Claims Unit Supervisor

Title: Claims Unit Supervisor (Workers Compensation)

Location: Plano, Texas

Type: Exempt

Workplace: hybrid

Category: Texas

Job Description:

Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Claims Unit Supervisor in its Plano,TX office! The Unit Supervisor oversees a team of Claims Professionals, providing leadership and technical/strategic guidance in the management of workers compensation claims from inception to resolution, while ensuring gold-standard service deliverance to our insureds and injured workers.

RESPONSIBILITIES

• Ensures claims are managed in compliance with applicable statutes, regulations, case law, and Company standards.
• Ensures unit achieves organizational goals via prompt claim closures, high client satisfaction with service, timely medical management decisioning, and strategic cost containment.
• Ensures claim reserves and settlements are appropriate and timely.
• Monitors and directs the management of individual claims within the unit in accordance with Company standards.
• Manages the workflow of the unit including planning, assigning, and directing work.
• Fosters and guides the professional development of individual Claim Professionals of varying levels of experience to help them build successful and satisfying careers while producing excellent results in their work and exhibiting exemplary workplace behavior.
• Identifies and communicates training needs.  Assists with facilitating training topics and continually reinforces adherence to the concepts and techniques adopted.
• Aids in the development of vendor panels via continual feedback to management as to effectiveness of defense counsel, medical providers (physicians, medical facilities, nurse case managers), and vendors (durable medical equipment vendors, translators, copy services, and vocational rehabilitation service providers).
• Ensures continuing education requirements are met.
• Performs special assignments and projects as assigned.

LEADERSHIP RESPONSIBILITIES

• Leads a unit of five to seven Claims Professionals of varying experience levels.  Establishes a workplace culture of professionalism, collaboration and inclusion, and excellence in service, aligning with our corporate mission and shared values.
• Establishes common goals.  Provides effective performance feedback through employee recognition, rewards, and disciplinary action, with the assistance of Human Resources as necessary.
• Able to transition between Supervisor and Claims Professional roles to effectively complete tasks and accomplish goals.
• Actively supports Company programs and initiatives focused on strategic and tactical innovation and improvement.  Facilitates discussions and brainstorming for ideas to improve process efficiency.  Memorializes and disseminates essential information regarding the results of these activities.

REQUIRED QUALIFICATIONS

• Education: Minimum of high school diploma or equivalent educational certification required. Bachelor's degree from an accredited college or university preferred.
• Certifications: CA Self-Insurance Administrator's (SIP) Certification preferred.
• Experience: Minimum of two (2) years of claims adjusting experience at a workers compensation carrier required. Prior supervisory experience preferred.
• Technical Skills: Completion of mandated training (and continuing education) requirements to adjust workers compensation claims for the State of California and/or additional assigned territories required.
• Computer Skills: Proficient on the Microsoft Office Suite and able to quickly master proprietary and vendor software applications.
• Spanish-speaking a plus

WHAT WE OFFER

• Work-Life Balance
• Work From Home Program (up to 2 days per week upon eligibility)
• In-house Medical Management support (UR, Med Bill Review, Resource Nurses); In-house Claims Assistant support; House Counsel
• Modern Office Setting
• On-Site Fitness Facility
• Onsite Parking Provided

BENEFITS

• Paid Time Off
• Paid Holidays
• Retirements Savings Match
• Group Health Insurance (Medical, Dental, and Vision)
• Life and AD&D Insurance
• Long Term Disability Insurance
• Accident and Critical Illness Insurance
• Flexible Savings Accounts
• Paid Community Volunteer Day
• Employee Assistance Program
• Tuition Reimbursement Program
• Employee Referral Program
• Diversity, Equity and Inclusion Program

ABOUT US

With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.

At BHHC we embrace diversity and foster an environment where our people can be their authentic selves. Our differences make us stronger and better together, which fosters a harmonious workplace-something we truly value. We've created an approachable and collaborative atmosphere. Here you'll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work. Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.