Workers Compensation Claims Supervisor

TRISTAR Insurance Group

. Oversee daily operations of a workers’ compensation claims unit under minimal supervision .

Posted 11/5/2026full-timeRemote • Wisconsin • United StatesMid-LevelSenior💰 $95,000 - $105,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong technical knowledge of multi-state workers’ compensation laws and regulations, along with the ability to supervise and develop staff effectively. Proficient in claims handling, analysis, and communication, ensuring compliance and high-quality service delivery.

Highest-signal resume keywords

Workers’ Compensation Claims ManagementMulti-State Workers’ Compensation LawsClaims Diary System ManagementMicrosoft Word ProficiencyAnalytical Problem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims HandlingClaims CodingFile ReviewPerformance MonitoringClaims AuditingReport PreparationStaff SupervisionTraining and DevelopmentClient CommunicationVendor Evaluation

Soft Skills

Interpersonal SkillsLeadershipTime ManagementEffective CommunicationProfessional Attitude

Tools & Technologies

Microsoft Excel

Certifications & Qualifications

State Required Certifications

Industry Keywords

Claims Unit OperationsComplianceClient ServicePerformance EvaluationsAttendance Management

About the role

Key responsibilities & impact

Oversee daily operations of a workers’ compensation claims unit under minimal supervision
Ensure timely, accurate, and high-quality claims handling in compliance with state laws, client requirements, and company policies
Directly supervise examiners and clerical staff, including attendance, performance evaluations, and disciplinary issues
Participate in new-hire interviewing, training, and personnel action processes
Monitor staffing needs and distribute caseloads equitably
Review and address scheduled claims issues, including initial and periodic reviews, delays, and denials
Perform file reviews for accuracy and compliance
Ensure consistent and accurate claim coding
Prepare agendas and lead team meetings
Make daily claims decisions regarding claim strategies, action plans, payments, recoveries, and reporting
Run supervisory reports to monitor performance
Review and approve reserve changes and payments within company and client guidelines
Establish and complete supervisory diaries
Prepare for claim audits, review results, and provide rebuttal feedback
Lead educational and training sessions on updated laws, policies, and procedures
Respond to claimant and vendor concerns and facilitate resolution
Evaluate vendor effectiveness and modify vendor panels as needed
Ensure staff follow client service instructions and state reporting requirements
Provide claims-handling coverage during absences and vacancies
Prepare, evaluate, and analyze monthly client reports
Coordinate and support internal and external audits
Participate in client file and claim reviews and address action items
Partner with corporate office and sales and service teams on RFPs and client service issues
Adhere to TRISTAR’s Best Practices
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma or GED listed in the posting
Five (5) plus years related experience, or equivalent combination of education and experience
Strong technical knowledge of multi-state workers’ compensation laws, regulations, and medical terminology
Ability to maintain a claims diary system, prioritize work, and meet strict deadlines
Strong analytical and problem-solving skills
Proficiency in Microsoft Word and Excel
Excellent written and verbal communication skills, including explaining technical claims information clearly to claimants, clients, and staff
Ability to supervise, coach, and develop employees with varying levels of experience and technical ability
Strong interpersonal skills and ability to maintain effective working relationships
Ability to manage competing priorities and remain effective under pressure
Ability to model a positive, professional attitude to direct reports
Ability to respond promptly to client requests and service needs
Certifications and/or licenses as required by State regulation