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Workers' Compensation Supervisor

Role overview

Qualifications

  • Experience in workers’ compensation claims processing
  • Strong communication and interpersonal skills
  • Ability to train and oversee staff
  • Knowledge of applicable state laws and company policies

Responsibilities

  • Oversee daily operations of the claims unit
  • Provide technical guidance and training to staff
  • Monitor staffing needs and distribute caseloads
  • Respond to claimant and vendor concerns

Key facts

Hard skills

Other skills

  • Training And Development
  • Collaboration
  • Supervision

About the company

TRISTAR Insurance Group logo

TRISTAR Insurance Group

Insurance

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 details

Company typeSME
IndustryInsurance
Company size501 - 1000

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Job description

POSITION SUMMARY: Under minimal supervision, oversees the daily operations of a workers’ compensation claims unit, ensuring timely, accurate, and high-quality claims handling in compliance with applicable state laws, client requirements, and company policies and procedures.

Provides technical guidance, training, and performance oversight to assigned staff. Collaborates regularly with clients, management, Claims Examiners, and other TRISTAR staff across office locations to resolve claims and service issues.

DUTIES AND RESPONSIBILITIES:

  • Monitors daily staffing needs and distributes caseloads as equitably as practical among direct reports.
  • Reviews and approves priority payments.
  • Responds to claimant and vendor concerns and facilitates timely resolution.
  • Evaluates vendor effectiveness and modifies vendor panels as needed within TRISTAR and account guidelines.
  • Ensures staff follows client service instructions.
  • Provides claims handling coverage during examiner absences and position vacancies.
  • Prepares and evaluates monthly client reports.
  • Coordinates and supports internal and external audits.
  • Conducts and documents internal and external educational sessions.
  • Participates in client file reviews and addresses resulting action items.
  • Partners with the corporate office and sales and service teams on requests for proposals (RFPs) and client service issues.
  • Adheres to TRISTAR’s Supervisor Best Practice Guidelines.
  • Performs other duties as assigned.

*Essential job function.

EQUIPMENT OPERATED/USED: Computer, 10-key, printer, copier, fax machine and other office equipment.

SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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