ATHENS POSITION DETAILS
Position Title:
Claims Supervisor
Department:
Workers’ Compensation
Reports To:
Division Claims Manager
FLSA Status:
Exempt
Job Grade:
14
Career Ladder:
Next step in progression could include Division Claims Manager
ATHENS ADMINISTRATORS
Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a “Best Place to Work.” Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property & Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today!
Position Summary
Athens Administrators has an immediate need for a Claims Supervisor to support our Workers Compensation department needs in Nevada. This position can be worked remotely from Nevada, as long as technical requirements are met. The Claims Supervisor will supervise and monitor the accuracy, timeliness, and quality of casework in assigned unit. In addition, they will develop and maintain a positive and productive working relationship with our clients. Athens offices are open for business Monday-Friday between 7:30 a.m. to 5:30 p.m.
Primary Responsibilities
Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned:
- Work with Management to achieve company initiatives and performance goals
- Work with clients with issues regarding policies, programs and/or claims
- Supervise daily activities of team
- Coordinate and perform training
- Interview, hire and train employees
- Provide general guidance to staff
- Review performance of staff
- Resolve team/workflow problems
- Lead staff unit meetings
- Attend client meetings, in-house meetings, and workers’ compensation meetings
- Authorize release of payment and settlement
- Make daily claims decisions regarding plan of action, handling of payment, etc.
- Review claim files for accuracy
- Run reports
- Approve payments and reserve increases when they rise above Examiner’s authority level
- Work collaboratively with Athens’ Administrators and clients’ senior management
- Provide information to clients, attorneys, doctors, investigators and injured workers
- Work collaboratively with attorneys to draft settlements and assist with litigation strategies
- Discuss appropriateness of medical treatment with medical case manager
- Assures consistent and accurate claims coding is occurring throughout the organization.
Supervisory Responsibilities
Supervising, scheduling, assigning, monitoring, and evaluating work of assigned staff are responsibilities for supervisory positions.
- Provide direct supervision to Sr. Claims Examiners, Future Medical Claims Examiners, Claims Examiners, Assistant Claims Examiners and Assistant Claims Examiner Trainees.
- Review and approve direct report’s monthly expense reports.
Essential Position Requirements
The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations.
- High School Diploma or equivalent (GED) required for all positions
- AA/AS or BA/BS preferred but not required
- Must reside in Nevada and be legally capable of administering State of Nevada workers’ compensation claims
- Solid and in-depth knowledge of workers’ compensation laws, policies, and procedures
- 3+ years recent workers compensation claims handling experience
- 5+ years’ experience in a Workers’ Comp claims lead or supervisor position preferred
- Proficiency in determining case value and negotiating settlements
- Prior Third-Party Administrator (TPA) experience preferred
- Understanding of medical and legal terminology
- Strong attention to detail and organizational skills and the ability to research and resolve problems and meet multiple deadlines and to plan and effectuate short- and long-range Company and department objectives.
- Proficiency at applying business and technical acumen by understanding how the business works and how technology supports business initiatives. Leverages technology for self and staff to improve efficiency.
- Partnering with team to ensure on time task completion; done through delegation and leading by example, executing tasks rather than just instructing to execute tasks
- Handles stressful situations and deadline pressures well
- Must demonstrate accuracy and thoroughness in work product
- Effectively influence people to achieve unit and organizational objectives
- Must be flexible, adaptable, and positive. Exhibit passion and energy for ensuring that all employees are respected and treated in a manner consistent with Athens Values.
- Able to plan, prioritize and organize claims workload for a unit
- Skilled at presenting in small and large group settings
- Ability to create reports as required, using the report writing tools available or creating custom documents.
- Skilled at developing and maintaining effective relationships with others (co-workers, customers, vendors, management, and other key stakeholders) to achieve organizational goals
- Embrace the leadership role and can be counted on to help senior management drive towards the desired results and to exceed goals successfully.
- Able to interpret information from multiple sources and draw logical conclusions; consults others based on analysis of data; able to think strategically and use data findings to consult others for improved business results.
- Negotiating skills
- Mathematical calculating skills
- Exercise independent judgment and analytic ability in solving complex and sensitive problems
- Highly developed verbal and written communication skills with strong attention to detail
- Ability to type quickly, accurately and for prolonged periods
- Computer processing skills, including the ability to leverage technology for self and staff to improve efficiency
- Proficient in Microsoft Office Suite
- Ability to learn additional computer programs
- ClaimsXpress program experience preferred but not required
- Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution
- Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization
- Seeks to include innovative strategies and methods to provide a high level of commitment to service and results
- Ability to demonstrate care and concern for fellow team members and clients in a professional and friendly manner
- Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor
- Valid Driver’s license and availability for travel including in office file reviews and meetings
APPLY WITH US
We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at http://www.athensadmin.com/careers/job-openings Feel free to include a cover letter if you’d like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team.
This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training.
Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.
THANK YOU!
We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don’t forget to check out our website at www.athensadmin.com as well as our LinkedIn, Glassdoor, and Facebook pages!
Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. Further information about our comprehensive benefits package may be found on our website at
https://www.athensadmin.com/careers/why-work-here
