Workers Comp Claims Account Supervisor

NJM is seeking a Workers’ Compensation (WC) Claims Account Supervisor . This is a full-time position and offers a hybrid schedule after training with a required Tuesday, Thursday and another day in our Hammonton office.  The WC Claims Account Supervisor  will be responsible for supervising  a  team of claim specialists and provide support to ensure achievement of appropriate claim outcomes through consistent execution of best claims practices.

At NJM, our WC Claims Department empowers our employees to focus on delivering guidance and empathy to our customers because the claims experience is both emotional and memorable.  As a department driven by service and customer advocacy, we are committed to providing transparent, empathetic guidance and collaborative engagement during the life of a claim. The WC Claims Department takes pride in being a key component in the growth and success of our policyholders’ business operations.

To meet these expectations, WC Claims Account Supervisors and their teams are supported by a dedicated call center who can field calls for them and other specialized units who are responsible for setting reserves, making permanency payments, and following through subrogation so they can dedicate the time needed to overseeing the claims management and Claims Customer Experience. Many of our staff are long tenured with a focus on building relationships, not only with our customers, but with each other providing for a positive and nurturing work environment.

Hours: Monday to Friday 8:00AM- 4:15PM (Hours can vary depending on start time).

Salary: $86,020 to $108,497 (Salary is commensurate with experience and credentials).

The Claims Account Supervisor will utilize their knowledge of Workers’ Compensation Claims to guide staff with Medical Only and Time Loss claims. This position will supervise claims staff and provide support to provide support to ensure achievement of appropriate claim outcomes through consistent execution of best claims practices.

This role can be based in NJM’s Hammonton, NJ office location.

Responsibilities:

• Develop, recommend, and implement departmental objectives consistent with company business goals, guidelines, and programs
• Assist with developing and executing strategic and operational goals and objectives for the WCC department
• Recommend process improvement where applicable to best improve the department and staff’s efficiency, work product, and service commitment to interested parties
• Utilize quality assurance and KPI reports to effectively maximize performance, identify, and correct performance issues, and provide staff development opportunities
• Lead team meetings and facilitate training, inclusive of one-one staff meetings to ensure and coach to staff success and promote effective communication with employees
• Promote aggressive, proactive claim management utilizing action plans to drive positive return to work results
• Ensure quality management of claims in accordance with claims best practices and company guidelines, and timely, accurate documentation of claim activity
• Provide a high level of customer service that promotes injured worker advocacy-based principles to maximize return to work motivation and improve outcomes for all parties
• Recognize and investigate subrogation opportunity for recovery of third-party funds and direct staff to pursue further information 
• Investigate potential fraud indicators to assist staff in collaboration with the SIU team
• Ensure appropriate case reserves for 90 Day and Credit Reviews consistent with company guidelines
• Assist and support staff with employers, brokers, loss prevention, underwriting and others to focus on Return-to-Work initiatives
• Develop strategies and work collaboratively with vendor partners to encourage cost containment and positive case outcomes
• Provide technical direction and ongoing guidance to staff through effective diary and workplan management
• Assist staff with preparation, attendance, and conducting Claim Reviews with customers and brokers
• Apply critical thinking skills and multiple perspectives to different situations and strategically consider a systematic way to mitigate exposures by collaborating with staff and establishing a plan of action
• Collaborate with internal resources such as NJM legal staff, SIU, and MSA to successfully resolve and/or settle cases in a timely fashion
• Partner with Claim Account teams to manage large account (assignments) and develop rapport, trust, and manage expectations of servicing requirements
• Assist staff with preparation, attendance, and conducting Claim Reviews with customers and brokers
• Demonstrate a commitment to NJM’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

Required Qualifications and Experience:

• Bachelor's degree and/or five to eight years of equivalent work experience preferred in an insurance related industry required
• 5 to 8 years claims handling experience
• Knowledge of Workers’ Compensation rules and regulations regarding compensability and causal relationship to provide guidance to claim staff
• Strong knowledge of medical terminology and medical procedures
• Ability to effectively lead and manage claims staff
• Excellent verbal and written communication skills
• Demonstrated leadership, coaching, mentoring and teamwork skills
• Critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details
• Experience utilizing an automated claim processing system and the Microsoft Office suite of tools (Word, Excel, PowerPoint)
• Strong organization skills with demonstrated ability to work independently and prioritize responsibilities
• Ability to travel for business purposes

Preferred:

• Previous experience in a leadership role with proven record of successful team building, goal achievement, and superior customer service
• Multi-state experience and/or licensing (including MD, CT, DE, PA and/or NY)
• Professional designations (CPCU, ARM, AIC, etc.)

Team members receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.

Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.