Athens Administrators
Claims Supervisor - Workers Compensation
Athens Administrators, Concord, California, us, 94527
Claims Supervisor – Workers Compensation
Location:
Athens Administrators, Oakland, CA
Pay Range:
$116,000.00 – $129,000.00 per year
Seniority Level:
Mid‑Senior
Employment Type:
Full‑time
Position Summary Athens Administrators requires an immediate hire for a Claims Supervisor to support our Northern California Workers Compensation department. The role requires a manager who can work primarily from the Concord, CA office (once per week in‑person) with the remainder of the week remote, provided remote technical needs are met. The position is a 37.5‑hour work week and offers a flexible schedule with every third Monday or Friday off.
The Claims Supervisor will lead and collaborate with Athletics management to achieve company goals, run insightful reports, and streamline processes. Daily claims decisions, file handling, accurate coding, and unit closing goals are key responsibilities. Coaching the team, building relationships with clients, attorneys, and injured workers, and ensuring compliance with client instructions are also essential.
Claims Leadership
Work with Athens management to achieve company initiatives and performance goals
Consistently strive to improve and streamline current processes
Authorize release of payment and settlement
Make daily claims decisions regarding plan of action, payment handling, etc.
Review claim files for accuracy
Run various reports with an eye for accuracy and confidentiality
Approve payments and reserve increases when they rise above Examiner’s authority level
Collaborate with internal and client senior management, attorneys, and adjusters to draft settlements and assist with litigation strategies
Provide timely information to clients, attorneys, doctors, investigators, and injured workers with strong, professional communication
Discuss appropriateness of medical treatment with medical case manager
Assure consistent and accurate claims coding is occurring on the team
Ensure quality file handling and resolution, meeting unit closing goals, verifying proper reserves, providing thorough claims analysis, and guiding to correct resolution
Use flexibility when working in demanding and changing situations
Employee Management
Effectively plan, organize, and delegate workload for optimal results and time commitment compliance
Supervise daily activities of the team by monitoring progress, ensuring compliance with policies, and addressing issues or conflicts promptly
Coordinate and coach staff to improve performance and increase their growth and knowledge in claims
Participate in the interview process, onboarding, and training of new hires
Provide general guidance to the team, fostering a positive work environment, encouraging professional development, and reviewing performance through evaluations, feedback, goal setting, and identifying areas for improvement
Provide direct feedback and use sound coaching techniques to solve disciplinary or workflow problems; manage and document employee relations issues; work with Human Resources to manage performance issues consistently and timely
Lead organized and collaborative staff unit meetings, including both remote and on‑site employees
Maintain an open‑door policy and foster open communication with staff
Client Management
Work with clients on issues regarding policies, programs, and/or claims
Manage existing client relationships by being accessible, making regular service calls, and proactively solving potential problems
Attend client meetings, internal meetings, and workers’ compensation meetings both virtual and in‑person
Ensure notepads and diaries are completed timely per client handling instructions and Athens Best Practices, with meaningful action plans and information presented concisely and well‑written
Obtain audit results that meet or exceed best practice standards of Athens and the client
Display integrity and always act in the best interest of the client
Document client meeting notes in an appropriate shared location
Supervisory Responsibilities
Provide direct supervision for 6–10 employees, typically Senior Claims Examiners, Future Medical Claims Examiners, Claims Examiners, Assistant Claims Examiners, and Assistant Claims Examiner Trainees
Attend on‑site Leadership Summit at Athens Concord headquarters every 18 months (including overnight)
Fiscal Responsibilities
Review and approve direct report’s monthly expense reports
Ensure that all expenditures are in the best interest of the Company
Use effective monitoring and reporting mechanisms to control expenses without lowering quality
Search for and implement hidden cost improvements
Ensure timely, accurate review and approval of timecards for staff on payroll processing days
Essential Position Requirements
High School Diploma or equivalent (GED) required; AA/AS or BA/BS preferred
Must possess a current Experienced Indemnity Claims Adjuster Designation, as defined in California Code of Regulations, Chapter 5, Subchapter 3, Section 2592.01(f)
Administrators Certificate from Self‑Insurance Plans required within one year of employment if not already obtained
Completion of IEA or equivalent courses
Solid knowledge of workers’ compensation laws, policies, and procedures
3+ years of recent workers’ compensation claims handling experience at a high level
5+ years of experience in a Workers’ Comp claims lead or supervisor position preferred; at least 2 years Claims Supervisory experience required
Proficiency in determining case value and negotiating settlements
Prior Third‑Party Administrator experience preferred
Understanding of medical and legal terminology
Strong attention to detail, organizational skills, and ability to research and resolve problems and meet multiple deadlines; plan and effectuate short‑and long‑term objectives
Proficiency at applying business and technical acumen, understanding how technology supports business initiatives, and leveraging technology for improved efficiency
Skill at presenting in small and large group settings and creating reports using available tools
Proficiency in Microsoft Office Suite; ability to type quickly and accurately for prolonged periods
ClaimsXpress program experience preferred but not required
Reasoning and analytical skills, including problem‑solving and analyzing facts for appropriate recommendations and solutions
Valid driver’s license and availability for travel, including in‑office file reviews and meetings
APPLY WITH US We look forward to learning about you. If you believe in our core values of honesty, integrity, and a commitment to service, please submit your resume and application directly through our website at http://www.athensadmin.com/careers/job-openings. Feel free to include a cover letter if you’d like to share additional details. All applications received are reviewed by our in‑house Corporate Recruitment team.
Equal Opportunity Statement Athens Administrators is an Equal Opportunity/Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in all aspects of employment, including recruitment, hiring, compensation, benefits, training, termination, promotion, or any other employment decision.
