Position: Workers' Compensation Claims Supervisor (ALASKA jurisdiction) Employment Type: Direct Hire Perm - Full Time Salaried Salary: $100,000 - $110,000 (depending on experience) Location: Remote (work from home). Preferably domiciled in Alaska, but not required. Licenses: ALASKA claims adjuster license is required for supporting Alaska "work comp" claims.
POSITIONS SUPERVISED: Directly: Claims Examiners, Claims Assistants; may supervise File/Mail Clerks and Administrative Assistants POSITION SUMMARY: This position requires considerable interaction with the client, management, other Claims Examiners, and other COMPANY staff. DUTIES AND RESPONSIBILITIES:
Directly supervises examiners and clerical staff. Includes monitoring attendance, job performance, evaluations, and disciplinary issues.*
Reviews and addresses scheduled claims issues, such as initial and periodic reviews, delays, denials, etc.*
Reviews and approves reserve changes, awards, and payments within Company and Client guidelines.*
Performs file reviews to monitor compliance with policies and laws.*
Establishes appropriate supervisory diaries on claim files and completes pending diaries on or before scheduled due dates.*
Prepares for claim audits, reviews audit results, and provides appropriate rebuttal feedback.*
Coordinates and leads training sessions for staff on updated laws, policies, and procedures.*
Ensures daily caseload staffing requirements are met.*
Responds to claimant and vendor concerns and issues as needed.*
Ensures client servicing instructions are being adhered to.*
Analyzes monthly client reports. *
Facilitates internal and external audits. *
Attends client file-staffing meetings in-person or telephonically. *
Other duties as assigned.
*Essential job function. QUALIFICATIONS REQUIRED: Education/Experience: Bachelor’s degree in a related field (preferred); three (3) to five (5) years related experience; or equivalent combination of education and experience. Knowledge, Skills and Abilities:
Technical knowledge of statutory regulations.
Ability to work on a diary system, prioritize tasks and meet strict deadlines.
Strong analytical skills.
Proficient in Word and Excel.
Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients, and staff.
Ability to manage employees of various skill levels.
Excellent interpersonal skills.
Other Qualifications: ALASKA claims adjuster license is required. Preferably domiciled in Alaska Here are some of the benefits you can enjoy in this role:
Medical, Dental, Vision, Disability & Life Insurance