Worker Compensation Claims Supervisor

TRISTAR Insurance Group

Claims Supervisor managing dedicated claims unit for a company in the insurance sector. Overseeing staff, ensuring compliance, and interacting with clients for quality results.

Posted 7/14/2026full-timeSacramento • California • 🇺🇸 United StatesMid-LevelSenior💰 $100,000 - $110,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong leadership in supervising examiners and clerical staff while ensuring compliance with statutory regulations and company policies. Proficient in analyzing claims issues and facilitating training sessions to enhance team performance and client service.

Highest-signal resume keywords

Supervisory ExperienceClaims AnalysisStatutory Regulations KnowledgeTraining CoordinationAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ReviewFile ReviewCompliance MonitoringReserve Changes ApprovalDiary System Management

Soft Skills

Excellent Communication SkillsInterpersonal SkillsEmployee ManagementAnalytical ThinkingTask Prioritization

Tools & Technologies

Microsoft WordMicrosoft Excel

Industry Keywords

California RegulationsClient Service InstructionsAudit FacilitationClaims IssuesPerformance Evaluations

About the role

Key responsibilities & impact

Directly supervise examiners and clerical staff. Includes monitoring attendance, job performance, evaluations, and disciplinary issues.
Reviews and addresses scheduled claims issues, such as initial and periodic reviews, delays, denials, etc.
Reviews and approves reserve changes, awards, and payments within Company and Client guidelines.
Performs file reviews to monitor compliance with policies and laws.
Establishes appropriate supervisory diaries on claim files and completes pending diaries on or before scheduled due dates.
Prepares for claim audits, reviews audit results, and provides appropriate rebuttal feedback.
Coordinates and leads training sessions for staff on updated laws, policies, and procedures.
Ensures daily caseload staffing requirements are met.
Responds to claimant and vendor concerns and issues as needed.
Ensures client service instructions are adhered to.
Analyzes monthly client reports.
Facilitates internal and external audits.
Attend client file-staffing meetings in person or telephonically.
Other duties as assigned.

Requirements

What you’ll need

Bachelor’s degree in related field (preferred).
Three (3) to five (5) years related experience; or equivalent combination of education and experience.
Technical knowledge of statutory regulations, including rules and procedures relating to the California.
Ability to work on a diary system, prioritize tasks, and meet strict deadlines.
Strong analytical skills.
Proficient in Word and Excel.
Excellent written and verbal communication skills, including the ability to convey technical details to claimants, clients, and staff.
Ability to manage employees of various skill levels.
Excellent interpersonal skills.

Benefits

Comp & perks

Medical, Dental, Vision Insurance.
Life and Disability Insurance.
401(k) Plan
Paid Holidays
Paid Time Off.
Referral bonus.