Manager, Workers Compensation Claims - Remote

Job Description

The manager is responsible for supervising a unit comprised of Claim Specialists that handle claims with varying degrees of complexity in the department. This person will monitor claims trends and will report out on a regular basis on identified trends and action plans to address unfavorable trends to department leadership.

Strong preference for candidates in the PST time zone.

• Must be well versed in California Workers’ Compensation statute claims.
• Direct policies and procedures to ensure claims handling is consistent with Crum & Forster’s claims handling best practices in addition to all legal and regulatory requirements.
• Participate with the Assistant Vice President in the planning, processing and establishment of regional business objectives.
• Work with risk engineering, underwriting, account executives, vendor management and legal departments to address any trends that may impact claims costs and implement guidelines that meet department and company objectives.
• Provide technical support to the claims specialists in accordance with industry publications, seminars, groups, and other sources to stay well informed of key developments. Review legal decisions to keep abreast of current case law and trends.
• Maintain an efficient claims staff to dispose of all claims promptly and fairly in accordance with applicable contract provisions, state laws and regulations, local conditions and company policies.
• Identify coverage issues and reviews all coverage evaluation letters.
• Approve case reserve recommendations, establish reserves and make recommendations on case reserves above authority levels; analyze and review on a continual basis, the reserve adequacy of claims handled within unit.
• Provide guidance in the negotiations of claims and extend settlement authority to the Claims Specialist.
• Recruit, acquire, mentor and retain qualified staff; develop and train direct reports to optimize individual growth, development and success within Crum & Forster; address performance management issues to ensure that Claims Handlers meets department and individual objectives.
• Establish, implement and monitor regional office claims objectives in conformance with company objectives.
• Ability and willingness to work on special projects outside normal responsibilities.
• Meet with current and prospective customers to discuss C&F claims capabilities and address specific claim needs.
• Provide excellent customer service to both external and internal customers.

• Bachelor’s degree or equivalent experience required.
• 8+ years of experience, preferably in a WC Claims Supervisory and/or Management position.
• Strong verbal and written communication skills.
• Experience with Microsoft Office suite of programs and Lotus Notes software applications.
• Some travel required.

• Competitive compensation package
• Generous 401K employer match
• Employee Stock Purchase plan with employer matching
• Generous Paid Time Off
• Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing
• A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path
• A dynamic, ambitious, fun and exciting work environment
• We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community

We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know.