Claims Quality Audit Supervisor jobs in Idaho

Claims Supervisor

This position is located in Boise, Idaho and requires the ability to travel up to 20% both locally and statewide, with occasional overnight travel. Salary starts at $88,000 annually.

SIF (Idaho State Insurance Fund) is a leader in Idaho workers’ compensation. Because we live and work locally, we recognize that our customers are the backbone of Idaho’s economy and we are proud to offer services that protect their businesses and injured workers, and support their financial strength. We empower our team to put people first, grow professionally, and have fun. At SIF, we’re passionate about Idaho and we’re passionate about what we do.

We are currently seeking a Claims Supervisor to join our Claims Leadership team!

As a Claims Supervisor you will be responsible for providing leadership and guidance to a team of Claims Examiners in their performance of claims management functions. The Claims Supervisor will lead, motivate, and train employees to effectively prioritize work; identify and resolve complex issues in a professional manner; and foster a team environment while providing excellent customer service.

We’ll be looking for YOU to:

• Analyze complex workers’ compensation claims and provide sound technical guidance to assist team members to identify opportunities to resolve issues and overcome barriers.
• Collaborate with team members to ensure that claims have a properly developed action plan to achieve best claim outcome.
• Build collaborative relationships with your team, colleagues and others within the organization to enrich SIF’s culture.
• Communicate regularly with internal team members and stakeholders, as well as parties outside of SIF including the Idaho Industrial Commission, attorneys, medical providers, injured workers, policyholders, and agents.
• Handle escalated calls to help resolve customer concerns, facilitating a positive customer experience.
• Identify process-related issues and provide recommendations to improve efficiencies.
• Ensure productivity metrics, service time and quality levels are maintained by overseeing daily workflow and adjusting team resources as needed.
• Facilitate weekly check-ins and quarterly coaching conversations with your team to build trust and engagement and to support continuous learning and professional development.
• Commitment to coaching, developing and mentoring team members to help them achieve their highest potential. If performance-related issues/concerns arise, evaluate coaching/training needs, and facilitate performance counseling as needed.
• Ensure compliance with applicable laws and administrative rules as well as departmental processes and procedures.
• Represent SIF in a professional manner at industry and community conferences and events.

Your background should include:

• Bachelor’s degree or an equivalent combination of education and experience.
• 5 years of workers’ compensation claims experience involving complex medical, disability and legal issues; Minimum of 3 years’ experience with Idaho claims handling preferred.
• Experience leading, training, developing and coaching employees with an emphasis on building a team focused on providing exceptional customer service.
• Ability to de-escalate concerned and emotional stakeholders in a professional and thoughtful manner.
• Proficiency using Microsoft Office products and analytical reporting tools such as Tableau, Power BI, Cognos, etc. to produce high-quality reports and presentations.
• Excellent interpersonal communication skills to consult, negotiate and interact effectively with all levels within the organization and external customers.
• Strong analytical and critical thinking skills to effectively interpret and explain laws, rules, regulations, policies and related business concepts and practices.
• Ability to act with discretion and use professional judgement when dealing with sensitive and confidential information and/or issues.

What you can expect!

• A fun, collaborative culture
• Work-life balance
• Professional development opportunities that are more than just “talked about”, they actually happen!
• Competitive salary
• Generous paid time off
• Amazing insurance benefits package
• Retirement benefits that rock – membership in PERSI (pension plan) as well as retirement savings options via 401(k) and 457 plans

SIF values diversity and we are an equal opportunity employer. Please note that applicants need to have legal authority to work permanently in the U.S.

Job Type: Full-time

Pay: From $88,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• On-site gym
• Paid time off
• Paid training
• Parental leave
• Prescription drug insurance
• Professional development assistance
• Retirement plan
• Vision insurance
• Wellness program

Schedule:

• Monday to Friday

Work setting:

• In-person
• Office

Application Question(s):

• Do you know or are you related to anyone currently working at SIF?

Ability to Relocate:

• Boise, ID 83702: Relocate before starting work (Required)

Work Location: In person