Job Description
Job Description
Overview
Now Hiring! : Workers' Compensation Claims Supervisor / Account Manager
Location : Spring Valley, NY 10977
Compensation : $110,000-$165,000
What's in it for You :
- Medical, Dental, Vision Benefits
- Competitive Compensation
- 401K eligible upon 1st day of employment
- FSA & DCA Accounts
- Career advancement opportunities in an expanding company
Job Summary : Claimsake is efficient workers’ comp claims management and support from report to resolution presented by Highview National Insurance, an insurance carrier that provides workers’ compensation coverage. We pride ourselves on having an exceptional team environment, with multiple avenues for growth opportunities.
We are seeking a skilled and experienced Workers' Compensation Claims Supervisor / Account Manager to manage and oversee workers' compensation claims in New York. As Workers' Compensation Claims Supervisor / Account Manager you will be responsible for supervising claims adjusters, providing guidance on claims handling, ensuring compliance with New York State regulations, and effectively managing client accounts to ensure timely resolution and customer satisfaction.
Essential Job Functions :
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 relationship.Performs other duties as assigned.Minimum Requirements :
Bachelor’s degree in business, Risk Management, or a related field (preferred but notrequired).
5-10 years adjusting worker’s compensation claims in multiple jurisdictions, NY and NJ are specifically required; additional PA experience preferred.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)Previous experience in workers' compensation claims management, preferrably New York state.Onsite presence at our office in Spring Valley, NY at least two (2) days per week.Healthcare industry experience preferred.This list of functions, duties, responsibilities, and skills is not intended to be all-inclusive, and the employer reserves the right to assign additional duties and responsibilities as necessary.
Claimsake is an Equal Opportunity Employer. Claimsake does not discriminate based on race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment is decided based on qualifications, merit, and business need.
Salary : $110,000 - $165,000
