Senior WC Claims Supervisor

Company Overview MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. It is an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group. Summary / Job Purpose Provides overall management and technical supervision on selected claims including severity claims and claims that are assigned to WC claims professionals within the Toyota & MTMUS WC units. Responsible for the implementation and practice of claim handling guidelines and directives as outlined in the various claim manuals, policies and bulletins that will ensure regulatory and company compliance as well as managing customer relationships that will ensure customer retention. Essential Functions Provides claims staff involved with the Toyota & MTMUS WC Programs with updated legal and claim standard practices. Offers supervision management on WC claims that are assigned for direct handling at TMMI, TMMMO and other Toyota Claims offices as assigned. Ensures coverage, analysis, and decisions regarding the extension or denial of insurance coverage are appropriately evaluated and communicated to policyholders. Ensures that case reserves on assigned oversight cases are maintained at an adequate level that is reflective of what the company may pay in indemnity or loss adjustment expense. Directly handles Complex WC claims during periods of high claim volume and is supervised by the WC Claims VP. Assists in ensuring staff compliance with claim policies, claim manuals and procedures, Special Claim Handling Instructions, and litigation management and claim handling procedures. Participates in education and orientation programs, including the development of claim training material. Provides education and mentoring support to the respective Toyota & MTMUS WC Claim offices as assigned. Maintains a good rapport and business relationship with Japanese Marketing staff and MSMM Underwriting units to ensure harmony and understanding between the WC unit and other disciplines. Participates in respective WC Claim Review & Stewardship Meetings as assigned with the respective Toyota/MTMUS Plants, TMNA & Aon LA. Assists in reviewing WC Claim Summaries for content and plan of action appropriateness prior to scheduled WC Claim Review Meetings. Is proficient in using MSMM Risk Console RMIS Tool, CRS, and Tableau (MSMM will provide training). Directs, guides, and develops staff by providing ongoing performance feedback and coaching to maximize individual contributions to achieve desired business results within the department and company. Participates in special projects and assignments as required. Supervisory Responsibilities Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and Experience Required High School Diploma or G.E.D. is required. Bachelor’s degree (B.A.) from a four‑year college or university is preferred. 6–10 years of previous WC claims experience, including complex claims experience. 2+ years of management / supervisory experience required. EEO Statement It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities. #J-18808-Ljbffr