Insurance Program Managers Group
Workers’ Compensation Team Leader
Insurance Program Managers Group, Chicago, Illinois, United States
Overview
Join to apply for the
Workers’ Compensation Team Leader
role at
Insurance Program Managers Group . We are seeking a Workers’ Compensation Claims Team Leader. This role is a management position overseeing the Workers’ Compensation Claims Teams including Adjusters to develop future leadership capabilities and quality claims outcomes. This is a work from home hybrid position with 2-3 required weekly days in office based on performance production. This is a full-time, exempt position. Essential Functions
Ensures Claims Best Practices guidelines are followed consistently with strong technical understanding of Worker’s Compensation Claim Handling. Ensures that defined processes, quality standards and procedures are followed. When appropriate, coaches to ensure contact with employers, injured employees, doctors, witnesses, and other parties are secured and obtain details about the loss. Coaches and determines appropriate action for each claim. Ensures file notes by team are in accordance with established procedures, maintains timely diary management, updates accurate coding and claim closing goals and coaches to same. Timely addresses direct intervention alerts with proper direction and documentation with oversight of subordinate adherence to same. Coaches to ensure adjuster provides timely information to clients, claimants, doctors, and others regarding the status of claims. Ensure team sets initial and on-going reserves for all indemnity, medical and expense exposures. Authorizes settlement authority requests and reserve authority requests Properly and timely leverages management control reports for best practice adherence with further leveraging of Key Performance Indicator reports to ensure staff objectives are met. Ensures the staff efficiently utilizes Nurse Case Management as needed for complex claims and ensure Team follows through with agreed service level agreements (SLA) between departments by showing urgency in authorization requests Ensures staff are efficiently leveraging risk management where warranted where lost time and or modified duty practices are not being utilized by program clients Ensures staff are working with defense regarding questionable compensability scenarios and IME doctor selection to ensure optimal outcomes Ensures staff are proactively managing defense counsel in line with best practices litigation handling guidelines with adherence to reporting and budget discipline Ensures staff are consistently identifying subrogation opportunities with proper and timely referral to the unit subrogation specialist Ensure staff are accurately and timely effectuating claim transfers to correct level adjuster as prescribed by client service plan and/or BP Guidelines Ensures team consistently recognizes clients that participate in occupational health structures with compliance to their respective special protocols and coaches to ensure adherence to the same Effectively assesses strengths and weaknesses of team for development and training opportunities to ensure optimal service standards are met and optimal outcomes achieved Ensures staff are consistently executing Medicare and Section 111 requirements with proper leveraging of control reports to monitor outliers Superior knowledge in multiple jurisdictions Recognize client specific venues and related benefit adherence, including timely benefit payments and client workflow alterations where needed Communicate effectively with all internal and external business partners Written and verbal communication is professional and time Communicate effectively by expressing oneself in a clear and concise manner in one-one and group discussions while listening attentively in collaborative discussions Foster a sense of energy, urgency, ownership, and personal commitment to work Ownership and coordination with stakeholders in client claim reviews and vendor in teleconferences or in person meetings with key role in discussions Ensure client file reviews presentations are intelligent and in order Occasional travel to clients for claim reviews is requir Timely follow-through on all agreed action items with internal and external stakeholders that have been committed to fully execute on commitments made Achieves all metric goals for adjuster and leader outlined by department manager Identify and assist with ongoing training needs in all areas of Workers’ Compensation Department with new and existing staff Coordination claim discussions with appropriate stakeholders such as adjusters, underwriters, Director of Nurse Case Management, VP of Risk Management, and WC Leadership to drive calibration and alignment in file outcome Share rationale for payments made over reserve set with required stakeholders Collaborate internally before communicating decisions with business partners and clients Manages PTO requests of their direct reports keeping in mind overall capacity of Unit and back up plans as needed Reviews and analyzes other managerial control reports to determine outliers and takes the necessary action with staff as warranted Ensure Excess Reinsurance Collect Reports are addressed with quality and urgency to ensure timely client reimbursement Ensures with staff the understanding of the organization’s goals and how they contribute to the company’s overall success with clarity on objectives Establishes action plans and strategies to help individual and Team achieve goals Uses influence skills to provide sound rationale for recommendations using data to support recommendation when relevant Provide honest, helpful and actionable feedback seeking validation of execution Cultivates an inclusive environment that allows all to feel valued and do their best Assesses performance of capabilities and job fit to track performance against objectives Gathers and analyzes data to aid in problem