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Sr. Workers' Compensation Claims Specialist, Supervisor (REMOTE)

Holmes Murphy Insurance

New York, NY
  • Remote job

Job Description: We are looking to add a Sr. Workers' Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states . This team member will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. This includes assisting staff supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling. Assisting claim staff with goals, career pathing, and ensuring engagement. Essential Responsibilities: Claims Management: Adjudicate claims during staffing shortages, investigate, and negotiate settlements per "Best Practices for Claims." Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed. Research and respond to questions and complaints from insureds, claimants, agency partners, and fronting carriers. Discuss complex claims and coverage issues with clients, addressing any inquiries. Maintain communication with customers and fronting carriers per "CRS Communication Expectations" and "Reportable" file guidelines. Assist staff in managing litigation claims, ensuring timely responses and protecting the interests of insured and carriers. Management Responsibilities: Team Leadership: Ensure appropriate staffing, including hiring and terminations. Coach team members on workflow, processes, customer service, and client consulting. Conduct performance reviews, set goals, and hold employees accountable. Foster career development and manage timesheets and compensation decisions. Team Coordination: Facilitate regular team meetings and attend enterprise and leadership training. Coordinate training and maintain standardized processes for quality service. Provide backup assistance as needed. Additional Responsibilities: Conduct monthly performance meetings and quarterly team meetings. Set and monitor annual goals for staff. Participate in round tables, claim reviews, and Risk Control Workshops. Mediate between insured and insurance company, #J-18808-Ljbffr Holmes Murphy Insurance

Vacancy posted 2 days ago
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