Unit Manager – Workers Compensation Claims Adjuster

Senior-level claims position to oversee a unit of 5-8 people and their respective caseloads. Oversee all aspects of file handling on pending claims which include: facts of loss, coverage analysis, investigation, negligence/compensability/liability determinations, damage assessment and coordination of medical care as appropriate. Approve and monitor litigation management, settlement negotiations, and appropriate use of a vendor table. Establish and approve reserves as needed. Ability to attend conferences, client meetings, mentor adjusters and assist management as requested. Ensure files assigned to the unit are handled within state statutes, Client Claims Handling Guidelines and NARS Best Practices. Other miscellaneous duties as assigned, which may include travel.

Duties and Responsibilities:

  • Able to efficiently supervise a unit of 5-8 claims people and their respective caseloads.
  • Adhere to all file handling standards, NARS Best Practices, state statutes and requirements necessary to pass audits performed by regulatory agencies, carriers, and clients.
  • Manage unit functionality within the department, ensuring the unit is reporting, settling claims and following other processes set out by management and client guidelines.
  • Responsible for overseeing adequate reserving of claims files, quality, and the efficient claim handling of files assigned to the unit.
  • Maintain appropriate diary on pending claims within the unit.
  • Responsible for approval of the assignment of legal defense of claims.
  • Responsible for appropriate unit activities as relating to the litigation process, timely reporting of litigated files to management and round table discussions.
  • Handle performance evaluations, attendance reporting, and miscellaneous personnel issues.
  • Responsible for client satisfaction, claim reviews and audit results for the unit.
  • Responsible for ensuring appropriate licensing within the branch
  • Handle all miscellaneous assigned duties and projects as assigned by upper management.

Qualification Requirements:

  • Education / Licensing:
    • High School Diploma, college degree preferred
    • Must possess Adjuster’s license or other required jurisdictional licensing.
  • Technical skills:
    • Advanced level of interpersonal skills to handle sensitive and confidential situations and information.
    • Requires advanced ability to assist claims unit adjusters with litigation direction and settlement negotiations with attorneys and arbitrators on first and third party claims.
    • Requires advanced ability to work independently.
    • Requires an advanced level of organization and time management skills.
    • Must possess advanced level written and verbal communication skills
    • Must be able to explain and appropriately respond to auditors, clients and potential clients during in-person presentations.
    • Advanced knowledge of a variety of computer software applications in word processing, spreadsheets, database and presentation software (Microsoft Office platform).
  • Abilities:
    • Requires some travel including overnight as needed.
    • Willingness to work flexible hours.
    • Requires some lifting of boxes (marketing materials and displays) up to approximately 20 pounds.
    • Ability to persuade and influence others.
    • Ability to develop and deliver presentations.
    • Ability to create, compose and edit written materials.
    • 24/7 accessibility required
    • Must have Sales or Marketing aptitude
    • Repeated use of keyboard, mouse, and exposure to computer screens from either a desktop or laptop computer.

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