Who We Are
Prescient National is an AM Best A (Excellent) rated workers’ compensation insurance company offering national coverage. We provide innovative insurance products and effective loss reduction strategies, tailored to meet both current and future challenges. Our solutions include Guaranteed Cost Policies, Deductible Policies, Retrospective Rating Policies, Excess/Self Insurance, and Captive Options, all designed to align with each employer’s unique risk profile and appetite. By leveraging deep analytics and fostering strong relationships with stakeholders, we deliver unparalleled service and creative solutions that distinguish us in the industry.
About the Job
If you’re passionate about helping people and enjoy a fast-paced environment where no two days are the same, the Prescient National Claims team could be the place for you! As a Claims Manager, you’ll lead and develop a team of Claims Professionals while driving high-quality, timely, and effective workers’ compensation claim outcomes. You’ll play a key role in coaching and developing your team through regular feedback, while fostering a proactive approach to claims management. This role combines people leadership with a strong focus on cost containment, appropriate reserving, favorable claim outcomes, and creative problem-solving to meet the unique needs of each claim. If you’re a thoughtful leader who enjoys developing people and finding innovative ways to navigate complex claims, we’d love to hear from you.
How You Will Make an Impact
• Lead, coach, and develop direct reports by identifying training needs, strengths, and development opportunities to support individual and team success
• Establish clear performance expectations, goals, priorities, and accountability
• Provide regular feedback, recognition, and performance coaching
• Conduct performance reviews and address performance concerns in partnership with HR, when appropriate
• Foster a positive, collaborative, respectful, and inclusive team environment
• Delegate responsibilities and manage team workloads, priorities, and resources effectively
• Maintain a diary for all open claims in the unit and conduct regular, substantive file reviews to ensure proactive, timely and appropriate claim handling
• Ensure claims are handled in accordance with applicable state requirements, including required notices, benefits, filings, deadlines and documentation
• Evaluate claim strategy and investigation to ensure appropriate compensability decisions, development of relevant facts, effective use of medical information and other available data and timely identification of issues affecting claims outcomes
• Review action plans and reserves for adequacy and accuracy, with a focus on achieving the best possible claim outcome, controlling claims costs and minimizing avoidable reserve development
• Identify deficiencies, trends or opportunities through file reviews and provide timely direction, coaching and follow up to ensure corrective actions are completed
• Ensure and maintain appropriate licenses or certifications of adjusters for all states in which claims are being handled
• Work closely with reinsurers by reviewing and sending carrier reports, attending audits and ensuring all notice and reporting are met
• Model the organization’s values and expected leadership behaviors
• Perform other duties or special projects as assigned
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Who You Are
• State issued Adjuster’s license with a willingness to gain a license in additional states
• 5-8 years of multijurisdictional workers compensation insurance experience
• 3+ years of people management experience
• Bachelors degree
• Ability to operate independently and effectively
• Strong interpersonal and organization skills
• Strong problem-solving ability
• Comfortable using internet/online based software
• Detail oriented
• Excellent written and oral communication skills
• Advanced skills in Microsoft Office products (Excel)
• Strong negotiation skills
Physical Demands
• Regularly talks throughout the day during both in person conversations and via telephone
• Regularly required to use hands and fingers to handle, feel, or operate objects or tools
• Regularly required to sit for up to 8 or more consecutive hours
• Occasionally lifts up to 10lbs
• Regularly walks through a multi-level office environment
• Regularly types using a computer keyboard for up to 8 hours per day
• Regularly uses a computer mouse for up to 8 hours per day
Work Environment
Remote Workplace: Enjoy the ability to work from home.
Schedule/Expected Hours of Work
The Claims Manager will be expected to work Full Time. This schedule will include a minimum of a 37.5 hours per week Monday-Friday to fall between the hours of 7am and 6pm.
Other Duties
This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Equal Opportunity Employer
We are an equal-opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.