Workers' Compensation Claims Manager jobs in Springfield, MO

Workers' Compensation Claims Manager manages accountabilities in the administration of first and third party worker's compensation claims. Manages domestic and/or international claim management strategies critical to the organization's success. Being a Workers' Compensation Claims Manager is responsible for reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information. Manages litigated and moderately complex claims and is entrusted with significant settlement authority. Additionally, Workers' Compensation Claims Manager creates and develops relationships with claims adjusters, insurers, outside legal counsel, and other claims related parties. Directs workers' compensation claims policies and procedures within the claim information analysis. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Workers' Compensation Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Workers' Compensation Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Claims Manager
  • Missouri Employers Mutual
  • Springfield, MO FULL_TIME
  • Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual.

    We’ve created a casual, values-driven work culture that’s making a positive impact on the way people live and work. This is a place where you can grow with confidence — because that’s what safety and success really mean to us.

    ABOUT THE COMPANY
    We offer a hybrid work model, with positions to accommodate the changing needs of today’s employees. Our team enjoys a variety of different work environments, which allows for more flexibility, less time spent commuting, and greater ability to address personal and family needs. This is a place where you can grow with confidence – because that’s what safety and success really mean to us.

    MEM is headquartered in Columbia, MO, and our virtual team serves our policyholders and partners from across the U.S.

    JOB PURPOSE
    In a dynamic role reporting to the Claims Operations Manager, this Claims Manager role is pivotal in fostering a culture of continuous learning and development. This role centers around empowering and guiding a dedicated, remote team of claims professionals through transformative coaching and mentorship. As a key architect of skills enhancement, the Claims Manager will be instrumental in identifying and cultivating talent, nurturing professional growth, and driving process improvement initiatives. This includes overseeing the daily operations related to managing, investigating, and resolving workers’ compensation claims, with a strong emphasis on optimizing team performance and delivering exceptional results through strategic people management.

    RESPONSIBILITIES
    Leadership and Direction
    Communicate the local action plan; explain how this relates to the function's strategy and action plan and to the broader organization's mission and vision; motivate people to achieve local business goals.

    Insurance Claims Administration

    Review and analyze complex insurance claims in line with the organization's standard claims procedures and customer service standards. Initiate investigations and engage independent loss adjusters and/or subject-matter experts where appropriate. Authorize claims within delegated authority and refer unresolved issues or disputes to line manager.

    Performance Management
    Monitor team performance incongruence with department metrics and key performance indicators to drive action and results. Manage and report on the performance of the department; set appropriate performance objectives for direct reports and departmental teams and hold individuals accountable for achieving them; take appropriate corrective action where necessary to ensure the achievement of team/individual objectives

    Team Management
    Manage a team so that team members are supported and enabled to deliver their roles according to expected standards. Includes leading in the areas of recruitment and performance management, coaching team members, and identifying development needs.

    Compliance
    Identify shortcomings in compliance processes, systems, and procedures, and suggest and implement appropriate improvements. Work is focused on an assigned unit or discipline.

    Organizational Capability Building
    Provide coaching to team members to develop their skills.

    Processes Automation
    Analyze business processes and workflows to identify routine and repetitive tasks and opportunities for increasing efficiency.

    Continuous Improvement
    Review existing operations in own area of work and implement innovation processes to generate new ideas and ensure continuous improvements are delivered.

    Coaching

    Conduct routine coaching operations, including minor skills gap analysis and preliminary feedback sessions to employees.

    Caseload Management
    Work regularly with peers to help manage the claims caseload based on complexity and risk to ensure the team can operate efficiently and ensure high quality service outcomes

    Regulatory and Compliance Management
    Ensure appropriate processes and controls are followed and executed in compliance with legal and regulatory requirements

    Budgeting
    Track budgets and related to operational areas and report variances to senior members of the Claims leadership team.

    Solutions Analysis
    Analyze specific problems and issues to find the best solutions. Solutions could be technical or professional in nature

    TOOLS
    Word; Excel; PowerPoint

    EDUCATION
    Bachelor's Degree preferred but will consider a combination of education with experience.

    EXPERIENCE
    General Experience
    6-10 years of claim experience in workers’ compensation is required.

