[Hiring] Workers' Comp Claim Supervisor @Davies

Role Description

Davies Claims North America is seeking an experienced Claims Supervisor to lead a team of Workers’ Compensation professionals, including Adjusters, Nurse Case Managers, and Claims Assistants. This role is responsible for ensuring high-quality claim handling, regulatory compliance, client satisfaction, and team performance while fostering a culture of collaboration, accountability, and continuous development.

The ideal candidate will bring strong technical Workers’ Compensation expertise, demonstrated leadership experience, and the ability to mentor and develop claims professionals while maintaining a client-focused approach.

Key Responsibilities

• Supervise and support Workers’ Compensation Adjusters, Nurse Case Managers, and Claims Assistants.
• Provide coaching, mentoring, and technical guidance to team members.
• Assist in training, onboarding, and professional development efforts.
• Identify performance gaps and develop action plans to improve employee performance and productivity.
• Conduct regular team meetings and participate in leadership meetings.
• Promote a positive, collaborative, and high-performing team environment.
• Assist with interviewing and evaluating candidates for open positions.
• Review new claim assignments for coverage concerns, compensability issues, recovery opportunities, and potential claim exposures.
• Ensure claims are managed in accordance with client requirements, company standards, and applicable Workers’ Compensation statutes and regulations.
• Monitor claim handling activities, including:
  • Compensability investigations
  • Medical management and treatment plans
  • Return-to-work coordination
  • Reserve adequacy
  • Indemnity and medical payments
  • Litigation management
  • Subrogation and excess recovery opportunities
  • Timely reporting and regulatory compliance
• Provide guidance on complex claims, litigated matters, settlements, and large-loss exposures.
• Ensure timely escalation of significant claim concerns and client issues.
• Maintain regular communication with assigned clients and stakeholders.
• Participate in client meetings, claim reviews, and stewardship discussions.
• Address client concerns and identify opportunities to improve service delivery.
• Ensure claim handling aligns with client-specific instructions and expectations.
• Maintain documentation of client communications and account activities.
• Monitor claim quality, service standards, and workflow performance.
• Ensure accurate and timely completion of required state filings and documentation.
• Review claim files for adherence to regulatory requirements, company best practices, and client guidelines.
• Partner with Quality Assurance and leadership teams to identify trends and implement process improvements.
• Assist in maintaining claim closure and performance goals across the team.
• Coordinate workload distribution and coverage during employee absences.
• Assist with staffing needs and resource planning.
• Escalate personnel, client, or operational concerns to senior leadership as appropriate.
• Support special projects and other duties as assigned.

Qualifications

• 5+ years of Workers’ Compensation claims handling experience required.
• Prior supervisory, team lead, or mentoring experience strongly preferred.
• Extensive knowledge of Workers’ Compensation statutes, regulations, claims practices, and case law.
• Strong understanding of compensability investigations, medical management, return-to-work programs, litigation management, and settlement strategies.
• Experience reviewing reserves and managing claim performance metrics.
• Excellent leadership, coaching, and employee development skills.
• Strong verbal and written communication abilities.
• Exceptional organizational, analytical, and problem-solving skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Demonstrated commitment to client service and operational excellence.
• Proficiency with claims management systems and Microsoft Office applications, including Outlook, Excel, and Word.
• Ability to maintain confidentiality and exercise sound judgment.

Benefits

• Medical, dental, and vision plans to support your health and that of your family.
• A 401(k) plan with employer matching.
• Time-off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non-exempt employees.
• Paid holidays.
• Life insurance and short-term and long-term disability coverage.
• Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location.
• Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements.