What are the responsibilities and job description for the AVP Workers Compensation position at Intercare Holdings Insurance Services?
Before applying for this role, please read the following information about this opportunity found below.
Summary :
Reports directly to the Vice President of Claims. Under the general direction of the Vice President of Claims.
Claims Operations : Responsible for managing designated offices within the claims department comprised of claims supervisors, claims adjusters, claims assistants, and possibly other personnel involved directly in the claims function. Has overall responsibility and accountability for the work product of the claims department including quantity and quality of work processed. The nature of the work involves coaching and counseling of the claims managers / supervisors as well as other department staff when required, managing department work product to assure compliance with statutory provisions, company policies and procedures, best practice standards, and specific client instruction guidelines. Conduct performance evaluations and institute corrective action when appropriate. Planning, controlling, and monitoring results.
Account Management : Provides the necessary support to enable the company to maximize its client service, its standard operating procedures, and to maintain excellent client relations. Consults with clients to define a need or a problem, conducts studies and surveys to obtain data, and analyzes data to advise on or recommend solutions by performing the following duties. Works with COO to renew existing programs.
Responsible for leading Quality Control in the interim.
Essential Duties and Responsibilities :
- Responsible for managing department operating expenses within the approved department budget.
- Provides ongoing advice, mentoring, coaching, counseling, and performance feedback to the supervisors and to others within the claims department as needed or in response to a request for assistance from a supervisor.
- Responsible for assuring that all claims handled by the department are managed in accordance with applicable statutes and company rules.
- Assists supervisors with customer and personnel issues when needed and keeps the Vice President of Claims informed concerning any corrective action activities within the department.
- Responsible for monitoring productivity and compliance trends within the assigned claims department and for implementing procedural adjustments as necessary to enhance or improve productivity and results.
- Consults with clients to ascertain and define need or problem area, and determine the scope of investigation required to obtain a solution.
- In conjunction with work associates, conducts studies or surveys on need or problem to obtain data required for solutions.
- Analyzes data to determine solutions as it relates to claims, client relationships, staffing, workflow, and / or reporting.
- Communicates and coordinates resolution with all departments and / or teams and advises clients on alternate methods of solving needs or problems, or recommends specific solutions.
- Conducts a customer satisfaction survey and organizes an annual stewardship reporting mechanism for client and company management.
- With a focus on managing retention of accounts, the Account Manager will attend quarterly review meetings, provide an “accounts at risk” report, and support sales team efforts.
- Works closely with representatives of our clients to assure that contractual provisions are being followed and that client / customer related issues are addressed promptly.
Other Duties :
Competency :
To perform the job successfully, an individual should demonstrate the following competencies :
Qualification Requirements :
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, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and / or Experience :
Bachelor's degree (B. A.) from four-year college or university; or five to ten years related experience and / or training; or equivalent combination of education and experience. Specific experience and knowledge with California Labor Code, its updates, and its application to the Workers’ Compensation program is essential.
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