Workers' Compensation Claim Supervisor

Job Summary

The Workers’ Compensation Claim Supervisor is responsible for the oversight, investigation, adjustment, and supervision of workers’ compensation claims across Midwest jurisdictions, including Kansas, Missouri, Illinois, Iowa, Nebraska, and Indiana, with a strong concentration in Illinois.

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.
• Provide supervision and technical guidance to a team of approximately 4–6 workers’ compensation adjusters.
• 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

• 10+ years of Workers’ Compensation claims handling experience, including full claim investigation, evaluation, and resolution.
• Demonstrated ability to lead and oversee adjusters in a fast-paced, compliance-driven environment while maintaining quality and service standards.
• Strong understanding of Illinois Workers’ Compensation regulations, claim practices, and compliance requirements.
• Effective communication skills with the ability to engage professionally with adjusters, clients, and internal partners.
• Working knowledge of entry- and mid-level WC adjusting roles and workflows.
• Reliable attendance during established client service hours.

Nice to Have

• Prior supervisory, team lead, or people management experience.
• Prior TPA experience handling national or multi-state accounts.
• IA and/or NE adjuster licenses.
• Industry designations such as AIC, CPCU, ARM, SIP, or WCP.
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.