Supervisor-Claims

Flexible Hybrid Work from Home

Under general supervision, responsible for the supervision and Claims management of a Claims unit. Provides technical guidance and training to personnel. Evaluates standards of performance of technical and clerical direct reports relative to branch/corporate objectives.

Directs, controls, monitors and provides technical and supervisory guidance to the assigned Claims unit(s).

Evaluates performance according to established, Zenith’s standards of performance.

Prepares performance appraisals and recommends salary action for staff in unit in accordance with company policy.

Participates in interview and hiring process and trains new employees assigned to unit.

Responsible for Claims management of cases assigned to unit, which may include special accounts, within the guidelines of published performance standards, company claim policy and regulatory requirements.

Analyzes Claims, sets reserves, determines liability, pays benefits and settles Claims within designated dollar authority level and according to company policy and regulatory requirements.

Makes timely investigation assignments and rehabilitation referrals including early return to work programs.

Assigns cases to SIU as appropriate.

Maximizes utilization of company medical cost containment programs.

Prepares cases in litigation adequately and appropriately for MSCs and trials.

Communicates with policyholders, injured workers and others in a professional and timely manner.

May assist in preparation of agent status reports and policyholder claim reviews.

May be assigned as account coordinator to large policyholders.

Apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions.

Works productively and harmoniously with others on a consistence basis.

Respond positively to direction and criticism of performance.

Consistently maintain professional and appropriate demeanor.

Perform other duties as assigned

Education Skills Qualifications

High School Diploma Or equivalent required

Bachelor’s Degree or equivalent combination of training/experience required

6+ Years experience handling workers' compensation indemnity Claims; to include settlement negotiation of litigated Claims required

Must demonstrate supervisory potential; previous experience or education acquired through seminars and classes preferred.

Advanced knowledge of regulatory requirements and prevailing case law required.

Excellent verbal and written communication skills necessary

PC literacy required.

Good time management, organizational and negotiation skills a must.

Meets all state regulatory standards regarding licensing, continuing education, and other requirements.

The expected salary range for this position is $96,792.88 to $107,547.64. Actual pay will be adjusted based on experience, geographic location, and other job-related factors as permitted by law. Qualifications may warrant placement in a different job level.

Qualifications may warrant placement in a different job level.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Zenith Insurance Company.

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