Claims Director

Company: Synergy Comp
Location: Sharon
Posted on: January 22, 2023

Job Description:

Company Description

Synergy Comp is an AM Best "A Rated" monoline Workers' Compensation carrier founded in 2006 that specializes in providing highly effective workers' compensation and workplace safety solutions that seamlessly combines innovative claims resolution, risk management, and loss prevention strategies, with a total commitment to creating a culture within the workplace that embraces safety as a core operating principle.

Our goal is to form long term relationships with companies that are looking to drive down their claims and safety costs, improve employee morale and ultimately add dollars to their bottom line.

Job Description

Who You Are:

The Claims Director leads the operations of the claims department to meet and exceed operational, financial, and service requirements. The position establishes policies and procedures for worker's comp claims administration and is responsible for overseeing the efficient and accurate processing and payment of claims. Maintains up-to-date knowledge of legislation and regulations and participates in industry events that pertain to worker's compensation, claims, or related and beneficial matters.

Additionally, the Claims Director will provide expert guidance and consultation to staff on the most complex claims. Creates functional strategies and specific objectives to support the functional infrastructure and looks ahead to enact changes when needed to ensure the company best utilizes technology, talent, and resources.

What You'll Do:

• Facilitate, enhance, and implement onboarding and training of all Claims Department team leads and supervisors and will oversee all department functions.
• Responsible for directing the planning, development, implementation, and evaluation of policies and procedures that assure accurate, timely claims and encounter processing and provider inquiries (written or verbal).
• The compilation and enhancement of information and documents required for claims processing and related inquiries to assure compliance with all applicable rules, regulations, and external and internal policies and procedures.
• Facilitate the planning and implantation of the proper department infrastructure for current success and future company footprint.
• Evaluate department results daily and determine plans of action to be evaluated and implemented for current success and future jurisdictions.
• Regularly audit past open fully insured claims and provide feedback to the team leads on handling/oversight recommendations.
• Identify business and legal trends, as well as develop and execute strategic plans to address trends; research state statutes to determine growth opportunities.
• Manage claims-related vendors, set expectations, evaluate results, and monitor expenses.
• Preparation and timely submission of management and regulatory reports.
• Implementing initiatives to improve efficiencies, customer service, and cost management; assisting in maintaining a positive customer service environment and working collaboratively to assess work product; adjusting claim practices as appropriate to anticipate, respond to, and manage trends.
• Ensure the department is proactively prepared for all aspects of state expansion, ensuring department staffing with expertise and experience in-line with the company's strategic initiatives.
• Focus on staff development to ensure succession planning and talent retention, identifying and promoting opportunities for exposure and experience.
  
  Qualifications
  
  What You'll Need:
  
  • Bachelor's Degree from an accredited college or university required
  • 10+ years of claims management experience, with a minimum of 5 years in Workers' Comp, including demonstrated success in building out the proper infrastructure to support department and company growth
  • Insurance designation preferred, but not required
  • Well-developed outside attorney management/oversight skills involving large, complex claims in a range of jurisdictions
  • Exceptional knowledge of workers comp's investigative techniques and legal precedents.
  • Minimum of three days working onsite in Sharon, PA
    
    Additional Information
    
    What makes working at Synergy Comp great?
    
    • Flexible work environment
    • 5-Time Winner "Best Places to Work in PA."
    • Dedicated committees devoted to employee team building, fun, & community
    • Inc. 5000 List (Fastest Growing Companies) 2016 - 2021
    • Pittsburgh Business Ethics Award
      What We Offer:
      
      We work hard to provide our employees with a comprehensive benefits package that improves their lives.
      
      Health Benefits: Medical, Dental, Vision, insurance with employer HSA contributions
      
      Enjoy Some Downtime: Self-managed PTO
      
      Family First: 100% paid maternity, paternity, and parental leave
      
      Prepare for your future: 401K contributions with company match and no vesting period
      
      Self Care and Work-Life Balance: Personalized wellness coach and fitness facility reimbursement
      
      Investment in Your Career: College loan and professional development reimbursement
      
      Hard Work Pays Off: Profit sharing based on company performance
      
      Please check out our website for more information:
      
      https://www.synergyinsurance.com/working-for-synergy
      
      Videos To Watch
      https://youtu.be/60uJ-TeAIa8
      https://youtu.be/9R0LE4fFPIo

Keywords: Synergy Comp, Akron , Claims Director, Executive , Sharon, Ohio