Claims Manager

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Job description

The Claims Manager is responsible for the overall operation of a designated office. The Claims Manager participates in formulating and administering company best practices as well as developing long-range goals and objectives, analyzing costs, activities and operations, supporting the goals of claims department and of CorVel.

This position is for all NE states including ME, NH, VT, MA, RI and CT

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

Represents the company in a professional manner to both internal and external customers and clients

Directs the performance and development of the employees in their department

Ensures staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements

Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations

Utilizes Jurisdictional Expertise and knowledge of regulatory rules, statutes and procedures governing the jurisdictions assigned to ensure compliance

Monitors operational workflow and manages appropriate/adequate staffing levels and staff retention strategies

Develops and oversees the implementation of common claim practices and procedures

Directs and controls the review and settlement of high dollar or potential high dollar claims, as well as any claims that are beyond the authority of subordinate claims personnel

Promotes operational efficiency and quality by continuously improving processes, people and systems to enhance efficiency, consistency and quality

Ensures consistent and complete compliance with CorVel's policies and procedures

Additional projects and duties as assigned

KNOWLEDGE & SKILLS:

Excellent written and verbal communication skills necessary for customer contact, negotiation, presentations, project management and personnel management

Effective quantitative, analytical and interpretive skills

Excellent leadership skills, with a demonstrated ability to motivate staff and obtain results through teamwork

Ability to function effectively under time constraints, consistently meet deadlines and handle multiple tasks in a demanding work environment

Ability to travel overnight and attend meetings

Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc

Computer proficiency and technical aptitude with the ability to utilize common computer applications

Strong interpersonal, time management, project management and organizational skills

Ability to maintain a high level of tact and professionalism

Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation

EDUCATION/EXPERIENCE:

Bachelor's degree or a combination of education and equivalent industry-related experience, with a record of steady advancement in Workers' Compensation claims administration

Minimum of 6 years' comprehensive workers' compensation administration experience

Minimum of 2 years recent supervisory or management experience

Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel

Self-Insured Certificate preferred

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $79,704 - $132,692

A list of our benefit offerings can be found on our CorVel website: CorVel Careers Opportunities in Risk Management

ABOUT CORVEL:

CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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