Workers' Compensation Claims Manager

• Responsible for the overall management and coordination of a branch claims office consisting of two or more supervisory units.
• Establishes department goals, project staff requirements, and budget requirements.
• Evaluate training needs, draft plans, and implement solutions to address requisites via branch and corporate resources.
• Assures compliance with corporate claim policy and performance standards.
• Conducts personnel performance evaluations and manages branch salary budget.
• Responsible for hiring, promotions, disciplinary actions, terminations, etc. of branch claim personnel.
• Reviews and approves claim creations, reserve increases and 90-day reviews and reserve changes within designated authority delegated by Home Office Claims.
• Establishes internal quality review program to monitor and manage demonstrated performance of claim staff by corporate and branch objectives.
• Responsible for providing quality customer claim service to policyholders and agents.
• Establishes ongoing, working relationships with clients and adjusts claim handling techniques to deliver quality customer service and meet corporate objectives.
• Where applicable, with assistance from Assistant Claims Manager and Supervisor, supervises the daily operation of department technical and clerical staff.
• Responsible for devising plans and implementing solutions for controlling adverse claim trends.
• Participates in research and evaluative studies as requested.
• Performs public relations, problem-solving, and educational functions for agents, policyholders, and other departments.
• May be appointed account coordinator for high-profile insureds.
• Performs other duties as assigned.

Education Qualifications

• High School Diploma Or equivalent required
• Bachelor's Degree or equivalent combination of training/experience required

• Claims experience managing claims technical and clerical staff. insurance experience handling workers' compensation claims.

• Expert technical workers' compensation claims knowledge or education acquired through seminars and classes is a plus.
• Knowledge of the Labor Code of the State of California and prevailing case law.
• Excellent verbal and written communication skills are necessary.
• Good time management, organizational, and negotiation skills are a must.
• Ability to integrate claims process with rehabilitation services.
• Excellent managerial skills.