solving to understand root cause and best solution Convey clear expectations and follow up for ensured execution Holds people accountable for achieving goals Identifies and communicates action steps needed to accomplish objective Identifies all key stakeholders as warranted Completes quality reviews and feedback through direct supervisory reviews/audits in compliance with our Best Practices Shares strengths and opportunities with Sr. Leadership, including weaknesses and vulnerabilities with recommended solutions Support and assist in strategy development and implementation of initiatives Promotes culture of collaboration and teamwork across all organizational boundaries Directly participates in the identification, recruiting, interviewing, and hiring for future employees Owns evaluation and feedback of employees for performance reviews for all adjuster and Team Leader direct reports, including salary budget responsibilities Providers oversight review on all claims over adjuster authority Teaches strong leadership capabilities to Team Leader through continued development Directly responsible for strategy development and implementation of all new client WC Service Plans and required changes to unit workflows This role does not require the handling of any direct claims Nonessential Functions
Additional tasks as requested by management Compensation
Salary range is $95,000 - $115,000 annually. Pay will be based on experience Company Benefits
20 days of PTO each year 2025 includes 13 paid holidays and YOUR BIRTHDAY OFF! Medical, dental, and vision coverage on day one of full-time employment Telemedicine is free for you and your family (day one) if you are covered under our medical plan Flexible time off with an encouraged minimum time away to support a healthy work-life balance Life Insurance, Short term, and long-term disability on day one of full-time employment Onsite fitness center and showers, in our St. Charles, IL HQ Our Interview Process
May we suggest you review our website ahead of our contact at www.IPMG.com and check us out on LinkedIn too to see what we are up to lately. Our goal is to meet the real YOU! We want to learn what makes you tick and how you want to grow in your field. And, we will share more about IPMG and answer any of your questions. If we feel we have a match, you will have a chat with our hiring manager to discuss the technical nature of the position to ensure you have the skills needed to be a success. All About IPMG
IPMG is committed to a diverse and inclusive workplace. IPMG is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, religion, or other legally protected status.Candidates that are selected and hired will need to submit to substance, credit, and criminal background screenings, and computer literacy testing. IPMG is an Equal Opportunity Employer—M/F/D/V. Seniority level
Director Employment type
Full-time Job function
Management Industries
Insurance and Claims Adjusting All other listed job postings and disclosures have been omitted for readability.
#J-18808-Ljbffr
Join to apply for the
Workers’ Compensation Team Leader
role at
Insurance Program Managers Group . We are seeking a Workers’ Compensation Claims Team Leader. This role is a management position overseeing the Workers’ Compensation Claims Teams including Adjusters to develop future leadership capabilities and quality claims outcomes. This is a work from home hybrid position with 2-3 required weekly days in office based on performance production. This is a full-time, exempt position. Essential Functions
Ensures Claims Best Practices guidelines are followed consistently with strong technical understanding of Worker’s Compensation Claim Handling. Ensures that defined processes, quality standards and procedures are followed. When appropriate, coaches to ensure contact with employers, injured employees, doctors, witnesses, and other parties are secured and obtain details about the loss. Coaches and determines appropriate action for each claim. Ensures file notes by team are in accordance with established procedures, maintains timely diary management, updates accurate coding and claim closing goals and coaches to same. Timely addresses direct intervention alerts with proper direction and documentation with oversight of subordinate adherence to same. Coaches to ensure adjuster provides timely information to clients, claimants, doctors, and others regarding the status of claims. Ensure team sets initial and on-going reserves for all indemnity, medical and expense exposures. Authorizes settlement authority requests and reserve authority requests Properly and timely leverages management control reports for best practice adherence with further leveraging of Key Performance Indicator reports to ensure staff objectives are met. Ensures the staff efficiently utilizes Nurse Case Management as needed for complex claims and ensure Team follows through with agreed service level agreements (SLA) between departments by showing urgency in authorization requests Ensures staff are efficiently leveraging risk management where warranted where lost time and or modified duty practices are not being utilized by program clients Ensures staff are working with defense regarding questionable compensability scenarios and IME doctor selection to ensure optimal outcomes Ensures staff are proactively managing defense counsel in line with best practices litigation handling guidelines with adherence to reporting and budget discipline Ensures staff are consistently identifying subrogation opportunities with proper and timely referral to the unit subrogation specialist Ensure staff are accurately and timely effectuating claim transfers to correct level adjuster as prescribed by client service plan and/or BP Guidelines Ensures team consistently recognizes clients that participate in occupational health structures with compliance to their respective special protocols and coaches to ensure adherence to the