Workers Comp Claims Manager

Baltimore, MD
Sep 15, 2017
Sep 22, 2017
Full Time
JOB SUMMARY: The Claims Manager is responsible for the overall operation of a designated office. The Claims Manager participates in formulating and administering company best practices as well as developing long-range goals and objectives, analyzing costs, activities and operations, supporting the goals of claims department and of CorVel. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Represents the company in a professional manner to both internal and external customers and clients. Directs the performance and development of the employees in their department. Ensures staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements. Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations. Utilizes Jurisdictional Expertise and knowledge of regulatory rules, statutes and procedures governing the jurisdictions assigned to ensure compliance. Monitors operational workflow and manages appropriate/adequate staffing levels and staff retention strategies. Develops and oversees the implementation of common claim practices and procedures. Directs and controls the review and settlement of high dollar or potential high dollar claims, as well as any claims that are beyond the authority of subordinate claims personnel. Promotes operational efficiency and quality by continuously improving processes, people and systems to enhance efficiency, consistency and quality. Ensures consistent and complete compliance with CorVel's policies and procedures. Additional projects and duties as assigned. KNOWLEDGE & SKILLS: Excellent written and verbal communication skills necessary for customer contact, negotiation, presentations, project management and personnel management. Effective quantitative, analytical and interpretive skills. Excellent leadership skills, with a demonstrated ability to motivate staff and obtain results through teamwork. Ability to function effectively under time constraints, consistently meet deadlines and handle multiple tasks in a demanding work environment. Ability to travel overnight and attend meetings. Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc. Computer proficiency and technical aptitude with the ability to utilize common computer applications. Strong interpersonal, time management, project management and organizational skills. Ability to maintain a high level of tact and professionalism. Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation. Application Instructions: In order to provide equal employment and advancement opportunities to all individuals, employment decisions at CorVel will be based on merit, qualifications and abilities. Except where required or permitted by law, employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex, national origin, ancestry, citizenship, age, handicap or disability, marital status, medical condition or any other characteristic protected by applicable law. Please be aware that CorVel generally does not review all applications submitted in response to job openings posted on the Internet because of the large volume of responses. Note to Employment Agencies: Please do not forward agency resumes. CorVel Corporation is not responsible for any fees related to unsolicited resumes.EDUCATION/EXPERIENCE: Bachelor's degree or a combination of education and equivalent industry-related experience, with a record of steady advancement in Workers' Compensation claims administration. Minimum of 6 years' comprehensive workers' compensation administration experience Minimum of 5-10 years recent supervisory or management experience Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel. Self-Insured Certificate preferred. Knowledge of MD jurisdiction

Similar jobs