Claims Supervisor - Fresno
Zenith Insurance Company (Central Valley, California)

Salary:
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Ref Code:
71722435

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Position Description:

Under general supervision, responsible for the supervision and claims management of a claims unit. Provides technical guidance and training to personnel. Evaluates standards of performance of technical and clerical direct reports relative to branch/corporate objectives.
Directs, controls, monitors and provides technical and supervisory guidance to the assigned claims unit(s).
Evaluates performance according to established corporate standards of performance. Prepares performance appraisals and recommends salary action for staff in unit in accordance with company policy.
Participates in interview and hiring process and trains new employees assigned to unit.
Responsible for claims management of cases assigned to unit, which may include special accounts, within the guidelines of published performance standards, company claim policy and the Labor Code.
Analyzes claims, sets reserves, determines liability, pays benefits and settles claims within designated dollar authority level and according to company policy and Labor Code provisions.
Makes timely investigation assignments and rehabilitation referrals including early return to work programs. Assigns cases to SIU as appropriate.
Maximizes utilization of company medical cost containment programs.
Prepares cases in litigation adequately and appropriately for MSCs and trials.
Communicates with policyholders, injured workers and others in a professional and timely manner.
May assist in preparation of agent status reports and policyholder claim reviews. May be assigned as account coordinator to large policyholders.
Performs other duties as assigned.
 
Position Requirements:

Bachelor´s degree preferred or equivalent business experience.
Minimum 3-5 years experience handling Workers´ Compensation indemnity claims; to include settlement negotiation of litigated claims.
Must demonstrate supervisory potential; previous experience or education acquired through seminars and classes a plus.

Meets all state regulatory standards regarding licensing, continuing education and other requirements.
Excellent verbal and written communication skills necessary. PC literacy required.
Good time management, organizational and negotiation skills a must.
Ability to integrate claims process with rehabilitation services.
Supervisory experience or demonstrated supervisory ability. 

  REF: CAAR571036 PLEASE CLICK HERE TO APPLY!

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