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Athens Administrators, Oakland, CA
Pay Range:
$116,000.00 – $129,000.00 per year
Seniority Level:
Mid‑Senior
Employment Type:
Full‑time
Position Summary Athens Administrators requires an immediate hire for a Claims Supervisor to support our Northern California Workers Compensation department. The role requires a manager who can work primarily from the Concord, CA office (once per week in‑person) with the remainder of the week remote, provided remote technical needs are met. The position is a 37.5‑hour work week and offers a flexible schedule with every third Monday or Friday off.
The Claims Supervisor will lead and collaborate with Athletics management to achieve company goals, run insightful reports, and streamline processes. Daily claims decisions, file handling, accurate coding, and unit closing goals are key responsibilities. Coaching the team, building relationships with clients, attorneys, and injured workers, and ensuring compliance with client instructions are also essential.
Claims Leadership
Work with Athens management to achieve company initiatives and performance goals
Consistently strive to improve and streamline current processes
Authorize release of payment and settlement
Make daily claims decisions regarding plan of action, payment handling, etc.
Review claim files for accuracy
Run various reports with an eye for accuracy and confidentiality
Approve payments and reserve increases when they rise above Examiner’s authority level
Collaborate with internal and client senior management, attorneys, and adjusters to draft settlements and assist with litigation strategies
Provide timely information to clients, attorneys, doctors, investigators, and injured workers with strong, professional communication
Discuss appropriateness of medical treatment with medical case manager
Assure consistent and accurate claims coding is occurring on the team
Ensure quality file handling and resolution, meeting unit closing goals, verifying proper reserves, providing thorough claims analysis, and guiding to correct resolution
Use flexibility when working in demanding and changing situations
Employee Management
Effectively plan, organize, and delegate workload for optimal results and time commitment compliance
Supervise daily activities of the team by monitoring progress, ensuring compliance with policies, and addressing issues or conflicts promptly
Coordinate and coach staff to improve performance and increase their growth and knowledge in claims
Participate in the interview process, onboarding, and training of new hires
Provide general guidance to the team, fostering a positive work environment, encouraging professional development, and reviewing performance through evaluations, feedback, goal setting, and identifying areas for improvement
Provide direct feedback and use sound coaching techniques to solve disciplinary or workflow problems; manage and document employee relations issues; work with Human Resources to manage performance issues consistently and timely
Lead organized and collaborative staff unit meetings, including both remote and on‑site employees
Maintain an open‑door policy and foster open communication with staff
Client Management
Work with clients on issues regarding policies, programs, and/or claims
Manage existing client relationships by being accessible, making regular service calls, and proactively solving potential problems
Attend client meetings, internal meetings, and workers’ compensation meetings both virtual and in‑person
Ensure notepads and diaries are completed timely per client handling instructions and Athens Best Practices, with meaningful action plans and information presented concisely and well‑written
Obtain audit results that meet or exceed best practice standards of Athens and the client
Display integrity and always act in the best interest of the client
Document client meeting notes in an appropriate shared location
Supervisory Responsibilities
Provide direct supervision for 6–10 employees, typically Senior Claims Examiners, Future Medical Claims Examiners, Claims Examiners, Assistant Claims Examiners, and Assistant Claims Examiner Trainees
Attend on‑site Leadership Summit at Athens Concord headquarters every 18 months (including overnight)
Fiscal Responsibilities
Review and approve direct report’s monthly expense reports
Ensure that all expenditures are in the best interest of the Company
Use effective monitoring and reporting mechanisms to control expenses without lowering quality
Search for and implement hidden cost improvements
Ensure timely, accurate review and approval of timecards for staff on payroll processing days
Essential Position Requirements
High School Diploma or equivalent (GED) required; AA/AS or BA/BS preferred
Must possess a current Experienced Indemnity Claims Adjuster Designation, as defined in California Code of Regulations, Chapter 5, Subchapter 3, Section 2592.01(f)
Administrators Certificate from Self‑Insurance Plans required within one year of employment if not already obtained
Completion of IEA or equivalent courses
Solid knowledge of workers’ compensation laws, policies, and procedures
3+ years of recent workers’ compensation claims handling experience at a high level
5+ years of experience in a Workers’ Comp claims lead or supervisor position preferred; at least 2 years Claims Supervisory experience required
Proficiency in determining case value and negotiating settlements
Prior Third‑Party Administrator experience preferred
Understanding of medical and legal terminology
Strong attention to detail, organizational skills, and ability to research and resolve problems and meet multiple deadlines; plan and effectuate short‑and long‑term objectives
Proficiency at applying business and technical acumen, understanding how technology supports business initiatives, and leveraging technology for improved efficiency
Skill at presenting in small and large group settings and creating reports using available tools
Proficiency in Microsoft Office Suite; ability to type quickly and accurately for prolonged periods
ClaimsXpress program experience preferred but not required
Reasoning and analytical skills, including problem‑solving and analyzing facts for appropriate recommendations and solutions
Valid driver’s license and availability for travel, including in‑office file reviews and meetings
APPLY WITH US We look forward to learning about you. If you believe in our core values of honesty, integrity, and a commitment to service, please submit your resume and application directly through our website at http://www.athensadmin.com/careers/job-openings. Feel free to include a cover letter if you’d like to share additional details. All applications received are reviewed by our in‑house Corporate Recruitment team.
Equal Opportunity Statement Athens Administrators is an Equal Opportunity/Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in all aspects of employment, including recruitment, hiring, compensation, benefits, training, termination, promotion, or any other employment decision.
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