claims supervisor

Texas Comptroller of Public Accounts

<div><div><b>SORM | Claims Supervisor | 26-0436</b> <b>(</b><b>00057518</b><b>)</b><div>
</div><b>
Organization</b><b>:</b> STATE OFFICE OF RISK MANAGEMENT<div>
</div></div><div><b>
Primary Location</b><b>:</b> Texas-Austin<div>
</div><b>
Work Locations</b><b>:</b> Office of Risk Management 300 W. 15Th St 6Th Floor Austin 78701<div></div><div><br>
</div></div><div><b>
Job</b><b>:</b> Management<div>
</div></div><div><b>
Employee Status</b><b>:</b> Regular<div>
</div></div><div><b>
Schedule</b><b>:</b> Full-time<div>
</div><b>
Standard Hours Per Week</b><b>:</b> 40.00<div>
</div></div><div><b>
State Job Code</b><b>:</b> 1586<div>
</div></div><div><b>
Salary Admin Plan</b><b>:</b> B<div>
</div></div><div><b>
Grade</b><b>:</b> 23<div>
</div></div><div><b>
Salary (Pay Basis)</b><b>:</b> 6,890.62 - 6,890.62 (Monthly)<div>
</div></div><div><b>
Number of Openings</b><b>:</b> 1<div>
</div></div><div><b>
Overtime Status</b><b>:</b> Exempt<div>
</div></div><div><b>
Job Posting</b><b>:</b> Apr 9, 2026, 2:08:07 PM<div>
</div></div><div><b>
Closing Date</b>: Ongoing<div>
</div></div><div><b>
Description</b><div></div><p><b><br>
GENERAL DESCRIPTION</b><br>
Work includes active participation in establishing Claims Operations Department goals and objectives; developing department guidelines, procedures, policies, rules, and regulations; developing schedules, priorities, and standards for achieving department goals; evaluating department activities; and coordinating department activities. Plans, assigns, and supervises the work of others.</p><p><b><br>
ESSENTIAL POSITION FUNCTIONS</b></p><ul><li>
Oversees the work of assigned unit within Claims Operations Department</li><li>
Participates in the preparation of program management and productivity reports and studies</li><li>
Confers with staff on department issues and problems to identify and implement solutions</li><li>
Plans, implements, coordinates, monitors, and evaluates programs</li><li>
Participates in establishes department goals and objectives; and develops and approves schedules, priorities, and standards for achieving goals</li><li>
Participates in the development of department goals and objectives evaluation activities</li><li>
Provides technical assistance in a department area</li><li>
Plans, assigns, and supervises the work of others</li><li>
Communicates openly and honestly with colleagues and customers</li><li>
Takes personal responsibility for the quality and content of assigned units&rsquo; work product</li><li>
Prioritizes unit and individual workload to ensure deadlines are met and productivity maximized</li><li>
Ensure equal collaboration and contribution among unit and claims department</li><li>
Development of claims adjusters, explaining claims processes, deadlines and overall claims handling in an understandable manner.</li><li>
Maintain and retain claims staff, along with working to keep team morale at a positive state</li><li>
Review claims from adjusters on the team to ensure quality of claims handling.</li><li>
Performs related work as assigned</li><li>
Maintains relevant knowledge necessary to perform essential job functions</li><li>
Attends work regularly in compliance with agreed-upon work schedule</li><li>
Ensures security and confidentiality of sensitive and/or protected information</li><li>
Complies with all agency policies and procedures, including those pertaining to ethics and integrity</li></ul><div>
</div></div><div><b>
Qualifications</b><div></div><p><b><br>
MINIMUM QUALIFICATIONS</b></p><ul><li>
Education: Graduation from high school or equivalent</li><li>
Experience: Five years full-time reviewing, adjusting, or processing workers&rsquo; compensation claims experience</li><li>
Licensed to adjuster workers&rsquo; compensation claims in Texas {License will be verified pre-employment}</li><li>
Knowledge of Division of Workers&rsquo; Compensation appeals process</li><li>
Knowledge of medical terminology</li><li>
Knowledge of Texas Workers&rsquo; Compensation law and claims administration</li><li>
Skill in working under pressure and meeting deadlines</li><li>
Skill in working effectively with a diverse of customers</li><li>
Skill in handling multiple tasks, prioritizing, and meeting deadlines</li><li>
Skill in effective oral and written communication [Writing sample required at time of application and administered at the time of interview]</li><li>
Ability to be an independent worker within a team environment</li><li>
Skill in exercising sound judgment and effective decision making</li><li>
Ability to make timely, informed decisions that take into account the facts, goals, constraints, and risks</li><li>
Ability to interpret and appropriately apply complex rulings regarding Texas Workers&rsquo; Compensation law and claims administration</li><li>
Ability to receive and respond positively to constructive feedback</li><li>
Ability to work cooperatively with others in a professional office environment</li><li>
Ability to provide excellent customer service</li><li>
Ability to provide a positive work environment for claims staff</li><li>
Ability to complete assignments with attention to detail and accuracy</li><li>
Ability to arrange for personal transportation for business-related travel</li><li>
Ability to work more than 40 hours as needed and in compliance with the FLSA</li><li>
Ability to lift and relocate 30 lbs.</li><li>
Ability to travel (including overnight travel) up to 5%</li></ul><p><b><br>
PREFERRED QUALIFICATIONS</b></p><ul><li>
Education: Graduation from an accredited four-year college or university</li><li>
Management experience</li><li>
Advanced knowledge of medical and pharmaceutical terminology</li><li>
Advanced knowledge of general accepted medical procedures</li><li>
Associate in Claims or other related insurance certification</li></ul><p><b>
TO APPLY</b><br>
All applications for employment with the State Office of Risk Management must be submitted electronically through www.WorkInTexas.com. A State of Texas application in WorkInTexas (WIT) must be completed to be considered OR Submit a State of Texas Application for Employment to: Attn: Elaina Middleton, State Office of Risk Management, P.O. Box 13777, Austin, TX 78711-3777. Military Crosswalk information can be accessed at</p><p>
https://hr.sao.texas.gov/Compensation/MilitaryCrosswalk/MOSC_ProgramManagement.pdf</p><p><b>
THE SORM IS AN EQUAL OPPORTUNITY EMPLOYER</b></p></div></div>

SORM | Claims Supervisor | 26-0436

TEEMA Group

<div><h3 class="jobSectionHeader"><b>Role Summary</b></h3><p>
The Workers&rsquo; Compensation Claims Supervisor is a key leadership role responsible for guiding and overseeing a high-performing claims team in a fast-paced, compliance-focused environment. This position offers the opportunity to combine deep technical expertise in Texas workers&rsquo; compensation with hands-on leadership, mentorship, and client engagement. The Supervisor ensures accurate claims handling, regulatory compliance, exceptional service delivery, and continuous professional development of staff, while serving as a trusted resource for clients and internal partners.</p><p>
This is an ideal opportunity for an experienced claims leader who thrives in an in-office setting, values accountability and collaboration, and enjoys driving both operational excellence and team success.
</p><h3 class="jobSectionHeader"><b>Key Duties &amp; Responsibilities</b></h3><ul><li><p>
Supervise, mentor, and support Claims Examiners, Claims Assistants, and administrative staff</p></li><li><p>
Monitor attendance, performance, evaluations, and address disciplinary matters as needed</p></li><li><p>
Review claims activity, including initial reviews, ongoing case management, delays, and denials</p></li><li><p>
Approve reserve changes up to $250,000 and payments up to $10,000 in accordance with internal guidelines</p></li><li><p>
Conduct comprehensive file reviews to ensure compliance with Texas workers&rsquo; compensation laws, client requirements, and internal procedures</p></li><li><p>
Coordinate and lead training sessions related to regulatory updates, internal policies, and best practices</p></li><li><p>
Ensure caseloads are appropriately staffed, balanced, and managed efficiently</p></li><li><p>
Approve priority payments and sign checks as required</p></li><li><p>
Respond professionally and promptly to claimant, vendor, and client inquiries or concerns</p></li><li><p>
Monitor vendor performance and recommend or implement panel adjustments as necessary</p></li><li><p>
Ensure all client servicing instructions are consistently followed</p></li><li><p>
Provide coverage for claims examiners during absences or vacancies</p></li><li><p>
Prepare, review, and evaluate monthly client reports</p></li><li><p>
Facilitate and participate in internal and external audits</p></li><li><p>
Conduct and document educational and training sessions for internal teams and external stakeholders</p></li><li><p>
Attend client file reviews and meetings as needed</p></li><li><p>
Collaborate with leadership and sales/service teams on RFPs and client service initiatives</p></li><li><p>
Adhere to Supervisor Best Practice Guidelines</p></li><li><p>
Perform additional duties as assigned to support operational and organizational goals</p></li></ul><h3 class="jobSectionHeader"><b>
Required Qualifications</b></h3><ul><li><p>
High School Diploma or GED</p></li><li><p>
Minimum of 5 years of supervisory experience within workers&rsquo; compensation claims</p></li><li><p>
Active Texas Adjuster&rsquo;s License</p></li><li><p>
Strong working knowledge of Texas workers&rsquo; compensation statutes and regulations</p></li><li><p>
Solid understanding of medical terminology</p></li><li><p>
Proven experience supervising claims staff in a high-volume environment</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Desired Qualifications</b></h3><ul><li><p>
Bachelor&rsquo;s degree in a related field</p></li><li><p>
Experience handling Texas public entity and school district claims (highly preferred)</p></li><li><p>
Strong analytical and problem-solving capabilities</p></li><li><p>
Ability to manage diary systems, prioritize workload, and meet strict deadlines</p></li><li><p>
Excellent written and verbal communication skills</p></li><li><p>
Ability to clearly explain complex claims information to claimants, clients, and staff</p></li><li><p>
Proficiency in Microsoft Word and Excel</p></li><li><p>
Demonstrated ability to manage and mentor employees with varying experience levels</p></li><li><p>
Strong interpersonal, leadership, and coaching skills</p></li><li><p>
Ability to manage stress, multitask effectively, and maintain focus in a deadline-driven environment</p></li><li><p>
Positive, professional attitude with a strong sense of urgency and accountability</p></li></ul><h3 class="jobSectionHeader"><b>
About the Organization</b></h3><p>
This opportunity is with a well-established organization specializing in workers&rsquo; compensation and claims administration services. The organization is committed to regulatory excellence, client satisfaction, and fostering a collaborative, professional work environment that supports growth, leadership development, and long-term career success.
</p><h3 class="jobSectionHeader"><b>Location &amp; Work Type</b></h3><ul><li><p><b>
Location:</b> Irving, Texas</p></li><li><p><b>
Work Type:</b> On-site, in-office role</p></li></ul>
#Workwolf</div>

Workers’ Compensation Claims Supervisor

Kaiser Transport, Inc

<p></p><div><p>Safety &amp; Compliance Claims Supervisor</p><p>
Kaiser Transport, Inc. Location: Janesville, WI Terminal (On-Site) Job Type: Full-Time | Salary (Exempt)</p><p></p><p><br>
About Kaiser Transport</p><p>
Kaiser Transport, Inc. is a leading open-deck LTL transportation company specializing in the movement of machinery, equipment, and commodities. We operate in a fast-paced, high-performance environment focused on operational excellence and customer service.</p><p>
Position Overview</p><p>
Kaiser Transport is seeking a Safety &amp; Compliance Claims Supervisor to join our Safety &amp; Compliance team. This role is responsible for managing the full lifecycle of freight, cargo, and related claims-from initial incident intake and documentation through investigation, resolution, and reporting.</p><p>
Working under the direction of the Safety &amp; Compliance Department Manager, this position plays a key role in protecting the company from financial risk, ensuring regulatory compliance, and maintaining strong customer relationships.</p><p>
This is a hands-on, detail-driven role that requires strong organization, follow-through, and the ability to operate effectively in a fast-paced environment.</p><p>
Key Responsibilities</p><p>
Claims &amp; Incident Management</p><ul><li>Manage daily incident intake and serve as the primary point of contact for incident reporting</li><li>Investigate and evaluate freight, cargo, and related claims</li><li>Gather documentation including statements, photos, and supporting evidence</li><li>Work with other departments to determine cause, scope, and estimated value of loss or damage</li><li>Track claims through resolution and ensure timely follow-up</li></ul><p>
Coordination &amp; Communication</p><ul><li>Coordinate with drivers, internal teams, carriers, and insurance providers</li><li>Communicate proactively with customers regarding claim status and updates</li><li>Support resolution of liability issues and claim-related disputes</li><li>Maintain professional relationships while facilitating efficient outcomes</li></ul><p>
Compliance &amp; Administrative Support</p><ul><li>Support internal audits and ELD compliance activities</li><li>Assist with workers' compensation claims administration and documentation</li><li>Maintain accurate, audit-ready safety and compliance records</li><li>Support vendor coordination and insurance-related functions</li></ul><p>
Reporting &amp; Continuous Improvement</p><ul><li>Maintain claim logs and generate reports on claim activity and trends</li><li>Identify process improvement opportunities and recommend enhancements</li><li>Support the development and implementation of safety and compliance processes</li></ul><p>
Additional Responsibilities</p><ul><li>Participate in a rotating on-call schedule for after-hours and weekend incident support</li><li>Ensure prompt, accurate, and professional communication across all interactions</li></ul><p>
Qualifications</p><p>
Required Skills &amp; Abilities</p><ul><li>Strong attention to detail with a high level of accuracy</li><li>Excellent organizational and time management skills</li><li>Strong communication skills (verbal and written)</li><li>Ability to manage multiple priorities in a fast-paced environment</li><li>Analytical thinking and problem-solving ability</li><li>Ability to handle sensitive information with professionalism and confidentiality</li><li>Proficiency in Microsoft Office (Excel, Word, Outlook)</li></ul><p>
Preferred Experience</p><ul><li>Experience in transportation, logistics, safety, or claims handling</li><li>Familiarity with DOT, FMCSA, or regulatory compliance concepts</li><li>Experience working with claims, insurance processes, or investigations</li></ul><p>
Education</p><ul><li>High School Diploma or GED required</li><li>Bachelor's degree preferred (not required)</li></ul><p>
Work Environment</p><p>
This position operates in a trucking terminal environment, including office, yard, and shop areas. Employees should be comfortable working in a high-traffic setting with exposure to noise, equipment, and varying weather conditions.</p><p>
What Success Looks Like in This Role</p><ul><li>Claims are documented accurately and resolved efficiently</li><li>Customers are consistently informed and satisfied with communication</li><li>Compliance tasks are completed on time with no backlog</li><li>Issues are identified early and escalated appropriately</li><li>Nothing &quot;falls through the cracks&quot;</li></ul><p>
Why Join Kaiser Transport</p><ul><li>Fast-paced, operationally focused environment</li><li>Direct impact on company performance and risk management</li><li>Opportunity to grow within Safety, Compliance, and Operations</li><li>Team-oriented culture with strong accountability</li></ul><p>
Equal Opportunity Employer</p><p>
Kaiser Transport is an Equal Opportunity Employer and is committed to maintaining a workplace that is fair, respectful, and free from discrimination, harassment, and retaliation.</p><p>
Safety &amp; Compliance Claims Supervisor</p><p>
Kaiser Transport, Inc. Location: Janesville, WI Terminal (On-Site) Job Type: Full-Time | Salary (Exempt)</p></div><p></p>

