Claims Manager (Workers Compensation)

ESSENTIAL RESPONSIBILITIES

• Direct, lead, and develop indemnity claim teams through effective management of Claim Supervisors, ensuring alignment with organizational goals, priorities, and performance expectations. 
• Ensure claims are administered in compliance with applicable statutes, regulations, case law, and company standards, while achieving strong results in internal and external claim audits.
• Monitor operational and individual performance metrics, implementing strategies and corrective actions to improve claim quality, productivity, customer satisfaction, and claim outcomes.
• Provide oversight and guidance on complex, high-exposure, litigated, and strategically significant claims, ensuring sound claim resolution strategies and appropriate risk management practices.
• Promote and safeguard the financial integrity of claim files through timely and accurate reserving, settlement authority oversight, and effective claim cost containment practices.
• Utilize data analytics, reporting tools, and emerging technologies to identify trends, measure performance, mitigate risk, and drive operational improvements.
• Ensure timely implementation and consistent execution of changes in laws, regulations, industry best practices, and company claim management strategies.
• Develop, coach, and mentor Claim Supervisors, fostering professional growth, leadership effectiveness, employee engagement, succession planning, and accountability for results.
• Partner with stakeholders across Claims, Underwriting, Legal, Finance, Human Resources, and other departments to achieve business objectives and deliver integrated solutions.
• Lead or participate in strategic initiatives, process improvements, organizational objectives, training programs, and cross-functional projects that support operational excellence and continuous improvement.
• Manage escalated customer concerns, complaints, and service issues, ensuring timely resolution and preservation of key business relationships.
• Represent the organization in client meetings, claim reviews, audits, and other business forums, reinforcing the company's commitment to exceptional service and claim outcomes.
• Establish and communicate clear expectations, monitor results, and hold leaders accountable for performance, compliance, service standards, and professional conduct.
• Foster a culture of inclusion, collaboration, innovation, and continuous improvement that supports employee development and organizational success.

QUALIFICATIONS

• EDUCATION:  Bachelor's degree from an accredited college or university; or minimum 8 years relevant experience; or an equivalent combination of education and technical training combined. 
• CERTIFICATIONS/LICENSES: Designated for California adjusting or ability to achieve within 9 months from placement into position. 
• EXPERIENCE: A minimum of 8 years of work experience in workers compensation insurance claims adjusting, claims operations, or a closely related function, with a minimum of 3 years of supervisory experience. 

TECHNICAL SKILLS

• Knowledge of workers compensation regulatory requirements and best practices.
• Demonstrated proficiency with Microsoft Office/365 applications and able to quickly demonstrate mastery of proprietary and vendor software programs. 
• Able to effectively analyze data from various sources and identify issues and trends. 

WHAT WE OFFER

• Hybrid Work Schedule (up to 2 days work from home upon eligibility)
• Annual bonus eligibility
• Immediate Vesting of Retirement Savings + Company Match
• Group Health Insurance (Medical, Dental, and Vision)
• Life and AD&D Insurance
• Long Term Disability Insurance
• Hospital Indemnity Insurance
• Accident and Critical Illness Insurance
• Flexible Savings Accounts
• Paid Time Off
• Paid Holidays
• Paid Community Volunteer Day
• Employee Assistance Program
• Tuition Reimbursement Program
• Employee Referral Program
• Diversity, Equity and Inclusion Program