EvansvilleRecruiter Since 2001
the smart solution for Evansville jobs

Workers Compensation Claims Manager

Company: Job Juncture
Location: Evansville
Posted on: October 13, 2019

Job Description:

Workers Compensation Claims Manager
Evansville, IN USA
Full Time Position + Executive Benefits + Paid Relocation--
Provide oversight and technical advisement for all workers compensation claims handled and investigated by the WC Claims Team. Responsible for the direct oversight of coverage and/or compensability issues to ensure timely recognition and referral in full compliance with Reporting Guidelines. Ensures compliance with all claim handling procedures, guidelines and manuals and other special unit procedures, as developed. Provides timely claim handling and service, timely compliance with case reserve practices, Fair Claim Practices Acts, and other compliance policies.
Responsibilities:


  • Review and assign all new loss notices to ensure the timely assignment of new claims to the appropriate claims staff.
  • Manage and direct activities of claim representatives to ensure full compliance with Claim Handling Guidelines and jurisdictional requirements.
  • Manage open claim files, including completion of supervisory diary to ensure adequacy of investigation, case reserving, evaluation, and reporting.
  • Manage expenses in accordance with claims handling procedures. Ensure Home Office Claim Staff is timely informed of all new and continuing developments on claims being reportable under published guidelines.
  • Monitor and maintain required licensing and certification/designation as stipulated by respective state agencies.
  • Meets with Toyota Safety daily to discuss new WC claims, as well as updates on existing complex cases.
  • Participation in regularly scheduled Claim & Litigation Review Meetings with TMMI, Toyota Headquarters-TMNA, and Aon LA (Broker).
  • Particpation in WC Trend Review Meetings and regularly scheduled Stewardship Meetings with TMMI, TMNA, and Aon LA.
  • Responsible for overssing go and see activity on dipusted WC cases, which includes reviewing the job process on the Production floor.
  • Provide technical and managerial oversight to the assigned staff by encouraging the timely, professional and appropriate handling of all reported claims in accordance with applicable contract provisions, legal regulations and guidelines, and company claim handling policies and procedures.
  • Ensure compliance of Laserfiche file documentation and claim system documentation as required by company claim manuals and procedures.
  • Conduct and register formal quality assurance audits for all assigned staff in the appropriate audit database to track compliance with Claims Handling and Regulatory requirements.
  • Complete documented reviews of all open workers compensation indemnity claims every 10, and subsequent 45-60 days to ensure timely and appropriate disposition of all reported claims.
  • Ensure all medical only claims are reviewed per Company and Toyota Special Claim Handling Requirements, and subsequently every 30 days thereafter.
  • Participate in the preparation and approval of agreed litigation plans. Direct and monitor litigated matters to determine future course of handling and appropriate methods of resolution.
  • Participate in Home Office audits and/ monthly claim reviews to ensure compliance to Company Claim Handling Guidelines.
  • Direct, guide and develop staff, including providing ongoing performance feedback and coaching to maximize individual contributions to achieve desired business results within the department and company.
  • Communicate to assigned claims staff information regarding policy, plans, trends, results and objectives of the company and industry to ensure a proactive approach towards full participation and compliance with internal and industry standards.
  • Develop, implement and monitor claim staff training to ensure compliance with continuing education requirements as well as established business and career development goals.
  • Services the claim needs of our customers including insureds, claimants, brokers, etc., in accordance with company policy and procedures, and attends client visitations with underwriters and other parties to conduct presentations and reviews.
  • Maintains ongoing communication with all customers throughout the claims process in an effort to provide---------------- timely and appropriate claim status as appropriate and/or required by statutory regulations.
  • Organize and/or participate in on-site and teleconference claim reviews, client visits, and service presentations as required.
  • Proficient in utilizing Risk Console and assisting the customers in use of tool, as well as understanding of the reports in the RMIS tool.---- Includes participation in monthly meetings with the customer to discuss WC trends and proposed counter-measures to reduce WC losses.

