Workers' Compensation Claim Supervisor

Job Summary

The Workers’ Compensation Claim Supervisor is responsible for overseeing the daily performance and workload of a claims team supporting a single, dedicated municipal client account. This role provides direct supervision to workers’ compensation claim professionals and claim assistants while ensuring claims are handled in compliance with Nevada statutory requirements, client expectations, and CCMSI standards.

Responsibilities

• Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.
• Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.
• Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
• Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims.
• Negotiate any disputed bills or invoices for resolution.
• Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
• Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
• Absorb and supervise the selection, referral and supervision of designated claim files sent to outside vendors (i.e. legal, surveillance, case management, etc.).
• Direct handling of designated litigated and complex claims.
• Provide education, training and assist in the development of claim staff.
• Review and maintain personal diary on claim system.
• Supervision of all claim activity for specified accounts.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.

Qualifications

• Active Nevada Workers’ Compensation Adjuster License required.
• Minimum of 5 years of Nevada workers’ compensation claims experience.
• Prior experience supervising or providing technical oversight to claims staff.
• Experience supporting a single dedicated client account; municipal or public entity experience preferred.
• Strong knowledge of Nevada workers’ compensation statutes, regulations, and best practices.
• Demonstrated ability to provide guidance, direction, and oversight for claims handling and resolution strategies.
• Proven customer service mindset with a strong focus on responsiveness and client satisfaction.
• Excellent verbal and written communication skills.
• Strong organizational and time-management skills with the ability to prioritize competing demands.
• Ability to coach, develop, and support claims staff in a team-based environment.
• High level of discretion and ability to maintain confidentiality.
• Reliable, predictable attendance during scheduled work hours.
• Proficiency with Microsoft Office applications, including Word, Excel, and Outlook.
• Direct Reports Supervisory responsibility for 5–8 team members.

Nice to Have

• Prior supervisory or people-lead experience within Workers’ Compensation.
• Bachelor’s degree or equivalent combination of education and experience.
• AIC, CPCU, or ARM preferred.
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.