Safety & Compliance Claims Supervisor

HealthPartners

<div><p>JOB DESCRIPTION</p>
<div><div>HealthPartners is hiring a <b>System Coordination Claims Supervisor</b>. This position supervises the project coordinators in the development, revision, or maintenance of Claims systems, coordinating the activities of all affected departments. Responsible for effective systems design and maintenance, with scope including operational and administrative areas. Provides CQI facilitation, consulting and technical assistance regarding systems to Group Division, Contracting and Finance staff. Liaison with staff from Information Services, Finance, Patient Accounting, Membership Accounting, Network Management, Sales Marketing and Electronic Commerce. Provides the guidance, motivation, and support necessary to enable individual growth and teamwork in line with the individual needs, department objectives, and marketplace expectations.</div><p><b><br>
ACCOUNTABILITIES</b><b>:</b></p><ul><li>
Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees. Ensures compliance to organizational and departmental policies and procedures.</li><li>
Ensure, direct, and/or provide the training of staff, both permanent and temporary to the Claims Department while promoting teamwork and encourage high levels of morale and motivation.</li><li>
Serve as primary contact for the organization to the Claims System Benefit and Pricing team. Attend management meetings as necessary and appropriate, to develop partnerships with claims and health plan operations leaders.</li><li>
Create high performance work teams using performance measurements, individual goal setting, and monitoring and evaluation of results.</li><li>
Work with staff to develop and implement goals and objectives both individual and for the department.</li><li>
Identify staff performance issues and prepare and implement action plans to resolve problems</li><li>
Skillfully represent the Claims Department at inter-department meetings by building relationships, communicating effectively, demonstrating confidence, and balancing department and company interests.</li><li>
Identifies and researches problems, implements or recommends solutions depending on the scope of the problem. Proactively seeks out process and system enhancements to maximize efficiency and member experience.</li><li>
Project Team Leader. Serves as project team leader with responsibility for analyzing, organizing, scheduling and directing projects as assigned. Responsible for project completion within expected time. Responsible for design, testing, and maintenance of systems. Prepare final documentation of methodology, findings, and recommendations of project team for management. Facilitates smooth transition of project to affected departments/units upon completion.</li><li>
CQI Facilitator/Team Member. Receives formal training as a CQI facilitator. Identifies opportunities for quality improvement of processes. Facilitates CQI projects as appropriate when business process re-engineering is required prior to software changes. Serves as facilitator for claims CQI projects upon request, as availability permits. Represents department as a team member or consultant on CQI projects.</li><li>
System design. On approved projects, works directly with information Systems supervisors and staff in development, maintenance or adaptation of program design. Claim department liaison with IS staff on software and hardware design issues.</li><li>
Needs assessment. Through needs assessment and other processes, identifies potential enhancements in claims automated or manual system/processes. Evaluates systems enhancements for technical impact. Recommends system enhancements and implementation to supervisor/manager.</li><li>
System expert. Assesses inter-dependencies among administrative systems, including membership, authorizations, and patient accounting, etc. Is a specialist in knowledge of claims systems and software.</li><li>
Training and documentation coordination. Participates in the development of user documentation, processing and procedures.</li><li>
Implementation and evaluation coordinator. Develops implementation plan and provides implementation tools to affected units/departments. Works with IS and Claims training to evaluate system design and implementation via-post-implementation review.</li><li>
