Workers' Compensation Claim Supervisor

Job Summary

The Workers' Compensation Claim Supervisor is responsible for the investigation, adjustment, and supervision of assigned claims. This position serves as the dedicated claim supervisor for a single municipal account, providing leadership, oversight, and strategic direction to a team of approximately 4–5 claims professionals supporting the account.

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

• 10+ years of Workers’ Compensation claims handling experience, including full claim investigation, evaluation, and resolution.
• Prior supervisory or people-lead experience within Workers’ Compensation.
• Demonstrated ability to lead and oversee adjusters in a fast-paced, compliance-driven environment while maintaining quality and service standards.
• Strong understanding of Arizona Workers’ Compensation regulations, claim practices, and compliance requirements.
• Active Workers’ Compensation adjuster license in Arizona.
• Educational requirement: Bachelor’s degree or equivalent combination of education and experience.
• Industry certifications such as Arizona ICA Adjuster Certification, or the ability to obtain it.
• Experience supporting Municipal accounts.
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.