Claims Supervisor

  POSITION SUMMARY: Provides technical and supervisory guidance, and training to teammates of the Claims unit regarding investigating, evaluating, and general claims management in accordance with Maryland Workers’ Compensation Law and internal guidelines. This position also works with claims management to ensure best practices are properly developed and implemented throughout the department. DUTIES AND RESPONSIBILITIES: Coaches, trains, mentors, develops, and provides direction and guidance to claims adjusters at various levels of experience. Supervises and independently reviews cases for proper handling and reserving in accordance with the Claims Operating Guidelines, Audit Protocols, and best practices established within the company for assigned claims personnel. Demonstrates the ability to review and provide recommendations for claims with various levels of complexity. Demonstrates an understanding of the impact of Medicare on workers’ compensation claims, including Medicare Set-Asides and Conditional Payments. Establishes and maintains an open line of communication with teammates, claimants, and attorneys to address and resolve issues. Supervises the performance management process for all assigned teammates. Reviews and approves proposals for claim resolution, including settlement or stipulation. Provides appropriate analysis when authority requested exceeds approval limits. Reviews and adheres to Claims Operating Guidelines and regularly communicates updates or modifications to staff. Participates in phases of recruitment and interviewing. Assists claims management in various projects, including training and other departmental initiatives. Assists as needed with Corporate Projects. Provides professional representation and conducts on-site visits to policyholders or state agencies to review claims and services when appropriate. Analyzes and demonstrates a high level of understanding of claims financial exposure directly impacting the business and stakeholders. Inspires a culture of change and role-models the behaviors needed to drive and embed change. Develops strong, collaborative relationships within Claims and with all support stakeholders to identify areas for improvement and engage in cross-departmental development supporting overall claims and corporate goals. Contributes to the achievement of established department goals and objectives; adheres to departmental policies, procedures, quality and safety standards; and consistently exhibits Chesapeake’s Values and Behaviors. Performs other duties as assigned. SKILLS, EDUCATION AND EXPERIENCE: Bachelor’s Degree preferred and industry-related designation or other commensurate education. Minimum of 7 years’ experience in workers’ compensation claims handling. Successful experience in supervision, training, and leading projects. Demonstrated professional writing and PC skills. Strong working knowledge of Maryland Workers’ Compensation Law. Ability to manage caseloads at various levels of complexity. Knowledge of medical terminology. Thorough understanding of workers’ compensation calculations, including but not limited to average weekly wage, disability ratings, and reserves. Bilingual skills preferred. POSITIONAL COMPETENCIES: Analytical Thinking/Problem Solving Decisiveness Quality Management Customer Experience Management Drive for Results Human Resources Management PHYSICAL DEMANDS: While performing the duties of this job, the teammate is regularly required to sit; use hands to finger, handle, or feel objects, tools, or controls; and reach with hands and arms. The teammate is occasionally required to stand, walk, stoop, kneel, crouch, or crawl. The teammate may occasionally lift up to 30 pounds. Specific vision abilities required include close vision, peripheral vision, and the ability to adjust focus. WORK ENVIRONMENT: Office environment. The noise level is usually moderate.