    Managerial Experience
    1-3 years' experience of supervising and directing people and other resources to achieve specific end results

    Our home office is located in vibrant Columbia, Missouri — #6 in Livability’s 2019 Best Places to Live.
  • 9 Days Ago

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Manager, Claims
  • American National Family of Companies
  • Springfield, MO FULL_TIME
  • Manager, Claims The Property and Casualty Auto Claims Department is seeking an experienced claims professional to lead and mentor liability adjusters. To thrive in this role, you should have more rece...
  • 6 Days Ago

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Manager
  • Subway Manager
  • California, MO FULL_TIME
  • Responsibilities: Monitor and manage the business. Calculate and ensure the accuracy of financial records. Manage and supervise workers. Be able to make labor and food cost,schedule work hours,weekly ...
  • 1 Month Ago

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Licensed Practical Nurse (LPN)
  • United Energy Workers Healthcare
  • Pittsburg, MO CONTRACTOR
  • **We are offering a $2,000 Sign-on Bonus**Licensed Practical Nurse (LPN) Independent Contractor ResponsibilitiesAdvantages of Contract LPN PositionGet back to what you love, providing care to individu...
  • 10 Days Ago

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Home Health Aide
  • United Energy Workers Healthcare
  • Pittsburg, MO CONTRACTOR
  • Home Health Aide (HHA) Independent Contractor ResponsibilitiesAbout UsWe are people who care about people. Our company has a unique history and was founded by two grandchildren of a former Department ...
  • 10 Days Ago

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Home Health Aide
  • United Energy Workers Healthcare
  • Crestline, KS FULL_TIME
  • Home Health Aide (HHA) Independent Contractor Responsibilities About Us We are people who care about people. Our company has a unique history and was founded by two grandchildren of a former Departmen...
  • 2 Days Ago

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0 Workers' Compensation Claims Manager jobs found in Springfield, MO area

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Security System Installer
  • Federal Protection Inc
  • Springfield, MO
  • Job Description Job Description ***Come Join TEAMFederal*** Offering Industry Competitive Compensation as well as a GREA...
  • 3/17/2024 12:00:00 AM

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Security System Installer
  • Federal Protection Inc
  • Springfield, MO
  • Job Description Job Description ***Come Join TEAMFederal*** Offering Industry Competitive Compensation as well as a GREA...
  • 3/17/2024 12:00:00 AM

F
Security System Installer
  • Federal Protection Inc
  • Springfield, MO
  • Job Description Job Description ***Come Join TEAMFederal*** Offering Industry Competitive Compensation as well as a GREA...
  • 3/17/2024 12:00:00 AM

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Human Resources Generalist
  • Johnston Industrial Supply
  • Springfield, MO
  • Job Description Job Description SUMMARY: Coordinates human resources activities including but not limited to employment ...
  • 3/17/2024 12:00:00 AM

F
Security System Installer
  • Federal Protection Inc
  • Springfield, MO
  • Job Description Job Description ***Come Join TEAMFederal*** Offering Industry Competitive Compensation as well as a GREA...
  • 3/17/2024 12:00:00 AM

F
Security System Installer
  • Federal Protection Inc
  • Springfield, MO
  • Job Description Job Description ***Come Join TEAMFederal*** Offering Industry Competitive Compensation as well as a GREA...
  • 3/17/2024 12:00:00 AM

F
Security System Installer
  • Federal Protection Inc
  • Springfield, MO
  • Job Description Job Description ***Come Join TEAMFederal*** Offering Industry Competitive Compensation as well as a GREA...
  • 3/17/2024 12:00:00 AM

S
Safety Manager
  • Sight & Sound
  • Branson, MO
  • ** Safety Manager** **Job Category****:** Admin **Requisition Number****:** SAFET001709 Showing 1 location **Job Details...
  • 3/16/2024 12:00:00 AM

Springfield is the third-largest city in the state of Missouri and the county seat of Greene County. As of the 2010 census, its population was 159,498. As of 2017, the Census Bureau estimated its population at 167,376. It is the principal city of the Springfield metropolitan area, which has a population of 462,369 and includes the counties of Christian, Dallas, Greene, Polk, Webster. Springfield's nickname is "Queen City of the Ozarks" and it is known as the "Birthplace of Route 66". It is home to three universities, Missouri State University, Drury University, and Evangel University. Springf...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Workers' Compensation Claims Manager jobs
$79,621 to $102,852
Springfield, Missouri area prices
were up 1.3% from a year ago

Workers' Compensation Claims Manager in Rockford, IL
The title of Nurse Case Manager is the most frequently used name for the role, but like workers’ comp adjusters are sometimes referred to as claim examiners, there are other names for the NCM. In some insurance companies the role is referred to as the “workers compensation case manager” or “injury management facilitator” or “field case manager” (FCM) if most of the work is done away from the office, or “telephonic case manager” (TCM) if the work is done in the office by using the telephone.
December 07, 2019
Workers' Compensation Claims Manager in Mcallen, TX
The Division contracts with a third-party administrator for the processing of state employees’ workers’ compensation claims through a managed-care framework that includes a provider network and pharmacy management. The Division’s staff monitors the work done by the administrator and acts as a liaison between state employees, the third party administrator, and medical providers.
February 08, 2020
Workers' Compensation Claims Manager in Salt Lake City, UT
Some employers will have workers fill out an incident report, while others will be satisfied with just a simple written or emailed notification.
January 27, 2020