Workers’ Comp Claim Supervisor

Key Responsibilities
Leadership & Team Management
Supervise and support Workers’ Compensation Adjusters, Nurse Case Managers, and Claims Assistants.
Provide coaching, mentoring, and technical guidance to team members.
Assist in training, onboarding, and professional development efforts.
Identify performance gaps and develop action plans to improve employee performance and productivity.
Conduct regular team meetings and participate in leadership meetings.
Promote a positive, collaborative, and high-performing team environment.
Assist with interviewing and evaluating candidates for open positions.

Claims Oversight & Technical Leadership
Review new claim assignments for coverage concerns, compensability issues, recovery opportunities, and potential claim exposures.
Ensure claims are managed in accordance with client requirements, company standards, and applicable Workers’ Compensation statutes and regulations.
Monitor claim handling activities, including:
Compensability investigations
Medical management and treatment plans
Return-to-work coordination
Reserve adequacy
Indemnity and medical payments
Litigation management
Subrogation and excess recovery opportunities
Timely reporting and regulatory compliance
Provide guidance on complex claims, litigated matters, settlements, and large-loss exposures.
Ensure timely escalation of significant claim concerns and client issues.

Client Relationship Management
Maintain regular communication with assigned clients and stakeholders.
Participate in client meetings, claim reviews, and stewardship discussions.
Address client concerns and identify opportunities to improve service delivery.
Ensure claim handling aligns with client-specific instructions and expectations.
Maintain documentation of client communications and account activities.

Compliance & Quality Assurance
Monitor claim quality, service standards, and workflow performance.
Ensure accurate and timely completion of required state filings and documentation.
Review claim files for adherence to regulatory requirements, company best practices, and client guidelines.
Partner with Quality Assurance and leadership teams to identify trends and implement process improvements.
Assist in maintaining claim closure and performance goals across the team.

Operational Support
Coordinate workload distribution and coverage during employee absences.
Assist with staffing needs and resource planning.
Escalate personnel, client, or operational concerns to senior leadership as appropriate.
Support special projects and other duties as assigned.

Skills, knowledge & expertise
5+ years of Workers’ Compensation claims handling experience required.
Prior supervisory, team lead, or mentoring experience strongly preferred.
Extensive knowledge of Workers’ Compensation statutes, regulations, claims practices, and case law.
Strong understanding of compensability investigations, medical management, return-to-work programs, litigation management, and settlement strategies.
Experience reviewing reserves and managing claim performance metrics.
Excellent leadership, coaching, and employee development skills.
Strong verbal and written communication abilities.
Exceptional organizational, analytical, and problem-solving skills.
Ability to manage multiple priorities in a fast-paced environment.
Demonstrated commitment to client service and operational excellence.
Proficiency with claims management systems and Microsoft Office applications, including Outlook, Excel, and Word.
Ability to maintain confidentiality and exercise sound judgment.