Description
Davies Claims North America is seeking an experienced Claims Supervisor to lead a team of Workers’ Compensation professionals. The successful candidate will have strong technical Workers’ Compensation expertise, demonstrated leadership experience, and the ability to mentor and develop claims professionals while maintaining a client-focused approach.
Key Responsibilities
Leadership & Team Management
- Supervise and support Workers’ Compensation Adjusters, Nurse Case Managers, and Claims Assistants.
- Provide coaching, mentoring, and technical guidance to team members.
- Assist in training, onboarding, and professional development efforts.
- Identify performance gaps and develop action plans to improve employee performance and productivity.
- Conduct regular team meetings and participate in leadership meetings.
- Promote a positive, collaborative, and high-performing team environment.
- Assist with interviewing and evaluating candidates for open positions.
Claims Oversight & Technical Leadership
- Review new claim assignments for coverage concerns, compensability issues, recovery opportunities, and potential claim exposures.
- Ensure claims are managed in accordance with client requirements, company standards, and applicable Workers’ Compensation statutes and regulations.
- Monitor claim handling activities, including compensability investigations, medical management and treatment plans, return-to-work coordination, reserve adequacy, indemnity and medical payments, litigation management, subrogation and excess recovery opportunities, and timely reporting and regulatory compliance.
- Provide guidance on complex claims, litigated matters, settlements, and large-loss exposures.
- Ensure timely escalation of significant claim concerns and client issues.
Client Relationship Management
- Maintain regular communication with assigned clients and stakeholders.
- Participate in client meetings, claim reviews, and stewardship discussions.
- Address client concerns and identify opportunities to improve service delivery.
- Ensure claim handling aligns with client-specific instructions and expectations.
- Maintain documentation of client communications and account activities.
Compliance & Quality Assurance
- Monitor claim quality, service standards, and workflow performance.
- Ensure accurate and timely completion of required state filings and documentation.
- Review claim files for adherence to regulatory requirements, company best practices, and client guidelines.
- Partner with Quality Assurance and leadership teams to identify trends and implement process improvements.
- Assist in maintaining claim closure and performance goals across the team.
Operational Support
- Coordinate workload distribution and coverage during employee absences.
- Assist with staffing needs and resource planning.
- Escalate personnel, client, or operational concerns to senior leadership as appropriate.
- Support special projects and other duties as assigned.
Skills, Knowledge & Expertise
- 5+ years of Workers’ Compensation claims handling experience required.
- Must have Florida municipal claims experience.
- Must have presumption claims in Florida.
- Prior supervisory, team lead, or mentoring experience strongly preferred.
- Extensive knowledge of Workers’ Compensation statutes, regulations, claims practices, and case law.
- Strong understanding of compensability investigations, medical management, return-to-work programs, litigation management, and settlement strategies.
- Experience reviewing reserves and managing claim performance metrics.
- Excellent leadership, coaching, and employee development skills.
- Strong verbal and written communication abilities.
- Exceptional organizational, analytical, and problem-solving skills.
- Ability to manage multiple priorities in a fast-paced environment.
- Demonstrated commitment to client service and operational excellence.
- Proficiency with claims management systems and Microsoft Office applications, including Outlook, Excel, and Word.
- Ability to maintain confidentiality and exercise sound judgment.
Benefits
- Medical, dental, and vision plans to support your health and that of your family.
- A 401(k) plan with employer matching.
- Time-off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non-exempt employees.
- Paid holidays.
- Life insurance and short-term and long-term disability coverage.