Workers' Compensation Claim Supervisor
Company: CCMSI
Location: Manchester
Posted on: January 24, 2023
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Job Description:
Overview:At CCMSI, we look for the best and brightest talent to
join our team of professionals. As a leading Third Party
Administrator in self-insurance services, we are united by a common
purpose of delivering exceptional service to our clients. As an
Employee-Owned Company, we focus on developing our staff through
structured career development programs, rewarding and recognizing
individual and team efforts. Certified as a Great Place To Work,
our employee satisfaction and retention ranks in the 95th
percentile.Reasons you should consider a career with CCMSI:Culture:
Our Core Values are embedded into our culture of how we treat our
employees as a valued partner-with integrity, passion and
enthusiasm.Career development: CCMSI offers robust internships and
internal training programs for advancement within our
organization.Benefits: Not only do our benefits include 4 weeks
paid time off in your first year, plus 10 paid holidays, but they
also include Medical, Dental, Vision, Life Insurance, Critical
Illness, Short and Long Term Disability, 401K, and ESOP.Work
Environment: We believe in providing an environment where employees
enjoy coming to work every day, are provided the resources needed
to perform their job and claims staff are assigned manageable
caseloads.The Workers' Compensation Claim Supervisor is responsible
for the investigation, adjustment and supervision of assigned
claims. This position may be used as an advanced training position
for consideration for promotion to a management position. Is
accountable for the quality of claim services as perceived by CCMSI
clients and within our Corporate Claim
Standards.Responsibilities:Review, assign and provide supervision
of all claim activity for designated claims to ensure compliance
with Corporate Claim Standards, client specific handling
instructions and in accordance with applicable laws.Investigate,
evaluate and adjust assigned claims in accordance with established
claim handling standards and laws.Reserve establishment and/or
oversight of reserves for designated claims within established
reserve authority levels.Provide oversight of medical, legal,
damage estimates and miscellaneous invoices to determine if
reasonable and related to designated claims. Negotiate any disputed
bills or invoices for resolution.Authorize and make payments of
claims in accordance with claim procedures utilizing a claim
payment program in accordance with industry standards and within
established payment authority.Negotiate settlements in accordance
within Corporate Claim Standards, client specific handling
instructions and state laws, when appropriate.Assist designated
claim staff in the selection, referral and supervision of
designated claim files sent to outside vendors. (i.e. legal,
surveillance, case management, etc.)Direct handling of designated
litigated and complex claims.Provide education, training and assist
in the development of claim staff.Review and maintain personal
diary on claim system.Supervision of all claim activity for
specified accounts.Compliance with Corporate Claim Handling
Standards and special client handling instructions as
established.Performs other duties as assigned.Qualifications:To
perform this job successfully, an individual must be able to
perform each essential duty satisfactorily. The requirements listed
below are representative of the knowledge, skills, and/or abilities
required. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential
functions.Excellent oral and written communication
skills.Initiative to set and achieve performance goals.Good
analytic and negotiation skills.Ability to cope with job pressures
in a constantly changing environment.Knowledge of all lower level
claim position responsibilities.Must be detail oriented and a
self-starter with strong organizational abilities.Ability to
coordinate and prioritize required.Flexibility, accuracy,
initiative and the ability to work with minimum
supervision.Discretion and confidentiality required.Reliable,
predictable attendance within client service hours for the
performance of this position.Responsive to internal and external
client needs.Ability to clearly communicate verbally and/or in
writing both internally and externally.Experience with Maine
Workers' Compensation ClaimsEducation and/or Experience10 + years
claim experience is required.Three years supervisory experience is
preferred.Bachelor Degree is preferred.Computer SkillsProficient in
Microsoft Office products such as Word, Excel, Outlook,
etc.Certificates, Licenses, RegistrationsAdjusters license may be
required based upon jursidictionAIC, CPCU, or ARM preferred. Must
have experience handling Maine Workers' Compensation.Physical
DemandsThe physical demands described here are representative of
those that must be met by an employee to successfully perform the
essential functions of this job. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.Object Handling CategoriesWork requires the
ability to lift/carry objects routinely as follows:Light Lifting:
No lifting of objects weighing more than 15 pounds on a regular
basis.Other Physical DemandsWork requires the ability to stoop,
bend, reach and grab with arms and hands, manual dexterityWork
requires the ability to sit or stand up to 7.5 or more hours at a
time.Work requires sufficient auditory and visual acuity to
interact with othersCORE VALUES & PRINCIPLESResponsible for
upholding the CCMSI Core Values & Principles which include:
performing with integrity; passionately focus on client service;
embracing a client-centered vision; maintaining contagious
enthusiasm for our clients; searching for the best ideas; looking
upon change as an opportunity; insisting upon excellence; creating
an atmosphere of excitement, informality and trust; focusing on the
situation, issue, or behavior, not the person; maintaining the
self-confidence and self-esteem of others; maintaining constructive
relationships; taking the initiative to make things better; and
leading by example.CCMSI is an Affirmative Action/Equal Employment
Opportunity employer offering an excellent benefit package included
Medical, Dental, Vision, Prescription Drug, Flexible Spending,
Life, ESOP and 401K.
Keywords: CCMSI, Manchester , Workers' Compensation Claim Supervisor, Other , Manchester, New Hampshire
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