dcsimg

Career Story: Workers' Comp Claims Manager For An Insurance Company

Workers' Comp Claims Manager For An Insurance Company

Job Title: Claims Manager

Type of Company: My company is handles workers' compensation claims for one of America's largest industrial combines.

Education: 1 year of college

Previous Experience: I started as a legal secretary, went into group health insurance and that led to handling workers' compensation claims as a lifetime career. I now manage a team of ten adjusters.

Job Tasks: I currently supervise ten support staff within my office, participate in program-wide initiatives to improve the level of service to our client and am responsible for meeting specific yearly goals as set forth by our company and our client. We investigate and determine compensability of the claims that are submitted to us, deliver wage and medical benefits to our client's employees and coordinate the return to work of injured employees. My subordinates have to be trained to know the Workers Compensation law in over 43 states, and must be able to direct the handling of litigated claims and know how to detect and report fraudulent claims. They are expected to understand medical terminology and treatment protocols and foresee potentially large exposure claims based on the type of injury or illness identified by the treating physicians. I am responsible for auditing their work for proper wage and medical benefits payments, application of the specific workers' comp. laws in the jurisdictions they handle and for the appropriate level of customer service. In addition to this, I oversee the telephone unit for quality purposes and customer satisfaction ratings. I am also required to do yearly performance appraisals on my unit, and train and update my existing unit on any changes in the law or company policy and procedures.

Best and Worst Parts of the Job: The best parts of the job are working with a small group of colleagues and seeing individuals reach their potential in different areas. Some are especially good at details and others excel in customer service. It is rewarding to me as a team leader to know that the training I have given is assisting people to move forward in their careers. I try to develop the unit into a self-directed team, so that its members can work an issue through to resolution without constant supervision.

The worst part of the job is seeing someone' selfish personal agenda affect morale in the office.

Job Tips:
1. Be willing to learn, study and listen. We deal with many walks of life every day and it requires great people skills.

2. Never be afraid to ask a question if you don't have an answer. There are so many legal, medical, and analytical experts, all you have to do is ask.

3. You must have a positive personality to handle this work: dealing with injured people, disgruntled employees, lawyers and doctors!

Additional Thoughts: One of the best ways to advance in the insurance business is to take the required insurance courses for accreditation early on. But being book smart alone won't be enough; you need to have exceptional people skills and be able to detect situations that need to be investigated more thoroughly.

Popular Schools offering Management Programs

quickinfoThese schools offer particularly quick info upon request, and we have written detailed profiles for each (click school names to see the profiles).

Request info from multiple schools, by clicking the Request Info links.

Matching School Ads

Welcome to Argosy University

Argosy University offers doctoral, master's, and bachelor's degree programs to students through its eight colleges:  College of Behavioral Sciences, Graduate School of Business and Management, College of Education,  College of Health Sciences, College of Arts and Sciences, College of Creative Arts and Design, College of Clinical Psychology and Western State College of Law at Argosy University as well as certificate programs in many areas.

  • Programs: Management (MSM), Business Administration - Organizational Management (BS) (Online), Business Administration (AS) (Online), more...
  • Degrees: Master, Bachelor, Associate

Pursue your education at Ohio Christian University.

  • Programs: Associate of Arts in Business - Business Management, Bachelor of Arts in Business - Business Management, Master of Management, more...
  • Degrees: Associate, Bachelor, Master

Concordia University - Portland offers several fully online 14-month Master of Education (M.Ed.) programs and a fully online Doctorate of Education (Ed.D.) program.

  • Programs: Transformational Leadership (EDD)
  • Degrees: Doctorate

Congratulations! Your interest in Independence University is an important first step toward changing your life. A career-focused degree is the key to a career with a potentially higher income, better benefits, and more satisfaction.

  • Programs: Business Administration (BS), Business Administration - New Media Marketing (BS)
  • Degrees: Bachelor
Platt College
Alhambra, Anaheim, Riverside

Turn your talents into a career at nationally recognized and accredited Platt College.

  • Programs: Business Management
  • Degrees: Associate
National Career College
Panorama City

Choosing a school and a new career path can be a very overwhelming process.

  • Programs: Business Management and Accounting
  • Degrees: Associate

Earn your graduate degree online with Northcentral University.

  • Programs: Project Management - BBA, Project Management - PhD in Bus. Admin., Project Management - D.B.A., more...
  • Degrees: Bachelor, Doctorate, Master
San Joaquin Valley College
Bakersfield, Delano, Hanford, Lancaster, Madera, Ontario, Temecula, Visalia

San Joaquin Valley College - A Private Junior College.

  • Programs: Certificate - Business Administration (Management), Degree - Business Administration (Management)
  • Degrees: Certificate, Associate

Pursue a certificate, master, or doctorate degree in Psychology at The Chicago School for Professional Psychology.

  • Programs: Ph.D. Organizational Leadership
  • Degrees: Doctorate

Making the decision to earn your degree and pursue your career goals could be the best decision you ever make. Enroll at ECPI University and you’ll join a collaborative and fostering learning environment, surrounded by faculty and staff who are there to support you through the entire process.

 

  • Programs: Business Administration - Bachelor's
  • Degrees: Bachelor
Matching School Ads

Additional Career Stories for Managers

The inside stories from people actually working in the field.
Click a story title to show the story, and click the title again to hide it.

All Types

You are visiting:

Find a school near you

What are Career Stories?

Career Stories are concise, real-world career overviews written by people relating their personal career experiences and wisdom. They provide invaluable insights and mentoring advice to students and career changers.

Most stories include:

  • a typical day or project
  • tips and advice
  • best and worst parts
  • educational background
  • previous experience

Browse hundreds of Career Stories

More Details On This Career

Please also see our detailed information about Managers, including:

Back to Top