Must Haves: • Experience developing people • Skills with public presentations, resolving issues, and meeting with clients • Performance management, and experience handling and assign claims. • Previous management experience, specifically managing supervisors.
Day to day:
The Claims Manager is responsible for the overall operation of the Claims Management Team. The Claims Manager helps develop long-range goals and objectives, analyzing costs, activities and operations, supporting the goals of claims department. There is 20% travel involved to client and managing sites. Expectations is to be in office 1x a week. Team will be managing 6 Supervisors, about 50 people. From the end client:
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
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 2 years recent supervisory or management experience • Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel • Self-Insured Certificate