Role Overview
Join a forward-thinking team as a Sr. Workers’ Compensation Claims Specialist, Supervisor, where you’ll lead the management of complex and litigated claims while overseeing a team of claims professionals. This remote position plays a key role in maintaining high standards in claims handling, ensuring compliance with regulatory requirements, and supporting organizational goals through effective supervision and strategic oversight.
Key Responsibilities
- Oversee the adjudication of workers’ compensation claims, stepping in during periods of staffing gaps to maintain continuity
- Conduct thorough investigations and negotiate settlements in alignment with established claims best practices
- Review and document claim files regularly, focusing on coverage determinations, medical oversight, reserve accuracy, legal strategy, and action planning
- Provide guidance on complex coverage questions and respond to inquiries from claimants, insureds, agency partners, and fronting carriers
- Ensure consistent communication with stakeholders according to defined service standards and reporting protocols
- Support team members in managing litigation, including timely filings and protection of insured and carrier interests
- Lead hiring, performance management, coaching, and development initiatives for claims staff
- Conduct regular performance evaluations, set measurable goals, and monitor progress throughout the year
- Organize and lead team meetings, training sessions, and cross-functional reviews to promote consistency and quality
- Review all active claims files at minimum every 90 days to ensure compliance and appropriate case progression
- Analyze team performance metrics and implement improvements to enhance efficiency and service delivery
Qualifications
- High school diploma required; college degree preferred
- Active Workers’ Compensation license in applicable state, or ability to obtain within three months of hire
- Minimum of five years of experience in property and casualty claims adjusting, including handling of litigated files
- Strong understanding of Workers’ Compensation and General Liability coverages and their practical application
- Familiarity with insurance regulations across multiple jurisdictions
- Ability to pass required state licensing exams
- Supervisory experience and technical designations such as AIC or CPCU are a plus
- Prior experience in agency, carrier, or loss control roles is highly valued
Work Environment & Benefits
- This is a fully remote position with flexible work arrangements
- Comprehensive total rewards package including competitive base salary ($65,000–$109,000), annual bonuses, and 401k profit sharing
- Generous paid time off, including paid parental leave, volunteer time off, and a dedicated Diversity Day
- Support for professional growth through tuition reimbursement and continuing education funding
- Commitment to diversity, equity, and inclusion, supported by a Chief Diversity Officer and employee-led DE&I initiatives
- Recognition programs and merit-based advancement opportunities
Culture & Values
The organization prioritizes trust, integrity, and meaningful relationships—both internally and with clients. Team members are encouraged to challenge the norm, solve problems thoughtfully, and act with accountability. A culture of mentorship, continuous learning, and recognition supports long-term career development. Employees are empowered to maintain work-life balance through flexible practices and purposeful time-off policies. Collaboration, respect, and real human connection are at the heart of how work gets done.
