AmTrust Financial Services, Inc.
Overview Workers Claims Supervisor
The workers compensation claims supervisor is responsible to supervise activities within the worker compensation 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 or claims in addition to supervision of staff.
Responsibilities Responsibilities will include:
Assigns new claims to unit members based on complexity and skill set of staff.
Oversees the handling of all aspects of the claims assigned to the unit including reserving, communication, documentation, litigation management, evaluation, negotiation and settlement.
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.
Supervises maintenance of all claim records.
Reviews appeals and complaints that Adjusters are unable to resolve and prepares formal response to consumer complaints.
Analyzes and approves insurance claim payment.
Provides file authority as appropriate to unit staff.
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.
Completes special projects as assigned.
Assures that all customers receive quality service.
Other tasks as assigned by Claim Manager/Assistant Vice President/Vice President.
Establishes and executes controls to assure that the quality of the work meets or exceeds standards.
Reviews and analyzes processes, procedures and workflows to identify opportunities for process improvement and efficiency.
May recruit, hire and recommend or initiate promotions, transfers and disciplinary action.
Manages personnel administration including employee evaluations and salary administration.
Participate in the specialized training and handling of complex claim matters and projects requiring advanced claim knowledge and experience.
Manages the development and training of subordinates, including monitoring and relaying information to the staff regarding changes in coverage and laws.
Thorough understanding of laws, principles of coverage, liability and insurance industry in general.
Analytical and human relations skills are critical.
Leadership skills; ability to plan, organize, delegate and develop corporate human resources.
Effective communication skills; ability to obtain information from others and deliver information to others orally and in written form.
Ability to carry out detailed written and verbal instructions.
Ability to work with little supervision and direction.
Sound command of the English language.
Ability to operate business technology.
High school graduate/GED; prefer college degree
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Vacation and Holidays.
AmTrust Financial Services, Inc.
Website : https://amtrustgroup.com
AmTrust Financial Services, Inc. was founded in 1998 to provide workers' compensation insurance to small businesses across the United States. Through acquisitions and organic growth, AmTrust Financial Services has since grown to become a multinational property and casualty insurer specializing in coverage for small- to mid-sized businesses. AmTrust’s financial stability is based upon a philosophy of niche diversity with a focus on low-hazard risk. Since its inception AmTrust has crafted a balanced portfolio of insurance products including: