Key Facts

Remote From:

Canada , California (USA) , Oregon (USA) , United States

Full time

English

Hard Skills

Leave Of Absence Management Disability Management Claims And Litigation Management Client Services Organisational Policies Business Process Improvement Performance Analysis Performance Management Auditing Recruitment Strategies Compliance Management Stakeholder Communications Client Services Auditing Learning Development Organizational Structure Office Equipment

Other Skills

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People Management
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Spreadsheets
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Delegation Skills
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Accountability
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Communication
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Leadership
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Time Management
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Customer Service
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Analytical Thinking
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Detail Oriented
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Mentorship
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Computer Literacy
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Punctuality
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Problem Solving

Roles & Responsibilities

Experience managing Division Supervisors or equivalent across multiple locations
Proven ability to interview, hire, and train new team members
Strong knowledge of leave laws, disability programs, and client-specific leave/absence management
Experience with audits/compliance, including SOC1 and internal claim/leave audits

Requirements:

Lead and manage Division Supervisors across multiple locations; oversee onboarding and training of Absence and Disability Teams and new clients
Ensure quality and performance through regular audits, monitoring activity data, and implementing process improvements; manage workloads and caseloads
Oversee SOC1 audit process and audits of state/internal claims and leaves; ensure data accuracy for auditors
Provide leadership and performance feedback; collaborate with Executive Management, HR, Client Services, and VP to ensure client satisfaction and policy adherence

TRISTAR Insurance Group

Insurance

About TRISTAR Insurance Group

TRISTAR began as an insurance program manager and medical malpractice claims administrator in 1987. Workers compensation claims management services were added in our offerings in 1989, and the Company was renamed TRISTAR Risk Management in 1995. As managed care and benefits administration services were added to our offerings, the organization grew into TRISTAR. We are the largest privately held third party claims administrator in United States. We empower more than 1,000+ professionals in offices throughout the United States, focusing business operations in three divisions: property casualty claims management, benefits administration, and managed care services. We are true to our values of RESPECT, INTEGRITY, TRUST, and EXCELLENCE, making the right choices both financially and ethically. At TRISTAR we strive to create an environment of respect, wherein all of us are encouraged to learn and to grow, to provide exceptional service to our clients and in turn to enjoy the satisfaction that comes from a job well done. We believe that to provide real service, we must contribute something which cannot be bought or measured with money: sincerity and integrity. At TRISTAR, you help create a world in which together we "transform risk into opportunity".

Company type: SME

Industry: Insurance

Founded: 2018

Company size: 501 - 1000

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Job description

This position can be a hybrid or a remote position.

POSITION SUMMARY: Manages overall development and operation of the total integrated absence and disability management, claim personnel, and client satisfaction for all operations offices throughout the country.

DUTIES AND RESPONSIBILITIES:

This position may perform some or all of the duties listed below:

• Manage Division Supervisors in multiple locations throughout the country.

• Interview and hire new team members to support organizational growth.

• Training new hires to support organizational growth.

• Assist Supervisors in training Absence and Disability Teams on new clients during onboarding.

• Assist in testing of new client set up in claims and leave system

• Provide periodic training and mentoring staff on client specific, system or general business-related matters in coordination with the Supervisor.

• Make ongoing high level decisions regarding process and procedures for current and new clients.

• Work with Assistant Vice President on Implementation and onboarding of new clients.

• In depth understanding of leave laws and benefit options as well as TRISTAR client’s specific leave and disability programs.

• Responsible for overseeing and maintaining work systems, procedures, and policies that enable and encourage the optimum performance of staff.

• Create and maintain monthly “heat” chart to ensure proper caseload management.

• Perform regular daily/weekly/monthly/quarterly/annually quality audits to ensure overall compliance and performance guarantee satisfaction.

• Review performance data that includes activity reports and spreadsheets, to monitor and measure departmental productivity, goal achievement and overall effectiveness.

• Empower staff to take responsibility for their jobs and goals. Delegate responsibility and expect accountability and regular feedback.

• Provide effective performance feedback through general performance management, as well as employee

recognition, rewards and disciplinary action, with the assistance of Executive Management and Human Resources, when necessary.

• Manage the annual SOC1 process with auditors. Ensure data accuracy when providing the auditors with the information necessary to conduct the audit.

• Oversee State and internal claim and leave audits.

• Maintain staff work schedules including workload assignments, job rotation, training, vacations and PTOs, cover for absenteeism, and request for overtime scheduling, if necessary.

• Plan, evaluate, and improve the efficiency of business processes and procedures to enhance speed, quality, efficiency and output.

• Make leave/claims specific decisions that are financially responsible, accountable, justifiable and defensible in accordance with both organization and client policies and procedures.

• Communicate regularly with other management staff, Client Services and VP.

• Continuous attendance of seminars and/or other classes to enhance business knowledge and skills and in turn disseminating it to staff members.

• Provide the highest quality of customer service.

• Follow attendance policy: consistency in work schedule and punctuality.

• All other duties as assigned.

EQUIPMENT OPERATED/USED: Computer, 10-key, copier, printers, fax, postal meter, telephone switchboard and other office equipment.

SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire

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