Initiator. Position requires a high degree of initiative, to manage priorities and identify opportunities for system improvement and innovation. Responsible for continued professional development.</li><li>
Other duties. Performs other duties and assumes projects as assigned by manager or director.</li></ul><p></p><p><b><br>
REQUIRED QUALIFICATIONS</b><b>:</b></p><ul><li>
Bachelor&rsquo;s degree in health care management, training and organization development, industrial engineering, business administration, computer science or related field, or equivalent experience.</li><li>
One-year professional level experience with mainframe computer systems may be substituted for college level computer science or data processing course work.</li><li>
4+ years general business experience or experience in medical insurance or health care setting, including significant project planning and people management experience with medium to complex level projects.</li><li>
Ability to interact with all levels of HealthPartners staff and external customers</li><li>
Strong interpersonal and human relations skills.</li><li>
Ability to lead others through change and to be flexible and adaptive to changes; ability to make immediate adjustments to work direction.</li><li>
Familiarity with continuous improvement concepts and methodologies.</li><li>
Demonstrated analytical, facilitation, presentation and communication skills.</li><li>
Ability to deal with ambiguity and changing priorities.</li><li>
Strong customer/client service orientation.</li><li>
Able to take responsibility for one&rsquo;s own performance and attitude on the job.</li><li>
High degree of initiative.</li><li>
Demonstrate effectiveness in evaluating employees and giving feedback.</li><li>
Ability to identify training needs and provide learning opportunities.</li><li>
Strong organizational and time management skills</li></ul></div></div><p></p>
<br><div><p>ABOUT US</p>
<div><div>At HealthPartners we believe in the power of good &ndash; good deeds and good people working together. As part of our team, you&rsquo;ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.</div>
<p>
We&rsquo;re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.</p>
<p>
At HealthPartners, everyone is welcome, included and valued. We&rsquo;re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.</p>
<p><b>
Benefits Designed to Support Your Total Health</b><br>
As a HealthPartners colleague, we&rsquo;re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.</p>
<p>
Join us in our mission to improve the health and well-being of our patients, members, and communities.</p>
<p></p>
<p>We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.</p></div></div>
<br><div><p>JOB INFO</p>
<div><div><div><ul><div><div>Job Identification</div>
<div>119001</div>
</div><div><div>Organization</div>
<div>HealthPartners/GHI, HealthPartners Enterprise</div>
</div><div><div>Posting Date</div>
<div>04/13/2026, 07:14 AM</div>
</div><div><div>Locations</div>
<div> <div></div><div><div>Work@Home Minnesota
</div></div></div></div><div><div>Work Schedule</div>
<div>Monday through Friday, core business hours<br>
This position will be working primarily remotely with potential for occasional on-site need</div>
</div><div><div>Hours Per Week/FTE</div>
<div>40 hrs weekly / 1.0 FTE</div>
</div><div><div>Job Shift</div>
<div>Day</div>
</div><div><div>Position Type</div>
<div>Full-time regular</div>
</div><div><div>Job Category</div>
<div>Claims</div>
</div><div><div>Department</div>
<div>Claims Admin</div>
</div><div><div>Pay Range</div>
<div>$42.15 - $63.23 hourly</div>
</div><div><div>Pay Range Statement</div>
<div>Compensation is based on the level and requirements of the role. Pay within our ranges may also be determined by education, experience, knowledge, skills, location, and abilities as well as internal equity. Hired candidates may be eligible to receive additional compensation based on role (e.g., shift differential, bonus, sales incentive, productivity pay, etc.).</div>
</div><div><div>Overtime Eligibility Status</div>
<div>Exempt</div>
</div><div><div>Worker Type</div>
<div>Employee</div></div></ul></div></div></div></div>

