Claims Supervisor
robert halfHouston (TX)
About the role
Overview:
In this long-term remote role you will oversee complex workers' compensation claims from inception to resolution, ensuring compliance and cost-effective outcomes. You'll work with internal stakeholders, injured employees, medical providers, and counsel to coordinate care, adjudicate claims timely, and support return-to-work initiatives. The role emphasizes accurate administration, stakeholder communication, and high-quality service delivery at scale. This opportunity offers meaningful impact through strategic claims management in a client-focused environment.
Responsibilities:
- Manage a portfolio of high-exposure and complex workers' compensation claims, including litigated cases
- Investigate claims by reviewing reports and medical records and conducting interviews
- Ensure timely and accurate claim adjudication in line with state laws and guidelines
- Develop and adjust claim strategies, including reserves and reporting
- Coordinate with medical providers, rehabilitation specialists, and case managers for return-to-work efforts
- Monitor litigation and collaborate with defense attorneys, attending hearings as required
- Communicate regularly with injured employees, employers, brokers, and stakeholders on status
- Maintain organized records and contribute to reporting on claims and staffing activity
Key requirements:
California adjuster licensereside in Californiaexperience managing complex and litigated workers' compensation claimsstrong customer service and stakeholder communication skillsability to work remotely and manage a heavy caseloadknowledge of state workers' compensation statutes and company guidelinesdetail-orientedcollaborativeexcellent communicationclaims managementreserve settingadjudication
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