Assistant Claims Supervisor - Workers Compensation

Employer
PMA Companies
Location
Pensacola, Florida
Salary
Not Specified
Posted
Nov 05, 2022
Closes
Jan 03, 2023
Ref
6740097#GIJtoGJS.1
Industry
Insurance
Category
Insurance

As a member of our Claims management team utilize your knowledge of Worker's Compensation Claims to analyze complex and high exposure claims involving litigation and rehabilitation to achieve appropriate outcome in accordance with legal statues, policy provisions and company guidelines. In this position you will assist with supervising claims staff and providing support to the Regional Claims Supervisor to ensure achievement of appropriate claim outcomes through consistent execution of best claims practices.

Responsibilities:

  • Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management
  • Ensures timely, accurate documentation of claim activity
  • Completes projects assigned by Supervisor or Manager, including providing back-up, diary completion, and other team-related oversight
  • Develops workflows and internal processes to provide support for Supervisor
  • Selects, trains, coaches and mentors unit personnel
  • Develops staff to respond to current and anticipated needs of department as well as determining career development goals of individuals
  • Develops, recommends and implements short range objectives consistent with company business goals, guidelines and programs
  • Recognizes and analyzes trends across the claims portfolio at the adjuster, unit and account levels
  • Reports on observations and recommends remedial action as needed
  • Utilizes quality assurance programs and develops training agenda based on opportunities for improvement; leads team meetings and appropriate training as assigned
  • Utilizes performance management process effectively, on an ongoing basis, to maximize performance of employees, correct performance problems, provide development opportunities, and promote effective communication with employees
  • Promptly manages technically complex and high exposure cases with minimal supervision
  • Ensures appropriate case reserves consistent with company guidelines
  • Negotiates settlements within granted authority, develops strategies and works collaboratively with vendor partners to encourage cost containment and positive case outcomes
  • Maintains a working knowledge of jurisdictional requirements and applicable case law for each state serviced
  • Manages the account management process and resolves service issues
  • Promotes effective communication among and between work groups, and between management and employees
  • Completes other duties as requested
  • Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work
Requirements:
  • Bachelor's degree and/or three or more years of equivalent work experience required in an insurance related industry required
  • Demonstrated leadership, coaching, mentoring and teamwork skills
  • Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details
  • Strong verbal, written communication skills and customer service skills gained through previous work experience
  • Computer literacy, including working knowledge of MS Office Product Suite, i.e. WORD, Excel, PowerPoint
  • Ability to travel for business purposes, approximately 10%
  • Familiarity with medical terminology and/or Workers' Compensation
  • Current experience with adjusting PA workers compensation loss time claims
  • Working knowledge of Workers Compensation regulations for PA jurisdiction
  • Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously

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