Systems Coordination Claims Supervisor

First Chicago Insurance Company

<div><p><b>Are you unhappy at your present job?
</b></p><p><b>Are you going nowhere in your current position?
</b></p><p><b>Is it time for a change?</b></p><p></p><p><b><br>
Are you currently an experienced Auto Casualty Claims Supervisor looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities?</b></p><p><b>
Or</b></p><p><b>
Are you a seasoned Auto Casualty Claims Adjuster looking for that next step in your career where you can share your knowledge and lead a team of adjusters?</b></p><p><b>
If you answered YES to the above, it's time to talk to First Chicago Insurance Company!</b></p><p><b>
We offer:
</b></p><ul><li><b>Competitive Salaries</b></li><li><b>
Excellent benefits</b></li><li><b>
Growth opportunities!</b></li></ul><p><b>
Apply only if you consider yourself a career professional who loves to work, because we work hard here!
</b></p><p><b>Our Auto Claims Management Team is Growing!</b></p><p>
The Auto Casualty Claims Management Team will be responsible for the direct supervision of the Auto Casualty Claims unit. Scope of the position includes ensuring compliance with State mandated claims handling guidelines and assuring proper investigation and conclusion of claims. Monitor production, staff development and the quality of files assigned to the Unit.</p><p><b>
**This is a hybrid position (after training). Seeking local candidates to work in either our Bedford Park location, approximately one mile south of Chicago Midway Airport, or our Oak Brook location.**</b></p><p><b>
DUTIES &amp; RESPONSIBILITIES:
</b></p><ul><li>Lead, motivate, and provide direction to the Auto Casualty Unit staff members</li><li>
Conduct file and diary reviews for the purpose of monitoring adjuster's work and to ensure appropriate investigation, documentation and fair claim settlement practices are followed, and company quality standards are maintained.</li><li>
Place appropriate authority level on claim files based upon investigation of facts and approve settlement checks within authority.</li><li>
Review reports, design and support the implementation of procedures which improve claim settlement and customer service levels, and ensure that desired quality and quantity levels are maintained.</li><li>
Oversee the implementation and monitoring of procedures to assure effectiveness and compliance.</li><li>
Determine training needs of the department and establish and participate in programs to ensure training needs of personnel and processes.</li><li>
Work with staff relative to any suits drawn on cases with respect to litigation handling.</li><li>
Develop and manage a cost effective defense strategy.</li><li>
Identify Systems issues/problems/suggestions for enhancements.</li><li>
Manage the administrative functions of the unit which include:<ul><li>
Review, provide direction and assign new losses</li><li>
Screening and selecting candidates</li><li>
Setting performance objectives and monitoring performance results</li><li>
Conduct performance appraisals</li><li>
Complete reports as necessary</li><li>
Daily review of files for payment approvals over adjuster authority and the transfer of files to appropriate areas (SIU, Litigation, Total Loss, Subrogation, etc.)</li><li>
Conduct unit meetings</li><li>
Review and respond to Department of Insurance complaints</li><li>
Review and direct claim activity on customer inquiries</li><li>
Complete special projects as assigned.</li></ul></li></ul><p></p><p><b><br>
QUALIFICATIONS REQUIRED:</b></p><ul><li>
5+ years auto liability claims, PD, Casualty Claims and/or supervisory experience</li><li>
5+ years managing litigated personal auto files a plus</li><li>
Non-Standard auto claims handling experience a plus, not required</li><li>
Strong technical and administrative background in auto claims handling</li><li>
Ability to work independently on technical and administrative matters in accordance with company policy and procedures</li><li>
Good leadership, training and development skills</li><li>
Excellent communication, interpersonal and organizational skills</li><li>
Ability to pass written examinations where required by state statutes to become a licensed claim</li><li>
Hybrid position (after training is complete)</li></ul><p></p><p><b><br>
First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive:</b></p><ul><li>
Competitive Salaries</li><li>
Commitment to your Training &amp; Development</li><li>
Medical and Dental</li><li>
Short Term Disability/Long Term Disability</li><li>
Life Insurance</li><li>
Flexible Spending Account</li><li>
Telemedicine Benefit</li><li>
401k with a generous company match</li><li>
Paid Time Off and Paid Holidays</li><li>
Tuition Reimbursement
</li><li>Wellness Program</li><li>
Fun company sponsored events</li><li>
And so much more!</li></ul><p></p><p><br>
Estimated Compensation Range: $52,500k/year-$106,250k/year*</p><ul><li>Published ranges are estimates</li></ul></div>

