Manager, Claims – Workers’ Compensation Insurance | 100% Remote (WFH) Opportunity
Must work west coast hours M-F 8am-5pm PDT (will need to have experience in one or more of the following states: NV, AZ, CO, LA, OK, TX, UT -preference given to those with NV and TX experience)

GENERAL SUMMARY

This position is accountable for the performance, service quality and results of assigned Claims area. Establishes program goals and objectives, participates in strategic and budgetary planning; monitors program effectiveness and supervises lower level managerial and supervisory personnel and provides direct oversight on issues exceeding their authority.

EDUCATION

• Bachelor’s Degree in Business Administration/Management/Finance or a related field preferred or equivalent industry experience.

ABOUT EMPLOYERS

As a dynamic, fast-growing provider of workers’ compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!
We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS!
Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees.
We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other!
At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement. As “America’s small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career.

BACKGROUND AND EXPERIENCE/EXPERTISE

• Minimum of 10 years technical claims experience, 3 of which must have been of supervisory or managerial experience.
• Experience in support function oversight.
• Must have experience in budget planning and preparation.
• Working knowledge of principles and practices of workers compensation administration, and statutes, rules, and regulations regarding workers compensation.
• Previous formal presentation experience is required.
• Knowledge of insurance operations and methodologies, awareness of industry trends and changes is preferred.
  Compensation details: 90000-140000 Yearly Salary
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• Reports to the Vice President of Claims on all financial and operational results and issues.
• Plans, coordinates, and delegates business objectives that support the company’s mission and financial success. Communicates mission and goals to the staff and builds support for company’s objectives.
• Defines levels of performance for the department and provides regular ongoing feedback on results.
• Creates an environment that supports the corporate culture, fosters teamwork, values diversity, and respects all team and company staff-members, internal and external customers, and vendors.
• Establishes staffing objectives, selects appropriate candidates and is responsible for the management, development, and motivation of the leaders and their teams.
• Sets and exhibits the standard for appropriate professional behavior and performance.
• Evaluates subordinates regularly via internal Claim process audits and conducts performance appraisals.
• Identifies, modifies, and implements change when situations require quick and immediate action to achieve successful results.
• Accurately evaluates program effectiveness and accountability and determines any change needed to improve program. Accurately analyzes program related materials or reports and applies established policies, regulations, standards, and legal directives.
• Analyzes statistical data and develops the claim office budget. Is accountable for management of the team within the defined budget.
• Communicates information to staff and assists with interpretation and practical implementation of changes while analyzing the impact on work processes and performance.
• Fosters inter-departmental collaboration to build relationships throughout the organization to help drive success through partnership.
• Supports the organizations business objectives
• Renders final determinations for the assigned claim area for both financial and operational matters. Reporting and consulting with the Vice President of Claims on items with impact over designated authority levels.
• Determines claim staff authority levels for settlement, and reserve and/or payment levels and maintains the offices highest assigned authorities.
• Reviews adverse legal decisions and determines action. Mediates and negotiates between contending parties and/or vendors.
• Provides support and works collaboratively with businesses partners to evaluate claim trends.
• Provides superior customer service by addressing inquiries from agents and policyholders.
• Research legislative/regulatory issues, providing input to government affairs, state agencies, corporate strategic business units, corporate and field claims. Develops and/or facilitates corporate strategies for implementation of new legislation. Responds to regulatory changes by partnering with applicable key management and other resources.
• Accountable for the office compliance with regulatory requirements and claims best practices and business results.
• May be required to travel occasionally.