• Auto Liability Claims Supervisor

    Job Location(s) US-CA-Santa Ana
    Job ID
    2018-1570
    # of Openings
    1
    Category
    Auto Liability Claims Supervisor
    Job Type
    Regular Full-Time
  • Overview

    POSITION SUMMARY: Under minimal supervision manages and directs activity of auto liability claims unit ensuring high-quality results and management of claims in compliance with state laws and company procedures.

    This position requires considerable interaction with clients, management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.

    Responsibilities

     

    DUTIES AND RESPONSIBILITIES:

     

    • Directly supervises examiners and clerical staff. Includes monitoring attendance, job performance, evaluations and disciplinary issues.
    • Reviews and addresses scheduled claims issues, such as initial and periodic reviews, delays, denials, etc.
    • Reviews and approves reserve changes, awards and payments within Company guidelines up to reserve authority of $250,000.00 and payment authority of $10,000
    • Performs file reviews to monitor compliance with policies and laws.* This is completed file by file, monthly reviews as required by client and agency file reviews. Coordinates and leads training sessions for staff on updated laws, policies and procedures.*
    • Ensures daily caseload staffing requirements are met.*
    • Supervises and approves priority payments; sign checks
    • Responds to claimant and vendor concerns and issues as needed.*
    • Monitors effectiveness of vendors and modifies panels as needed.*
    • Ensures client servicing instructions are being adhered to.*
    • Provides coverage for examiner vacancies due to vacation or vacancies.*
    • Prepares and evaluates monthly client reports.*
    • Facilitates internal and external audits.*
    • Conducts and documents in-house and outside educational sessions.
    • Attends client file reviews.
    • Partners with corporate office and sales/service team for RFP’s and client service issues.
    • Other duties as assigned.

     

    *Essential job function.

    Qualifications

    QUALIFICATIONS REQUIRED:

    Education/Experience: Bachelor’s degree in related field (preferred); three (3) to five (5) years related auto claims experience;

    Knowledge, Skills and Abilities:

    • Technical knowledge of statutory regulations and medical terminology.
    • Ability to work on a diary system, prioritize tasks and meet strict deadlines.
    • Strong analytical skills.
    • Proficient in Word and Excel.
    • Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.
    • Ability to manage employees of various skill levels.
    • Excellent interpersonal skills.

     

    Other Qualifications:

    • Certifications and/or licenses as required by State regulation.

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