Claims Team Manager, Workers Compensation

Supervises the day-to-day operations for the claims staff by establishing priorities, scheduling and assigning work, and coaching employees in reviewing, analyzing, investigating, negotiating and settling claims in compliance with Claims Quality Standards. Creates a high performing, results-oriented staff through candidate selection, onboarding, ongoing development, and managing individual performance with regular coaching focused on behavior and technical skill sets. Leads and actively contributes to a culture of continuous improvement and ensures utilization of tools and behaviors within the Liberty Management System to foster critical thinking and innovation around problem solving and development of standard work. Responsible for building and maintaining internal and external customer relationships. Serves as a primary point of contact for agents, brokers and policyholders. Hosts and facilitates in person and/or telephonic claim reviews on a continuous cycle and ensures Special Service Instructions are managed appropriately. Often called upon to do presentations for existing and prospective customers. Provides management oversight of claims files (non-litigated or litigated) within the unit, to include Manager Reviews on open inventory and reviews files to measure quality assurance discusses individual training and development needs. Coaches to improve technical expertise within the team Monitors, evaluates and approves, within assigned authority limits, claims reserves, settlements and payments that exceed staff authority thresholds. Uses common reporting of data analytics to monitor claim production, inventory management, financial and quality compliance and claim volume trends and results. Data used to communicate team performance relating to production, significant achievements and areas for continuous improvement. Maintains awareness of existing and proposed legislation, court decisions and emerging trends in claims litigation to monitor team compliance with Unfair Claims Practices. Advanced knowledge of Workers Compensation claims investigation preferred along with loss assessment, reserving, insurance legal and regulatory environment, litigation and fraud awareness. Several years of CA Workers Compensation claims experience is a must. Ability to get work done through others, communicate effectively (including listening, writing clearly, giving constructive feedback, etc.), get support from above, plan/organize work, analyze/solve problems, and focus on the larger picture. Knowledge and capabilities typically acquired through a BS/BA degree (or equivalent) and at least 6 years of related experience. Must be able to obtain necessary insurance licenses and/or certifications as needed.