Auto Casualty Claims Supervisor

Cala Sourcing Solutions LLC

<div><h2 class="jobSectionHeader"><b>Workers&rsquo; Compensation Claims Adjuster (Level II or III) &ndash; Hawaii</b></h2><p><b>
Location:</b> Kapolei, HI (Hybrid for local candidates | Remote for candidates outside the island but must be in Hawaii)</p><p></p><h3 class="jobSectionHeader"><b>
Position Summary</b></h3><p>
A leading Third Party Administrator is seeking an experienced Workers&rsquo; Compensation Claims Adjuster to manage a diverse caseload of Hawaii workers&rsquo; compensation claims. Reporting to Claims Leadership, this role is responsible for end-to-end claim ownership&mdash;from intake and investigation through resolution&mdash;while operating within established authority levels and client guidelines.</p><p>
This position involves regular collaboration with injured workers, employers, medical providers, attorneys, vendors, and internal partners. Claim complexity, litigation exposure, settlement authority, and leadership expectations will align with the Adjuster&rsquo;s level (Examiner II or Examiner III).</p><p></p><h3 class="jobSectionHeader"><b>
Core Responsibilities (Examiner II &amp; III)</b></h3><ul><li><p>
Oversee a full inventory of workers&rsquo; compensation claims, including medical-only, indemnity, future medical, and litigated files</p></li><li><p>
Conduct prompt and comprehensive claim investigations; document findings thoroughly and accurately</p></li><li><p>
Evaluate compensability and administer benefits in compliance with Hawaii statutes and applicable claim-handling instructions</p></li><li><p>
Coordinate medical care, authorize treatment, and manage medical billing activity</p></li><li><p>
Serve as the primary point of contact for claimants, employers, providers, vendors, and clients</p></li><li><p>
Establish, review, and adjust claim reserves in accordance with company and client standards</p></li><li><p>
Maintain detailed claim notes, action plans, and diary entries reflecting claim strategy and progress</p></li><li><p>
Negotiate, resolve, and close claims within assigned settlement authority</p></li><li><p>
Perform regular file reviews and respond to client inquiries in a timely manner</p></li><li><p>
Identify emerging trends, risk indicators, and safety concerns; communicate insights proactively</p></li><li><p>
Utilize claims systems and internal technology to manage workload efficiently</p></li><li><p>
Comply with all internal policies, procedures, and best practices</p></li><li><p>
Complete additional duties as assigned</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Advanced / Senior-Level Responsibilities (Primarily Examiner III)</b></h3><ul><li><p>
Independently manage highly complex, catastrophic, and litigated workers&rsquo; compensation claims</p></li><li><p>
Retain and collaborate with defense counsel; actively participate in hearings, mediations, and settlement negotiations</p></li><li><p>
Evaluate and pursue:</p><ul><li><p>
Subrogation opportunities</p></li><li><p>
Apportionment considerations</p></li><li><p>
Excess coverage reporting and reimbursement</p></li></ul></li><li><p>
Support regulatory compliance through audit preparation and state-required reporting</p></li><li><p>
Develop proactive claim strategies focused on timely, cost-effective resolution</p></li><li><p>
Participate in client file reviews and meetings as requested</p></li><li><p>
Provide mentoring and technical support to junior Claims Examiners</p></li><li><p>
Handle multi-jurisdictional claims when assigned</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Qualifications</b></h3><h4 class="jobSectionHeader"><b>
Education &amp; Experience</b></h4><p><b>
Claims Examiner II</b></p><ul><li><p>
Bachelor&rsquo;s degree in a related discipline preferred</p></li><li><p>
3+ years of workers&rsquo; compensation claims experience, or an equivalent combination of education and experience</p></li></ul><p><b>
Claims Examiner III</b></p><ul><li><p>
5+ years of progressive workers&rsquo; compensation claims experience</p></li><li><p>
Proven experience managing complex and litigated indemnity claims</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Knowledge, Skills &amp; Abilities</b></h3><ul><li><p>
Strong working knowledge of workers&rsquo; compensation laws, regulations, and medical terminology</p></li><li><p>
Ability to independently assess risk, analyze complex issues, and manage claims strategically</p></li><li><p>
Clear, professional written and verbal communication skills</p></li><li><p>
Strong organizational, analytical, and time-management capabilities</p></li><li><p>
Ability to communicate effectively with diverse stakeholders at all organizational levels</p></li><li><p>
Proficiency with Microsoft Word and Excel preferred</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
Licensure</b></h3><ul><li><p>
Active <b>Hawaii Workers&rsquo; Compensation Adjuster License</b> required</p></li></ul>
#Workwolf</div>

