Workers Compensation Claims Manager

Description

Avon Risk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and brands including Intercare, Inter Med, George Hills, and AS&G Claims Administration, we’re a people-focused, operations-driven organization that prioritizes reasonable caseloads, strong training, collaborative teams, and expert support. We invest in tools and workflows that reduce friction - not increase volume and create real career paths for professionals who want to grow their careers or move into leadership.

At Avon Risk, you’re part of a team that values good judgment, curiosity, and accountability, and gives you the support to succeed.

Reports directly to the Vice President of Claims. Under the general direction of the Vice President of Claims, is responsible for managing a claims department comprised of claims supervisors, claims specialists, claims assistants, and possibly other personnel involved directly in the claims function. Has overall responsibility and accountability for the work product of the claims department to include the quantity of work processed as well as the quality.

The nature of the work involves coaching and counseling of the claims supervisors as well as other department staff when required, monitoring department work product to assure compliance with Labor Code provisions as well as company rules and regulations, conducting performance evaluations, and instituting corrective action when appropriate. It also includes monitoring, controlling, and planning.

• Accountable for the timely completion of all performance reviews in the department.
• Provides monetary approval authority up to assigned authority level.
• Works closely with representatives of our clients to assure that contractual provisions are being followed and that client/customer related issues are addressed promptly.
• Provides ongoing advice, mentoring, coaching, counseling and performance feedback to the supervisors and to others within the claims department as needed or in response to a request for assistance from a supervisor.
• Responsible for assuring that all claims handled by the department are handled in accordance with applicable statutes and company rules.
• Assists the supervisors with customer and personnel issues when needed and keeps the Vice President of Claims informed with regards to any corrective action activities within his/her department.
• Exhibits a highly knowledgeable and helpful attitude and projects a professional image on behalf of the company.
• Identifies and develops at least one supervisor to serve as claim manager backup.
• Represents the company at industry functions when needed and when appropriate.
• Responsible for developing and sustaining a spirit of teamwork and cooperation among claims personnel and between claims and the personnel of other departments.
• Responsible for monitoring productivity and compliance trends within the assigned claims department and for implementing procedural adjustments as necessary to enhance or improve productivity and results.
• Responsible for managing department operating expenses within the approved department budget.
• Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims.
• Handles other duties and tasks as deemed appropriate by the Vice President of Claims.

Manages 3 to 7 subordinate supervisors who supervise a total of 7 to 10 employees in the Claims Department. Is responsible for the overall direction, coordination, and evaluation of these units. Also…