Workers' compensation Claims Supervisor

POSITION SUMMARY: This position requires considerable interaction with the client, management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistent, on-time office attendance is required. (Hybrid in/out of office),

DUTIES AND RESPONSIBILITIES:

• Directly supervises examiners. 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.*

QUALIFICATIONS REQUIRED:

Education/Experience: Bachelor’s degree in a related field (preferred); three (3) to five (5) years related experience; or equivalent combination of education and experience.

Knowledge, Skills and Abilities:

• 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.

Other Qualifications:

• Certifications and/or licenses as required by OR and WA a plus.

Other Qualifications:

• • Certifications and/or licenses as required by State regulation.

Here are some of the benefits you can enjoy in this role:

• • Medical, Dental, Vision, Disability & Life Insurance
  • 401(k) plan
  • Paid time off.
  • Paid holidays.

Mental and Physical Requirements: [see separate attachment for a copy of checklist of mental and physical requirements]