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Supervisor, Claims Medical Only

Remote · Sri Lanka Full-time

About the position AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Workers' Compensation Claims, Medical Only Supervisor. The Workers' Compensation Claims, Medical Only Supervisor, is responsible for supervising activities within the worker compensation lost time claims department. This may encompass supervision of administrative tasks and staff or oversight of the investigation of insurance claims involving workers compensation, property or casualty claims based on coverage, appraisal and verifiable injury or damage. This position involves the direct handling of tasks and/or claims in addition to supervision of staff. The WC Claims, Medical Only Supervisor, reports to the WC Claims Director. This is a hybrid-based position in our Princeton, NJ office.

Responsibilities

  • May oversee the handling of all aspects of the claims assigned to the unit including reserving, communication, documentation, evaluation, and resolution
  • Ensures all claims eligible or ineligible for payment conform to quality, production standards, and specifications
  • Ensures claim processing is consistent with applicable policies, procedures and department guidelines
  • Analyzes and approves workers’ compensation claims
  • Completes regular quality audits of staff’s work, records results and counsels’ staff to bring work to or above standards
  • Prepares regular periodic reports and monitors system reports to ensure adherence to corporate and regulatory standards
  • Establishes and executes controls to ensure that the quality of the work meets or exceeds standards
  • Reviews and analyze processes, procedures, and workflows to identify opportunities for process improvement and efficiency

Requirements

  • Bachelor's degree or equivalent combination of work experience and education required
  • 5+ years’ experience in workers' compensation insurance industry preferred
  • Valid adjusters license in appropriate jurisdictions or ability to obtain such
  • Basic understanding of laws, principles of coverage, liability, and insurance industry in general, with specific emphasis on workers’ compensation
  • Leadership skills: ability to plan, organize, delegate, and develop corporate human resources
  • Ability to work with little supervision and direction
  • Ability to operate business technology
  • Ability to manage personnel administration including employee evaluations and salary administration

Benefits

  • Medical & Dental Plans
  • Life Insurance, including eligible spouses & children
  • Health Care Flexible Spending
  • Dependent Care
  • 401k Savings Plans
  • Paid Time Off

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