CA Workers Compensation Claims Manager

Company: CorVel Corporation
Location: Rancho Cucamonga
Posted on: January 15, 2021

Job Description:

JOB SUMMARY: CorVel is seeking a CA Workers Compensation Claims Manager for our Rancho Cucamonga, CA office. The Claims Manager is responsible for the overall operation of a designated office. The Claims Manager participates in formulating and administering company best practices as well as developing long-range goals and objectives, analyzing costs, activities and operations, supporting the goals of claims department and of CorVel. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Represents the company in a professional manner to both internal and external customers and clients.
• Directs the performance and development of the employees in their department.
• Ensures staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements.
• Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations.
• Utilizes Jurisdictional Expertise and knowledge of regulatory rules, statutes and procedures governing the jurisdictions assigned to ensure compliance.
• Monitors operational workflow and manages appropriate/adequate staffing levels and staff retention strategies.
• Develops and oversees the implementation of common claim practices and procedures.
• Directs and controls the review and settlement of high dollar or potential high dollar claims, as well as any claims that are beyond the authority of subordinate claims personnel.
• Promotes operational efficiency and quality by continuously improving processes, people and systems to enhance efficiency, consistency and quality.
• Ensures consistent and complete compliance with CorVel's policies and procedures.
• Additional projects and duties as assigned. KNOWLEDGE & SKILLS:
• Excellent written and verbal communication skills necessary for customer contact, negotiation, presentations, project management and personnel management.
• Effective quantitative, analytical and interpretive skills.
• Excellent leadership skills, with a demonstrated ability to motivate staff and obtain results through teamwork.
• Ability to function effectively under time constraints, consistently meet deadlines and handle multiple tasks in a demanding work environment.
• Ability to travel overnight and attend meetings.
• Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc.
• Computer proficiency and technical aptitude with the ability to utilize common computer applications.
• Strong interpersonal, time management, project management and organizational skills.
• Ability to maintain a high level of tact and professionalism.
• Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation. EDUCATION/EXPERIENCE:
• Bachelor's degree or a combination of education and equivalent industry-related experience, with a record of steady advancement in Workers' Compensation claims administration.
• Minimum of 6 years' comprehensive workers' compensation administration experience
• Minimum of 2 years recent supervisory or management experience
• Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel.

Keywords: CorVel Corporation, Rancho Cucamonga , CA Workers Compensation Claims Manager, Human Resources , Rancho Cucamonga, California