Acrisure
Regional Manager - Eastern Region Workers Compensation
Acrisure, Bradenton, Florida, United States, 34205
Regional Manager - Eastern Region Workers Compensation
Reports to: Head of TPA Claims Summary/Objective : Oversees direct reports (6-7 Full Time) in determining coverage, compensability, benefits due; to ensure ongoing adjudication of claims within service expectations, industry best practices and client service requirements; to identify subrogation of claims, develop clear action plans, reserving and settlements. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Review, assign and supervise all claim activity for designated claims to ensure compliance with company best practices, client-specific handling instructions and applicable laws. Oversight in assessing compensability, coverage, AWW/CR and timely payments. Review and approve settlement of claims within designated authority. Oversee reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels. Monitor necessary state filings within statutory limits. Oversee the litigation process; ensure timely and cost-effective claims resolution. Review vendor referrals used in investigation and/or litigation management. Use cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for clients. Monitor and approve claim recoveries, including subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Communicate claim activity with claimants and clients; maintain professional client relationships. Ensure claim files are properly documented and claims coding is correct. Refer cases as appropriate for further review. Lead team manager meetings and assign accountability for follow-up items. Mentor and provide ongoing training to assist in the development of claim staff. Review and maintain supervisory diary on claim system. Oversee all claim activity for specified accounts; ensure compliance with Corporate Claim Handling Standards and special client handling instructions. Interview adjusters and provide feedback in collaboration with Team Manager/Lead. Assist Team Manager/Lead with monthly review of adjusted workloads; identify trends and adjust as necessary. Participate in claim reviews (telephonic and in person) and onsite meetings with insureds as needed. Collaborate with adjusters, team managers, insureds, and brokers regularly. ADDITIONAL FUNCTIONS AND RESPONSIBILITIES Share experience and knowledge of creative resolution techniques to improve claim results. Support organization and management. Some travel may be required. Qualifications Preferred Education and Experience Bachelor’s Degree (preferred) or equivalent experience (8-10 years) of adjusting experience. Knowledge in multi-state jurisdictions is a plus. Willingness to learn additional jurisdictions. Ability to multitask, organize, prioritize, handle a fast-paced environment, and manage workload with a positive attitude and minimal supervision. Strong written and verbal communication skills, attention to detail. Professional certifications relevant to the line of business are a plus. Skills & Knowledge In-depth knowledge of insurance principles and laws for the line of business handled; recoveries, offsets and deductions; claim and disability duration; cost containment including medical management practices; Social Security and Medicare procedures as applicable. Excellent written and verbal communication, including presentation skills. PC literate, including Microsoft Office. Analytical and interpretive skills. Strong organizational skills. Excellent negotiation skills. Interpersonal skills and ability to work in a team environment. Ability to meet or exceed Performance Competencies. Competencies Thoroughness. Technical Capacity. Problem Solving. Work Environment Professional office environment with standard office equipment. Physical Demands Regularly required to talk or hear; frequently sit; keyboard use; handle or feel; occasionally stand, walk, and reach with hands and arms. Position Type/Hours Full-time. Standard hours are Monday–Friday, 8:30 a.m. to 5:00 p.m.; additional hours as needed. Other Duties This description is not exhaustive; duties may change at any time with or without notice. Equal Opportunity Employer, M/F/D/V. Candidates should be comfortable with on-site presence to support collaboration and leadership. Why Join Us At Acrisure, we’re building more than a business—we’re building a community where people can grow, thrive, and make an impact. Our benefits support health, finances, and family. Acknowledgement Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.
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Reports to: Head of TPA Claims Summary/Objective : Oversees direct reports (6-7 Full Time) in determining coverage, compensability, benefits due; to ensure ongoing adjudication of claims within service expectations, industry best practices and client service requirements; to identify subrogation of claims, develop clear action plans, reserving and settlements. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Review, assign and supervise all claim activity for designated claims to ensure compliance with company best practices, client-specific handling instructions and applicable laws. Oversight in assessing compensability, coverage, AWW/CR and timely payments. Review and approve settlement of claims within designated authority. Oversee reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels. Monitor necessary state filings within statutory limits. Oversee the litigation process; ensure timely and cost-effective claims resolution. Review vendor referrals used in investigation and/or litigation management. Use cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for clients. Monitor and approve claim recoveries, including subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Communicate claim activity with claimants and clients; maintain professional client relationships. Ensure claim files are properly documented and claims coding is correct. Refer cases as appropriate for further review. Lead team manager meetings and assign accountability for follow-up items. Mentor and provide ongoing training to assist in the development of claim staff. Review and maintain supervisory diary on claim system. Oversee all claim activity for specified accounts; ensure compliance with Corporate Claim Handling Standards and special client handling instructions. Interview adjusters and provide feedback in collaboration with Team Manager/Lead. Assist Team Manager/Lead with monthly review of adjusted workloads; identify trends and adjust as necessary. Participate in claim reviews (telephonic and in person) and onsite meetings with insureds as needed. Collaborate with adjusters, team managers, insureds, and brokers regularly. ADDITIONAL FUNCTIONS AND RESPONSIBILITIES Share experience and knowledge of creative resolution techniques to improve claim results. Support organization and management. Some travel may be required. Qualifications Preferred Education and Experience Bachelor’s Degree (preferred) or equivalent experience (8-10 years) of adjusting experience. Knowledge in multi-state jurisdictions is a plus. Willingness to learn additional jurisdictions. Ability to multitask, organize, prioritize, handle a fast-paced environment, and manage workload with a positive attitude and minimal supervision. Strong written and verbal communication skills, attention to detail. Professional certifications relevant to the line of business are a plus. Skills & Knowledge In-depth knowledge of insurance principles and laws for the line of business handled; recoveries, offsets and deductions; claim and disability duration; cost containment including medical management practices; Social Security and Medicare procedures as applicable. Excellent written and verbal communication, including presentation skills. PC literate, including Microsoft Office. Analytical and interpretive skills. Strong organizational skills. Excellent negotiation skills. Interpersonal skills and ability to work in a team environment. Ability to meet or exceed Performance Competencies. Competencies Thoroughness. Technical Capacity. Problem Solving. Work Environment Professional office environment with standard office equipment. Physical Demands Regularly required to talk or hear; frequently sit; keyboard use; handle or feel; occasionally stand, walk, and reach with hands and arms. Position Type/Hours Full-time. Standard hours are Monday–Friday, 8:30 a.m. to 5:00 p.m.; additional hours as needed. Other Duties This description is not exhaustive; duties may change at any time with or without notice. Equal Opportunity Employer, M/F/D/V. Candidates should be comfortable with on-site presence to support collaboration and leadership. Why Join Us At Acrisure, we’re building more than a business—we’re building a community where people can grow, thrive, and make an impact. Our benefits support health, finances, and family. Acknowledgement Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.
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