Overview
At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.
Reasons you should consider a career with CCMSI:
- Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
- Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
- Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
- Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.
The Workers' Compensation Claim Supervisor is responsible for the investigation, adjustment and supervision of assigned claims. This position may be used as an advanced training position for consideration for promotion to a management position. Is accountable for the quality of claim services as perceived by CCMSI clients and within our Corporate Claim Standards.
Responsibilities
Review, assign and provide supervision of all workers’ compensation claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.
Provide education, training and assist in the development of claim staff including remote employees.
Provide oversight of adjusters using data analytics and key measure reporting.
Investigate, evaluate and adjust assigned workers’ compensation claims in accordance with established claim handling standards and laws.
Reserve establishment and/or oversight of reserves for designated workers’ compensation claims within established reserve authority levels.
Provide oversight of medical and legal s invoices to determine if reasonable. Negotiate any disputed bills or invoices for resolution.
Authorize and make payments of workers’ compensation claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
Assist designated claim staff in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
Assist in the development and maintenance of vendor relationships.
Direct handling of designated litigated and complex claims.
Review and maintain personal diary on claim system.
Supervision of all workers’ compensation claim activity for Republic Services.
Work in the office as required by management or as the client requests.
Performs other duties as assigned.
Qualifications
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, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Excellent oral and written communication skills.
- Initiative to set and achieve performance goals.
- Good analytic and negotiation skills.
- Ability to cope with job pressures in a constantly changing environment.
- Knowledge of all lower level claim position responsibilities.
- Must be detail oriented and a self-starter with strong organizational abilities.
- Ability to coordinate and prioritize required.
- Flexibility, accuracy, initiative and the ability to work with minimum supervision.
- Discretion and confidentiality required.
- Reliable, predictable attendance within client service hours for the performance of this position.
- Responsive to internal and external client needs.
- Ability to clearly communicate verbally and/or in writing both internally and externally.
Education and/or Experience
10 + years claim experience is required.
Three years supervisory experience is preferred.
Computer Skills
Proficient in Microsoft Office products such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations
AZ Adjusters license is required (or the ability to obtain an adjusters license)
AIC, CPCU, or ARM preferred
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Work requires the ability to stoop, bend, reach and grab with arms and hands, manual dexterity
- Work requires the ability to sit or stand up to 7.5 or more hours at a time.
- Work requires sufficient auditory and visual acuity to interact with others
CORE VALUES & PRINCIPLES
Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
CCMSI is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package included Medical, Dental, Vision, Prescription Drug, Flexible Spending, Life, ESOP and 401K.
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