Workers' Comp Claim Supervisor

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
  • 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.

• 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.