Transition Unit Supervisor
$80,160–$114,280 year
On-siteSan Diego, California, United States
Job Summary
Conduct comprehensive training and supervision of a Claims Professionals team handling medical and indemnity claims across multiple jurisdictions. Manage unit workflow, assign work, and ensure compliance with company policies, statutes, and regulations. Oversee claim reserves, benefit payments, and successful claim outcomes while implementing changes to governing laws and communicating impacts to management strategies. Facilitate team development, address policy exceptions and escalated issues, and build relationships with internal and external legal and investigation vendors. Maintain a culture of professionalism and excellence aligned with organizational mission and values.
Required Qualifications
- High school diploma or equivalent educational certification
- Minimum of two years of relevant experience and training
- Prior supervisory experience in workers compensation claims management
- Credentialed/licensed to adjust workers compensation claims in one or more jurisdictions, one of which is California
- Able to read and interpret complex documents including statutes, regulations, legal opinions, legal letters, medical records, medical bills, medical resource materials, investigation reports, claim notes, and claim data fields
- Able to read, analyze, and interpret business periodicals, professional journals, technical procedures, medical reports, bills, legal briefs, statutes, regulations, and court opinions
- Able to write clear, concise reports accurately conveying complex and nuanced information
- Able to write clear, effective correspondence on complex medical and legal points to people from all walks of life
- Able to effectively present information and respond to questions with executives, clients, attorneys, and customers, both in individual conversations and presentations to groups
- Able to investigate, persuade, and negotiate over the telephone
- Able to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
- Able to compute rate, ratio, and percent
- Familiar with the time value of money and reducing future streams of payments to a present value
- Familiar with the concept of statistical likelihood as the basis for calculating the value of a possible financial outcome
- Able to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
- Able to deal with problems involving several concrete variables in standardized situations
- Sound knowledge of workers compensation regulations
- Demonstratable ability to apply them skillfully and consistently
- Mastery of Microsoft Office applications
- Working knowledge of SalesForce
- Ability to rapidly master the use of proprietary software applications
Desired Qualifications
- Bachelor's degree from an accredited college or university
- Prior supervisory experience in workers compensation claims management
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