Apply on Employer Site

Archbright · 1 day ago

Claims Supervisor

Greater Seattle Area

Full-time

Onsite

Mid, Senior Level

$89K/yr - $109K/yr

Archbright is a company that specializes in Workers’ Compensation Claims management, and they are seeking a Claims Supervisor to lead a team of Claims Consultants and Claims Support Specialists. The role involves overseeing claims success metrics, ensuring high-performing Retro and ReClaim programs, and representing Archbright in Board of Industrial Appeals hearings.

ConsultingEducationHuman ResourcesInformation Technology

Growth Opportunities

Hiring Manager

Bridget Frolich

Responsibilities

Serves as a subject matter expert on Workers’ Compensation Claims within Archbright, with members, Labor and Industries, and in the Retro community

Monitors and owns claims success metrics for assigned groups, (claims closure, freeze reviews, etc.), employing strategies to maximize success

Partners with the Director of Retro/ReClaim to ensure high-performing Retro and ReClaim programs. Presents data and other findings and makes recommendations

Performs the weekly, monthly, quarterly, and annual quality checks as outlined in the claims supervisor quality checks process

Ensures team members are following claims management processes as documented and takes action as appropriate

Serves as the first point of escalation for service issues and utilizes customer service skills to achieve the best possible outcome

Prepares for and represents Archbright in Board of Industrial Appeals hearings to secure the best possible outcome for the employer. Supports and strategizes with Claims Consultants to prepare for hearings as needed

Meets all Archbright People Manager expectations regarding processes and timeframes with a strong focus on recognizing and fostering positive performance and addressing performance below expectations. Provides ongoing coaching and feedback, promotes accountability, and aligns team efforts with organizational goals to drive high performance and continuous improvement

As a working supervisor adhere to the responsibilities of the Claims Consultant position while managing a caseload of workers’ compensation claims. These duties include but are not limited to:

References and follows Archbright’s claims management best practices and Gardiant policy as documented and makes suggestions for improvement

Educates employers about retrospective rating programs and/or ReClaim and requirements of the appropriate Archbright agreement

Corresponds with medical specialists, employers, state adjudicators, and vocational counselors to compile information and documentation

Investigates, analyzes, and determines insurance liability concerning worker’s compensation injury claims in accordance with state law. Coordinates with Archbright HR Advisors and Attorneys as needed

Develops proactive plans of action for each claim and provides timely updates to the employer

Advises and assists the employer of appropriate implementation and management of formal job offers and return-to-work programs in accordance with state regulations. Documents recommendations and plans of action

Conducts freeze reviews and creates and implements strategies to maximize claim closures and minimize costs for the employer and retro program

Collaborate with Loss Control to strategize the best financial outcome for an employer

Develops a productive working relationship with assigned member accounts and provides excellent customer service. while following the requirements outlined in the claims customer services guidebook

Other duties, responsibilities, and activities may change or be assigned at any time with or without notice

Supports Marketing and Sales to bring in new business when appropriate

Prepares for Retro Committee Meetings and presents claims status

Qualification

Workers’ Compensation ClaimsClaims Management ProcessesCustomer Service SkillsStrategic ThinkingProblem-Solving AbilitiesEffective CommunicationAccountabilityEmotional IntelligenceTeam CollaborationAdaptability