Supervisor Claims - Workers Compensation

Posted 13 Days Ago
Be an Early Applicant
8 Locations
In-Office
Mid level
Insurance
The Role
Supervise workers' compensation claims staff to ensure proper claim handling and documentation. Assign and oversee caseloads, set reserves, authorize settlements, train and mentor staff, analyze portfolio trends, manage account service issues, implement QA and performance management, ensure legal and policy compliance, and support departmental goals.
Summary Generated by Built In
Job Summary & Responsibilities

As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, policy provisions and company guidelines while fostering a culture of communication.

 

Responsibilities:

  • Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management.
  • Ensures timely, accurate documentation of claim activity.
  • Selects, trains, coaches and mentors unit personnel.
  • Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accordance with approved plans and budgets.
  • Develops staff to respond to current and anticipated needs of department as well as determining career development goals of individuals.
  • Ensures appropriate case reserves consistent with company guidelines.
  • Extends settlement authority on claims exceeding adjuster's granted authority.
  • Develops, recommends and implements short range objectives consistent with company business goals, guidelines and programs.
  • Recognizes and analyzes trends across the claims portfolio at the adjuster, unit and account levels.
  • Reports on observations and recommends remedial action as needed.
  • Administers salary and personnel programs under guidance of manager.
  • Utilizes quality assurance programs and develops training agenda based on opportunities for improvement.
  • Utilizes performance management process effectively, on an ongoing basis, to maximize performance of employees, correct performance problems, provide development opportunities, and promote effective communication with employees.
  • Manages the account management process and resolves service issues.
  • Promotes effective communication among and between work groups, and between management and employees.
  • Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

#LI-Remote

Preferred Qualifications
  • Bachelor's degree and/or a minimum of three years of work experience in an insurance related industry required.
  • Extensive knowledge of WC regulations VT, RI, CT and NH, insurance contracts, applicable law and adjusting techniques.
  • Previous supervisory experience.
  • Familiarity with medical terminology.
  • Demonstrated leadership, coaching, mentoring and teamwork skills
  • Advanced skills in applying sound judgment/analysis, decision making/problem solving, planning and organization and negotiation.
  • Excellent verbal and written communication skills.
  • Excellent customer service and collaboration skills gained through previous work experience.
  • Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint.
  • Chartered Property Casualty Insurance (CPCU); Associate in Claims (AIC) designation or similar professional designation desired.
  • Ability to travel for business purposes; approximately 15%

Skills Required

  • Bachelor's degree and/or a minimum of three years of work experience in an insurance related industry
  • Extensive knowledge of WC regulations VT, RI, CT and NH, insurance contracts, applicable law and adjusting techniques
  • Previous supervisory experience
  • Familiarity with medical terminology
  • Demonstrated leadership, coaching, mentoring and teamwork skills
  • Advanced judgment/analysis, decision making/problem solving, planning and organization and negotiation skills
  • Excellent verbal and written communication skills
  • Excellent customer service and collaboration skills
  • Computer literacy, including working knowledge of MS Office Product Suite (Word, Excel, PowerPoint)
  • Chartered Property Casualty Insurance (CPCU), Associate in Claims (AIC), or similar professional designation desired
  • Ability to travel for business purposes; approximately 15%

PMA Companies Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about PMA Companies and has not been reviewed or approved by PMA Companies.

  • Leave & Time Off Breadth Time off is described as generous, with a sizable PTO bank and a broad paid-holiday schedule. Feedback suggests the ability to accrue and use substantial leave is a standout element of the package.
  • Retirement Support Retirement support includes a 401(k) with company contributions and immediate vesting on certain employer dollars. Profit-sharing and automatic eligibility are positioned as meaningful additions to total rewards.
  • Flexible Benefits Benefits are organized in a cafeteria-style format with multiple medical plan choices, HSA options, FSAs, and a broad set of voluntary coverages. Feedback suggests this flexibility enables tailoring coverage to individual needs.

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The Company
HQ: Blue Bell, Pennsylvania
1,511 Employees
Year Founded: 1915

What We Do

PMA Companies provides risk management solutions and services, specializing in workers’ compensation and offering property & casualty insurance, in the United States. Headquartered in Blue Bell, PA, PMA Companies is a member of Old Republic Companies. Old Republic International Corporation (NYSE: ORI) is one of the nation’s 50 largest publicly held insurance organizations. PMA Companies includes: PMA Insurance Group, specializing in workers’ compensation, and providing other commercial property & casualty insurance products; and PMA Management Corp. and PMA Management Corp. of New England, providing results-driven TPA and Risk Services specializing in workers’ compensation and liability. We maintain a large client retention rate of 90% or higher and a client satisfaction rate of 96% per an independent survey. At PMA, we still build relationships the "old-fashioned way."​ Our clients know we care. They know we say what we do and do what we say. And they know that they can count on us to deliver tangible value to their business and to work passionately on their behalf.

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