WC Presumption Claims Supervisor Job at Johns Eastern Company Inc

Johns Eastern Company Inc Lakewood Ranch, FL 34202

Our Lakewood Ranch TPA office is posting a position for Workers' Compensation Presumption Claims Supervisor. This position involves ensuring appropriate handling of presumption claims, employee training and proper communication of claims/account issues with management.

REQUIRED JOB DUTIES/TASKS:

  • Ensures appropriate handling of presumption claims through routine diary review and daily interaction with adjusting
  • and medical management staff.
  • Provides supervision of and instruction to Team Assistant(s), adjuster’s and nurse case managers.
  • Responsible for keeping Claims Manager informed of personnel issues.
  • Ensures adjusters vacations and extended absences are covered by other qualified team members.
  • Handle employee complaints and grievances.
  • Update client profiles as required
  • Ensure proper communication of claims issues with clients through regular telephone contact
  • and regular claims meetings.
  • Complete contact logs for client contact on accounts supervised.
  • Maintain contact with personal visit at least once annually and monthly phone contact.
  • Responsible for additional training of adjusting staff via personal training or assignment of employee to mentor for training.
  • Interview applicants for employment.

QUALIFICATIONS:

  • Bachelor’s degree or four or more years of equivalent work experience
  • Legal claims adjusting experience
  • Excellent working knowledge of workers’ compensation law, rules, presumptions statutes and presumption case law, as well as liability principles, and medical terminology and procedures
  • Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously
  • Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details
  • Excellent communication skills both verbal and written
  • Great customer service skills
  • Computer literacy, including MS Office, Word, Excel

Members of the Johns Eastern family embody the values below:

  • High level of integrity
  • Energetic
  • Dependable
  • Positive attitude
  • Strong work ethic
  • Motivated to learn

Johns Eastern serves domestic insurance companies, self-insured organizations such as large corporations and government entities, Program Managers, and Managing General Agents, as well as the London Market. We are a proven industry leader with a superb reputation for providing expert claim adjusting and administration services.

Johns Eastern Company, Inc. is an equal opportunity employer and does not discriminate against any applicant or employee because of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or military or veteran status in accordance with federal law. In addition, Johns Eastern Company, Inc. complies with applicable state and local laws governing non discrimination in employment in every jurisdiction in which it maintains facilities. Johns Eastern Company also provides reasonable accommodation to qualified individuals with disabilities in accordance with applicable laws. We are committed to supporting diversity and equality across our organization and we work diligently to maintain a workplace free from discrimination.

Johns Eastern is a Drug Free Workplace.




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