Search

Job

Supervisor, Worker's Compensation and Liens

Posted by
1199SEIU Funds
|
New York, NY
New
|
Published 8 days ago

Responsibilities:


  • Partner with Manager to ensure the Worker’s Compensation/Liens Department and Fund goals are implemented, accurately communicated and achieved
  • Supervise staff in accordance with established departmental procedures, Human Resources guidelines, and provisions of Collective Bargaining Agreement
  • Conduct daily monitoring of calls using call management system (Cisco Unified Contact Center Enterprise); generate and review reports for trending, system issues and repeat calls for an improved member experience; Conduct Listening Sessions and coaching for phone staff based on monthly TQA Reports
  • Ensure staff is trained and developed to meet the goals and needs of the department; establish a collaborative team environment, maintain an ‘open door’ policy remaining approachable and accessible, and provide constructive feedback on a regular basis
  • Prepare performance evaluations for direct reports; monitor and evaluate achievements of performance standards (i.e. productivity, accuracy, and attendance) and take corrective action as necessary; identify strengths, areas of development; create improvement plans, coach and counsel as appropriate
  • Resolve escalated member calls and/or emails and act as liaison between attorneys, insurance carriers, health care providers, and various Fund departments regarding third party liens, no-fault, and worker’s compensation cases; troubleshoot, resolve and follow-up on urgent matters
  • Monitor manage and process staff time and attendance via timekeeping system (E-time) and manage staff schedule adherence.
  • Conduct quality reviews of Workers’ Compensation/Liens staff to ensure operational policies and procedures are being adhered to, (e.g. timely follow up; accuracy of letter/tracking, etc.)
  • Review, analyze and assess workers’ compensation, third party and no- fault case files through e-case, e-law, e- courts, PerfectLaw, QNXT, and V3
  • Review and negotiate the Funds’ reimbursement with attorneys and members based on established guidelines in Fund’s Third- Party Lien policy
  • Thoroughly monitor and maintain PerfectLaw database and production reports to ensure timely follow-up on Worker’s Compensation/Liens cases; prepare monthly reports on recovery activities; Identify areas for development, create improvement plans, coach and counsel as appropriate
  • Coordinate and attend weekly worker’s compensation clinic and review worker’s compensation intakes with attorney
  • Perform additional projects and responsibilities as assigned by management

Qualifications:

  • Bachelor's degree in Political Science, Law, Business Management or relevant years of experience
  • Minimum three (3) years relevant work experience in settlement and adjudication of Third Party and Worker’s Compensation Claims; must include one (1) year practical experience supervising professional staff; call center experience preferred; experience conducting audits, and quality assurance preferred
  • Knowledge of Fund’s and management systems (eligibility, disability, medical, PerfectLaw, Cisco, etc.)/benefits and rules (1199 SEIU National Benefit Fund, Greater New York Benefit Fund, Home Care Employees Benefit Fund) required
  • Intermediate skill level in Microsoft Word and Excel required; knowledge of PowerPoint preferred
  • Good knowledge of claims processing, medical terminology, worker’s compensation, liens required; knowledge of legal terminology and paralegal experience preferred
  • Familiar with call center operations supervision, technologies, methodologies and performance measures to manage staff performance
  • Able to direct and motivate staff to meet or exceed standards; experience monitoring productivity and quality standards
  • Good leadership skills and ability to direct and motivate staff; superb communication skills both verbal and written
  • Excellent critical thinking, attention to detail and problem-solving skills; able to work well independently and as a team player
  • Demonstrated organizational skills with ability to multi-task and meet operational deadlines
  • Ability to work well under pressure, maintain professional manner and presentation


Responsibilities:


  • Partner with Manager to ensure the Worker’s Compensation/Liens Department and Fund goals are implemented, accurately communicated and achieved
  • Supervise staff in accordance with established departmental…

Details at a Glance

  • Time Commitment
    Full Time Schedule
  • Education
    4-Year Degree Required
  • Professional Level
    Managerial

Benefits

Medical, dental, 401K and Tuition reimbursement

Medical, dental, 401K and Tuition reimbursement

Level of Language Proficiency

  • Bachelor's degree in Political Science, Law, Business Management or relevant years of experience
  • Minimum three (3) years relevant work experience in settlement and adjudication of Third Party and Worker’s Compensation Claims; must include one (1) year practical experience supervising professional staff; call center experience preferred; experience conducting audits, and quality assurance preferred


  • Bachelor's degree in Political Science, Law, Business Management or relevant years of experience
  • Minimum three (3) years relevant work experience in settlement and adjudication…

Location

Temporarily Remote
Work must be performed in or near New York, NY
Associated Location
498 7th Ave, New York, NY 10018, USA

How to Apply

Join Idealist

Sign up today to save your favorite jobs and get email alerts when new ones are posted.