    Supervisory Responsibilities:
    Responsible for providing leadership and maintaining an enthusiastic and appropriately trained claims staff ensuring they have appropriate knowledge and skill set while adhering to regulatory requirements and Company Claims Practices, Policies and Procedures.
    Directly supervises 4 non-supervisory employees and 1 claim supervisor. Carries out management responsibilities in accordance with the organizations policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
    Delegates work assignments; Matches the responsibilities to the staffs knowledge and expertise; Gives authority to work independently; Sets expectations and monitors delegated activities; Provides appropriate structure for career development and prove recognition for results
    Education and Experience Required: --

    • Bachelors degree (B. A.) from four-year college or university
    • 7+ years related claims experience including 5+ years at a management / supervisory level
    • Advanced claim technical training
    • Proven leadership ability at the field management level
    • Excellent verbal and written communication skills
    • Effective interpersonal skills and superior problem solving and decision making skills



Keywords: Job Juncture, Evansville , Workers Compensation Claims Manager, Executive , Evansville, Indiana

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


General Manager - Salaried
Description: DescriptionTo eat. To laugh. To share. That's why people come to Pizza Hut. It's the calling of our Restaurant General Managers to make them feel like family with smiles, teamwork and dedication. If you're (more...)
Company: Pizza Hut
Location: Bloomington
Posted on: 10/19/2019

Streaming Event Manager
Description: Position Summary: The Streaming Event Manager is responsible for the implementation on-site execution of all Solution Tree's streaming wired events. This role works with internal external customers (more...)
Company: Solution Tree, Inc.
Location: Bloomington
Posted on: 10/20/2019

Restaurant Assistant Manager- Red Robin
Description: Restaurant Assistant Manager - Start at 50k /yrAt Red Robin our Restaurant Managers support and ensure that the restaurant operates within Red Robin International guidelines, while meeting/exceeding (more...)
Company: Red Robin
Location: Bloomington
Posted on: 10/21/2019


ADMINISTRATIVE ASSISTANT II - CASE MANAGEMENT
Description: Education - High School Diploma or GED Performs a variety of administrative/clerical duties in support of assigned department. Completes less routine assignments. Duties and tasks are more complex. Exercises (more...)
Company: Owensboro Health
Location: Owensboro
Posted on: 10/19/2019

Manager of Energy Management Solutions
Description: Pay Grade:--M-10POSITION SUMMARYDirects and manages the personnel/activities of the Energy Management Solutions department. Serves as an innovator to create member resources, solutions and services from (more...)
Company: Hoosier Energy
Location: Bloomington
Posted on: 10/20/2019

Regional Sales Manager - Own a Franchise
Description: Regional Sales Managers: Make
Company: CMP.jobs
Location: Bloomington
Posted on: 10/23/2019

Local Sales Manager - Ad Sales
Description: Spectrum Reach is looking for a dynamic sales leader to manage and drive revenue in our Evansville, IN local media market. br br Spectrum Reach www.spectrumreach.com grows businesses of all sizes (more...)
Company: Spectrum
Location: Evansville
Posted on: 10/18/2019

92Y Unit Supply Specialist - Warehouse Manager
Description: As a Unit Supply Specialist for the Army National Guard, you will ensure that your Unit and fellow Soldiers are well supplied and equipped for any mission. In this role, your keen eye and management ability (more...)
Company: Army National Guard
Location: Owensboro
Posted on: 10/19/2019

Account Manager
Description: The Account Manager is responsible for growing Clear Touch business and will be responsible for engaging, driving interest and selling solutions to both end users and reseller partners. This will include (more...)
Company: Clear Touch Interactive Inc
Location: Bowling Green
Posted on: 10/23/2019

Practice Manager II
Description: Description SHIFT: No Weekends br br SCHEDULE: Full-time br br Do you have the careeropportunities you want in your current role We have an exciting opportunityfor you to join the nation's largest (more...)
Company: Regional Hospital Healthcare Partners
Location: Terre Haute
Posted on: 10/23/2019

Log In or Create An Account

Get the latest Indiana jobs by following @recnetIN on Twitter!

Evansville RSS job feeds