Workers Compensation Claims Supervisor

AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and brands including Intercare, InterMed, George Hills, and AS&G Claims Administration, we’re a people-focused, operations-driven organization that prioritizes reasonable caseloads, strong training, collaborative teams, and expert support. We invest in tools and workflows that reduce friction—not increase volume—and create real career paths for professionals who want to grow their careers or move into leadership. At AvonRisk, you’re part of a team that values good judgment, curiosity, and accountability, and gives you the support to succeed.

Summary:

Reports directly to the Claims Manager. Under the direction of the Claims Manager, is responsible for the overall work product of a claims unit comprised of Claims Specialists who manage assigned inventories of claim files. The unit also includes Claims Assistants who are responsible for providing clerical support to the Claims Specialists. The nature of the work involves coaching and counseling, monitoring work performance to assure compliance with company standards and Labor Code rules and regulations, conducting performance evaluations, and instituting corrective action when appropriate.

Essential Duties and Responsibilities:

• Responsible for the timely completion of performance reviews for all personnel within the assigned unit.
• Provides monetary approval authority up to assigned authority level.
• Maintains selected files on personal diary including all files reserved over $50,000, all subrogation files, all files with delayed or denied benefits, all files formally assigned to the SIU, and all files with unresolved coverage issues.
• Upon request or in accordance with the applicable claims handling contract provides all information, reports, records, logs, and other information our clients may require.
• Provides ongoing advice, mentoring, coaching, counseling and performance feedback to all personnel in assigned unit.
• Responsible for assuring that all claims are handled in accordance with applicable statutes and company rules.
• Deals quickly and decisively with personnel issues as they arise and keeps the manager informed with regards to the need for or the progress of any corrective action activities.
• Exhibits a knowledgeable and helpful attitude and projects a professional image on behalf of the company.
• Identifies and develops at least one individual to serve as supervisor backup.
• Performs quarterly audits of 10% of the open inventory of each claims specialist for the purpose of validating the accuracy and completeness of the claims management process as well as to identify opportunities for improving the process as well as the claim result.
• Responsible for insisting upon a spirit of teamwork and cooperation between claims personnel in assigned unit and the personnel of other departments.
• Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them.
• Handles other duties and tasks as deemed appropriate by the Claims Manager.