to work on a diary system, prioritize tasks and meet strict deadlines
Strong analytical skills
Proficient in Word and Excel
Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff
Ability to manage employees of various skill levels
Excellent interpersonal skills
Ability to manage stress with multiple priorities
Maintain a positive attitude as an example for direct reports
Maintain good sense of Urgency in response to client requests/needs
Preferred
Bachelor's degree in related field
Company
TRISTAR Insurance Group
Tristar Insurance Group provides excellent claims and risk management services to a variety of clients.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Denise Cotter
Chief Financial Officer
Linda Naif
Chief Information Officer
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