TRISTAR Insurance Group · 2 hours ago
Workers Compensation Claims Supervisor
Fresno Office - Fresno, CA 93727
Full-time
Hybrid
Mid, Senior Level
3+ years expTRISTAR Insurance Group is seeking a Workers Compensation Claims Supervisor to manage and oversee claims examiners and clerical staff. The role involves supervising staff, reviewing claims issues, ensuring compliance, and coordinating training sessions.
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 and Client guidelines
Performs file reviews to monitor compliance with policies and laws
Establishes appropriate supervisory diaries on claim files and completes pending diaries on or before scheduled due dates
Prepares for claim audits, reviews audit results, and provides appropriate rebuttal feedback
Coordinates and leads training sessions for staff on updated laws, policies, and procedures
Ensures daily caseload staffing requirements are met
Responds to claimant and vendor concerns and issues as needed
Ensure client handling instructions are being adhered to
Analyzes monthly client reports
Facilitates internal and external audits
Attends client file-staffing meetings in-person or telephonically
Other duties as assigned
Qualification
Required
Bachelor's degree in related field (preferred); three (3) to five (5) years related experience; or equivalent combination of education and experience
Technical knowledge of statutory regulations
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
Certifications and/or licenses as required by State regulation
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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