WC Claims Supervisor

About Acrisure:

Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more.

Acrisure employs over 17,000 entrepreneurial colleagues in 21 countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win.

Job Summary:

is responsible for the investigation, adjustment, and supervision of assigned claims. This position may serve as an advanced training role with potential for promotion to a management position. The supervisor is accountable for the quality of claim services as perceived by CCMSI clients and within our Corporate Claim Standards.

Essential Duties and Responsibilities include the following. Other duties may be assigned:

• Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.

• Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.

• Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.

• Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.

• Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.

• Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.

• Assist designated claim staff in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)

• Direct handling of designated litigated and complex claims.

• Provide education, training and assist in the development of claim staff.

• Review and maintain personal diary on claim system.

• Supervision of all claim activity for specified accounts.

• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.

• Performs other duties as assigned.

Additional Responsibilities:

• Prepares performance evaluations on subordinate staff

• Mentors less experience co-workers to develop their understanding of procedures, state laws, and help others improve their claims handling ability

• Analyzes and resolves client issues independently. 

• Attends educational seminars and networking opportunities when available.

• Attends marketing calls to present information about the claim process. 

• Other duties may be assigned

Qualifications

• High school Diploma or equivalent is required

• 10+ years prior experience handling worker’s claims/ or an equivalent combination of training, education and experience.

• 3 years supervisory experience

• State Adjuster licensing required; (Multiple jurisdictions will be involved, will be required to have a license that will reciprocate to other states.)  

• Strong organization skills, attention to detail and the ability to multi-task and prioritize work are required.

• Analytical thinking skills are needed to properly evaluate complex claims

• A strong attention to detail is necessary as claims adjusters must carefully review documents and policies

• Good verbal and written communication skills, as well as interpersonal skills are required, experience with negotiations, knowledge of litigation process is preferred.

• Ability to listen well and negotiate with constituents is needed.

• Ability to speak a second language is an asset

• Basic computer skills or the ability to quickly learn new software are required

• A strong work ethic and time management skills is needed, to efficiently handle a caseload ranging from minor to complex claims

• Ability to establish and maintain good rapport with clients and claimants is needed.

• Ability to calculate figures is required

Physical Demand

While performing the duties of this job, the employee is regularly required to sit; stand; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to walk; reach with hands and arms; and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Acrisure is committed to employing a diverse workforce. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status.  California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at www.Acrisure.com/privacy/caapplicant.
 

To Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisure’s property, and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisure’s Human Resources Talent Department.