Senior Claims Assistant Supervisor

Company Overview

The Enlyte Family of Businesses

Mitchell | Genex | Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

Job Description

90- Day Retention Bonus: $1,000

The Senior Claims Assistant Supervisor must be located in New Jersey and have prior workers' compensation claims experience.

• Plans, directs and guides the activities of adjusters
• Assists manager with tasks as assigned which could include; supervision of files, performing monthly SCORE audits, internal claim reviews, performing 1:1 performance meetings with staff, new claim set up and documentation, review and approve reserves, attend client meetings
• Meets with the manager regularly to discuss any concerns or issues
• Assists in hiring and training of new employees
• Understands concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims toward resolution using Best Practices.•
• Investigates all assigned claims for coverage, liability assessment and damages.
• Interviews claimants and witnesses, establishes claim reserves, handles evidence, obtains evidence, obtains and interprets official reports, medical reports and claim forms, and attend/participate at mediation, trials or hearings
• Negotiates and settles claims, sets reserves and manage litigation within client service parameters and authority levels by obtaining demands and making offers to claimants.
• Attends client meetings and present PARs
• Documents plan of action in the claim system and sets appropriate diaries
• Manages diary and complete tasks to ensure that cases move to the best financial outcome and timely resolution
• Closes all files as appropriate in a timely and complete manner.
• Maintains closing ratio as directed by management team. Attends/participates at mediation, trials or hearings
• Interacts with clients, claimants, attorneys, investigators, experts and other vendors perform other duties as directed

Qualifications

• Associates or Bachelor's degree, or five or more years of equivalent work experience required in an insurance/TPA or related industry
• At least 5-6 years of experience handling workers' compensation claims required; more experience may be required depending upon complexity of claim pending
• Leadership and supervisory related experience required
• Completion of training courses internally and/or externally in all significant areas affecting claims handling and practices. Licenses, certifications, awards preferred

Benefits

We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $75,000 - $84,000.00 annually, and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don't meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. #COV #LI-MC1