Normandy Insurance Company
Claims Manager, Workers’ Compensation
Claims Manager Role
Due to our national expansion, we are seeking an experienced Workers’ Compensation Claims Manager to join our team. This person will directly manage and oversee a team of Workers’ Compensation Claims Adjusters within a hybrid setting, remotely and in our Boca Raton, Florida, and other offices as necessary for meetings, training, and infrequent account visits. (15% travel). Salary commensurate with experience and other job-related factors.
What Distinguishes Normandy in the Marketplace?
! At Normandy. Our differentiated approach to claims management is a refreshing departure from conventional workers’ compensation industry management. Our approach and practices are designed to drive balanced, positive claim outcomes in both human (clinical) and financial terms, and to promote the principle that parties participating in the system do well, because of our doing good.
Responsibilities
The Claims Manager is responsible for the ongoing reinforcement of Normandy’s claims management practices in reviewing, analyzing, evaluating, and guiding the work of Adjusters, to support appropriate claim resolution.
The work
· Create a claims team environment which strengthens and supports consistency in with Normandy’s unique culture, business model and practices, to make merit-based and appropriate benefit decisions and determinations, including:
- Coverage, statutory employment, accident compensability, medical causality/necessity, statutory& regulatory compliance, claim financial management (reserving), escalation practices, effective claim documentation & communication.
· Perform direct supervision of Adjusters, involving both minimal exposure and high exposure/complex claims, stemming from multiple states.
· Employ a 3-tiered supervision & oversight program of escalation, time-based claim reviews, and targeted, data-based reviews to promote effective claims investigation & management of:
- Coverage, statutory employment, accident compensability, medical causality/necessity, statutory& regulatory compliance, claim financial management (reserving), escalation practices, effective claim documentation & communication.
· Serve as quasi-account manager to key accounts, liaison/subject matter expert between claims operations and agents and other external parties, as well as across internal departments.
· Manage “people” processes including rewards and recognition, disciplinary matters, evaluating performance, time-off, and other matters critical to maintaining our culture, the satisfaction, and enjoyment of the Normandy team.
· Assist in the development and implementation of strategies for controlling adverse claim trending.
· Perform other duties as assigned.
Education qualifications
- High school diploma or equivalent required
- Bachelor’s degree or equivalent combination of training/experience required.
Experience/Qualifications
- Current workers’ compensation claims supervision/management experience, (at least 3 years within the last 5 years)
- Workers’ compensation claims technical and operational experience with managing people, processes, and WC programs, (at least 3 years in the last 5 years).
- Multi-state workers’ compensation experience preferred.
· Workers’ compensation licenses as necessary, industry certifications and designations a plus.
Skills and Abilities we Value
- Proficiency with technical workers' compensation claim knowledge.
- Effective verbal and written communication skills.
- Excellent desk management, organizational, and negotiation skills.
- Ability to integrate claim investigation, medical, legal, and other factors to develop and direct adjusters regarding claim-specific strategies.
- Excellent managerial skills
· Ability to review & analyze data & reports.
· Ability to analyze, think critically, strategically.
· Objective approach to decision-making.
· Ability to manage multiple people in highly technical roles.
· Moderate knowledge of google business products, e.g., Gmail, google calendar, (workspace) etc.
More About Normandy Insurance Company
Normandy insurance company stands at the forefront as a premier workers' compensation insurance carrier, dedicated to providing tailored solutions for businesses seeking comprehensive coverage. With a focus on excellence and reliability, we empower businesses to navigate the complex landscape of workers' compensation with confidence.
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
- Work from home
Schedule:
Work setting:
Work Location: Remote