Claims Supervisor - Workers Compensation

State of Ohio

<p></p><div><div><p><b>What Our Employees Have to Say:</b><br>
BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:</p><ul><li>
BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.</li><li>
I have worked at several state agencies and BWC is the best place to work.</li><li><p>
Best place to work in the state and with a sense of family and support.</p></li><br>
<p></p><li>
I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.</li><li><p>
I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.</p><p></p><p><br>
If you are interested in helping BWC grow, please</p></li></ul><p><i>
BWC&rsquo;s core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC&rsquo;s seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.</i></p><p><b>
What You'll Be Doing:</b><br>
Under general direction, you will supervise one claims service team consisting of multiple claims specialists &amp; multiple medical/rehab staff (e.g. Industrial Rehab Nurse, Rehab Case Management Specialist) in managing lost time compensation claims.</p><ul><li>
Supervise and Lead Team-Oversee one claims service team consisting of multiple claims specialists, ensuring effective management of lost-time compensation claims.</li><li>
Develop and Implement Guidelines-Create and enforce new claims handling procedures to maintain compliance with state, federal, and BWC laws, rules, and regulations.</li><li>
Monitor Quality and Productivity-Review case assignments, monitor accuracy and timeliness, and utilize management reports to track pending cases and performance metrics.</li><li>
Identify and Resolve Issues-Address problem areas such as incorrect award calculations and insufficient documentation; recommend corrective actions.</li><li>
Ensure Documentation and Compliance-Verify that all necessary documentation is obtained for hearings and identify claims requiring vocational intervention based on injury severity and claimant history.</li><li>
Staff Development and Performance Management-Review and approve performance evaluations, recommend training or disciplinary actions, and participate in staff selection, training, and promotion processes.</li><li>
Effective Communication and Relationship Building- Ability to clearly convey expectations, provide constructive feedback, and build positive relationships with team members, injured workers, employers, and medical providers to foster collaboration and trust.</li></ul><b>
Why Work for the State of Ohio</b><p>
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:</p>
<ul>
<li>Medical Coverage</li>
<li>Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period</li>
<li>Paid time off, including vacation, personal, sick leave and 11 paid holidays per year</li>
<li>Childbirth, Adoption, and Foster Care leave</li>
<li>Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)</li>
<li>Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) &amp; Optional Deferred Compensation (Ohio Deferred Compensation)</li>
</ul>
<ul><li>Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.</li></ul><b>
Qualifications</b><p><b>
To Qualify, You Must </b><b>Clearly</b><b> Demonstrate:</b><br>
<b>Required Experience and/or Education:</b></p><ul><li><p>
36 mos. exp. managing medical-only &amp;/or lost-time claims, serving as primary decision maker to include making initial determination of claim, having overall responsibility &amp; accountability of claim &amp; management of claim to desired outcome.</p></li><li><p>
Or 36 mos. trg. or 36 mos. exp. in providing rehabilitation &amp;/or medical management expertise in managing claims (e.g., develop return to work plans <b>AND</b> provide medical opinion; recommend, monitor &amp;/or review medical treatment &amp; determinations; provide job development training or career counseling enabling injured workers to return to work force).</p></li><li><p>
Or 24 mos. trg. or 24 mos. exp. in private insurance organization as claims representative, nurse or rehabilitation specialist <b>AND</b> 12 mos. trg. or 12 mos. exp. providing work direction to claims processing staff.</p></li><li><p>
Or completion of undergraduate core program in business administration, public administration, human resources, finance, economics, nursing, social work, human service field (e.g., rehabilitation counseling) or related field <b>AND</b> 12 mos. exp. in providing rehabilitation &amp;/or medical expertise in managing workers' compensation claim (e.g., develop return to work plans; provide medical opinion; recommend, monitor &amp; review medical treatment &amp; determinations; provide job development training or career counseling enabling injured workers to return to work force), or 12 mos. exp. managing workers' compensation lost-time claims &amp;/or medical-only claims serving as primary decision maker to include making initial determination of claim, having overall claim responsibility &amp; accountability of claim &amp; management of claim to desired outcome, or 12 mos. exp. supervising lower-level claims staff in managing medical only claims, or 12 mos. exp. in supervisory level position within Ohio Bureau Of Workers' Compensation which involved telephoned, in-person &amp;/or written contact with providers, claimants, employers, public officials, attorneys &amp;/or general public to provide information &amp; answer inquiries concerning various operations, services &amp;/or policies &amp; procedures of agency.</p></li><li><p>
Or 36 mos. exp. in supervisory-level position within Ohio Bureau Of Workers' Compensation, 24 mos. of which involved telephoned, in-person &amp;/or written contact with providers, claimants, employers, public officials, attorneys &amp;/or general public to provide information &amp; answer inquiries concerning various operations, services &amp;/or policies &amp; procedures of agency.</p></li><li><p>
Or equivalent of Minimum Class Qualifications For Employment noted above.<br>
<br>
<b>Job Skills:</b> Claims Examination</p></li></ul><p><b>
Major Worker Characteristics:</b><br>
<b>Knowledge of</b> management, labor relations, employee training &amp; development, supervision (direct), interviewing, public relations, service office practices &amp; procedures*, agency policies &amp; procedures*, state laws related to BWC claims &amp; eligibility criteria &amp; processing of workers comp claims*.<br>
<b>Ability to</b> deal with problems involving few variables within familiar context; define problems, collect data, establish facts &amp; draw valid conclusions; calculate fractions, decimals &amp; percentages; use proper research methods in gathering data &amp; make impartial decisions; check data against records for accuracy; operate VDT &amp; PC; read &amp; understand medical reference manuals; prepare meaningful, concise &amp; accurate reports; gather collate &amp; classify information about data, people or things; proofread technical materials &amp; make corrections; handle sensitive inquiries from &amp; contacts with officials &amp; general public; comprehend computer generated reports, oral &amp; written business communications.</p><p>
(*) developed after employment.</p><b>
Supplemental Information</b><p><b>
EEO &amp; ADA Statement:</b><br>
The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.<br>
The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, please contact the ADA mailbox BWCADA@bwc.ohio.gov.<br>
<br>
<b>BWC OCSEA Selection Rights:</b><br>
This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position.<br>
<br>
<b>Salary Information:</b><br>
Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.<br>
<br>
<b>Transportation:</b><br>
Position may require travel; therefore, persons occupying this position must be able to provide own transportation &amp;/or legally operate a state-owned vehicle.<br>
<br>
<b>Educational Transcripts:</b><br>
For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.<br>
<br>
All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.<br>
<br>
<b>Background Check:</b><br>
Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.</p><b>
ADA Statement</b><p>
Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.</p><b>
Drug-Free Workplace</b><p>
The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.</p></div></div>

Canton - Workers' Compensation Claims Supervisor- PN: 20077435

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