Workers' Compensation Claims Supervisor

Job Details

Level
Experienced

Job Location
Anchorage - Anchorage, AK

Remote Type
Hybrid

Position Type
Full Time

Education Level
High School Diploma or GED

Salary Range
$100,000.00 - $110,000.00 Salary

Travel Percentage
None

Job Shift
Day

Job Category
Admin - Clerical

Workers' Compensation Claims Supervisor

POSITIONS SUPERVISED: Directly: Claims Examiners, Claims Assistants; may supervise File/Mail Clerks and Administrative Assistants

POSITION SUMMARY: This position requires considerable interaction with the client, management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistently being at work in the office, in a timely manner, is inherently required of this position
(Hybrid in/out of office, depending on requirements for the office)

DUTIES AND RESPONSIBILITIES:

• Directly supervises 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.*

• Ensures client servicing 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.

*Essential job function.

EQUIPMENT OPERATED/USED: Computer, 10-key, printer, copier, fax machine, and other office equipment.

SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire.

Qualifications

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:

• AK certification
  Preferably domiciled in Alaska

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.