Claims Supervisor (Workers’ Compensation)

Job Summary:

We are seeking a skilled and experienced Workers' Compensation Claims Supervisor/Account

Manager to manage and oversee workers' compensation claims in New York. This role 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

Required Skills/Abilities:

• 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).

Education and Experience:

• 5-10 years adjusting worker’s compensation claims in multiple jurisdictions.
• NY, NJ, PA experience preferred. NY/NJ experience
• Healthcare industry preferred.

Job Type: Full-time

Pay: $110,000.00 - $165,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person

Salary : $110,000 - $165,000