Demo

Claims Supervisor/Account Manager

Corporate Solutions Tech
Spring, NY Full Time
POSTED ON 2/4/2025
AVAILABLE BEFORE 5/4/2025

What you will be doing :

  • Supervise and manage a team of claims adjusters, ensuring high levels of performance, accuracy, and productivity in handling workers' compensation claims.
  • Oversee the daily operations of claims management, ensuring compliance with New York Workers' Compensation laws and regulations.
  • Serve as the main point of contact for clients, providing regular updates, resolving issues, and ensuring the effective management of workers' compensation claims.
  • Analyze claims data and trends to identify opportunities for improving claim outcomes and reducing costs.
  • Develop and implement best practices for claims management, from reporting and investigation to settlement and closure.
  • Review and approve claims reserves and settlement offers, ensuring proper documentation and alignment with company policies and procedures.
  • Collaborate with internal teams (e.g., legal, medical, and risk management) to address complex claims and ensure that all stakeholders are informed.
  • Provide training and guidance to junior staff on best practices, regulations, and company policies.
  • Ensure accurate and timely reporting on claims status, outcomes, and financial projections.
  • Participate in client meetings, provide recommendations for improving claims processes, and deliver insights into claims trends and performance metrics.
  • Resolve any escalated issues or disputes related to claims, ensuring customer satisfaction and maintaining strong client relationships.

Experience you will need :

  • Bachelor's degree in business, Risk Management, or a related field (preferred but not required).
  • Experience in workers' compensation claims management, preferably in New York State.
  • In-depth knowledge of New York Workers' Compensation laws and regulations.
  • Previous experience supervising or managing a team of claims professionals.
  • Strong understanding of claims processes, medical management, and injury management.
  • Excellent communication, interpersonal, and problem-solving skills.
  • Ability to manage multiple accounts and prioritize tasks in a fast-paced environment.
  • Strong organizational and leadership abilities.
  • Workers' Compensation Claims Adjuster license (preferred).
  • 5-10 years adjusting workers' compensation claims in multiple jurisdictions.
  • NY, NJ, PA experience preferred. NY / NJ experience required.
  • Healthcare industry experience preferred.
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