Transition and Development Unit Supervisor

BASIC FUNCTION The Transition and Development Unit Supervisor is responsible for the acclimation, training, performance, effective operation, and development of Claims Professionals (Adjusters) handling a variety of claims. This role focuses on assuring the efficient application of initial claims training as well as a caseload that increases in complexity. This position offers growth opportunities and is expected to eventually assume oversight responsibilities for a supplemental adjuster positions as business needs evolve. 

ESSENTIAL RESPONSIBILITIES

• Ensure team member completion of all medical claims training topics, and effective application of training on the job; support training topics with various resources including one-on-one coaching and practical application exercises in Compass, CXP and Salesforce.
• Ensure successful transition to and completion of appropriate indemnity training topics, and transition to an indemnity team; identify and recommend appropriate timing of and indemnity team placement.
• Manage the workflow of the unit including planning, assigning, and directing work; ensure continuing education requirements of the team are met and maintained timely.
• Ensure the team manages claims in compliance with Company policies, applicable statutes, regulations, regulations and case law across various jurisdictions; monitor claim management and provide direction and intervention as appropriate.
• Ensure claim reserves and benefit payments are accurate and timely.
• Manage the team’s efforts to produce successful claim outcomes for providing compassionate care to our recovering workers while achieving high service levels, timely medical management decisioning, prompt claim closures, effective claim cost containment, achievement of goals, and satisfactory claim audits.
• Successfully implement changes to the laws and regulations governing claims handling and communicate their impact to the processes, tactics, and strategies of claim management.
• Manage supplemental staffing resources to include temporary adjusters, floating adjusters, future medical adjusters, and new, experienced adjusters. 
• Address policy exceptions, inquiries, escalated issues, and complaints appropriately.
• Introduce and orient team to internal network of Medical Management, Legal and Subrogation teams, as well as external legal and investigation vendors; facilitate relationship-building.
• Ensure unit achieves organizational goals via prompt claim closures, high client satisfaction with service, and effective, strategic cost containment.
• Foster and guide the personal and professional development and growth of individual team members to help them build successful and satisfying careers while producing excellent results.