same Effectively assesses strengths and weaknesses of team for development and training opportunities to ensure optimal service standards are met and optimal outcomes achieved Ensures staff are consistently executing Medicare and Section 111 requirements with proper leveraging of control reports to monitor outliers Superior knowledge in multiple jurisdictions Recognize client specific venues and related benefit adherence, including timely benefit payments and client workflow alterations where needed Communicate effectively with all internal and external business partners Written and verbal communication is professional and time Communicate effectively by expressing oneself in a clear and concise manner in one-one and group discussions while listening attentively in collaborative discussions Foster a sense of energy, urgency, ownership, and personal commitment to work Ownership and coordination with stakeholders in client claim reviews and vendor in teleconferences or in person meetings with key role in discussions Ensure client file reviews presentations are intelligent and in order Occasional travel to clients for claim reviews is requir Timely follow-through on all agreed action items with internal and external stakeholders that have been committed to fully execute on commitments made Achieves all metric goals for adjuster and leader outlined by department manager Identify and assist with ongoing training needs in all areas of Workers’ Compensation Department with new and existing staff Coordination claim discussions with appropriate stakeholders such as adjusters, underwriters, Director of Nurse Case Management, VP of Risk Management, and WC Leadership to drive calibration and alignment in file outcome Share rationale for payments made over reserve set with required stakeholders Collaborate internally before communicating decisions with business partners and clients Manages PTO requests of their direct reports keeping in mind overall capacity of Unit and back up plans as needed Reviews and analyzes other managerial control reports to determine outliers and takes the necessary action with staff as warranted Ensure Excess Reinsurance Collect Reports are addressed with quality and urgency to ensure timely client reimbursement Ensures with staff the understanding of the organization’s goals and how they contribute to the company’s overall success with clarity on objectives Establishes action plans and strategies to help individual and Team achieve goals Uses influence skills to provide sound rationale for recommendations using data to support recommendation when relevant Provide honest, helpful and actionable feedback seeking validation of execution Cultivates an inclusive environment that allows all to feel valued and do their best Assesses performance of capabilities and job fit to track performance against objectives Gathers and analyzes data to aid in problem solving to understand root cause and best solution Convey clear expectations and follow up for ensured execution Holds people accountable for achieving goals Identifies and communicates action steps needed to accomplish objective Identifies all key stakeholders as warranted Completes quality reviews and feedback through direct supervisory reviews/audits in compliance with our Best Practices Shares strengths and opportunities with Sr. Leadership, including weaknesses and vulnerabilities with recommended solutions Support and assist in strategy development and implementation of initiatives Promotes culture of collaboration and teamwork across all organizational boundaries Directly participates in the identification, recruiting, interviewing, and hiring for future employees Owns evaluation and feedback of employees for performance reviews for all adjuster and Team Leader direct reports, including salary budget responsibilities Providers oversight review on all claims over adjuster authority Teaches strong leadership capabilities to Team Leader through continued development Directly responsible for strategy development and implementation of all new client WC Service Plans and required changes to unit workflows This role does not require the handling of any direct claims Nonessential Functions
Additional tasks as requested by management Compensation
Salary range is $95,000 - $115,000 annually. Pay will be based on experience Company Benefits
20 days of PTO each year 2025 includes 13 paid holidays and YOUR BIRTHDAY OFF! Medical, dental, and vision coverage on day one of full-time employment Telemedicine is free for you and your family (day one) if you are covered under our medical plan Flexible time off with an encouraged minimum time away to support a healthy work-life balance Life Insurance, Short term, and long-term disability on day one of full-time employment Onsite fitness center and showers, in our St. Charles, IL HQ Our Interview Process
May we suggest you review our website ahead of our contact at www.IPMG.com and check us out on LinkedIn too to see what we are up to lately. Our goal is to meet the real YOU! We want to learn what makes you tick and how you want to grow in your field. And, we will share more about IPMG and answer any of your questions. If we feel we have a match, you will have a chat with our hiring manager to discuss the technical nature of the position to ensure you have the skills needed to be a success. All About IPMG
IPMG is committed to a diverse and inclusive workplace. IPMG is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, religion, or other legally protected status.Candidates that are selected and hired will need to submit to substance, credit, and criminal background screenings, and computer literacy testing. IPMG is an Equal Opportunity Employer—M/F/D/V. Seniority level
Director Employment type
Full-time Job function
Management Industries
Insurance and Claims Adjusting All other listed job postings and disclosures have been omitted for readability.
#J-18808-Ljbffr