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Supervisor, Worker's Compensation and Liens

Company: 1199SEIU Family of Funds
Location: New York
Posted on: January 15, 2021

Job Description:

Responsibilities:* Partner with Manager to ensure the Worker's Compensation/Liens Department and Fund goals are implemented, accurately communicated and achieved* Supervise staff in accordance with established departmental procedures, Human Resources guidelines, and provisions of Collective Bargaining Agreement* Conduct daily monitoring of calls using call management system (Cisco Unified Contact Center Enterprise); generate and review reports for trending, system issues and repeat calls for an improved member experience; Conduct Listening Sessions and coaching for phone staff based on monthly TQA Reports* Ensure staff is trained and developed to meet the goals and needs of the department; establish a collaborative team environment, maintain an 'open door' policy remaining approachable and accessible, and provide constructive feedback on a regular basis* Prepare performance evaluations for direct reports; monitor and evaluate achievements of performance standards (i.e. productivity, accuracy, and attendance) and take corrective action as necessary; identify strengths, areas of development; create improvement plans, coach and counsel as appropriate* Resolve escalated member calls and/or emails and act as liaison between attorneys, insurance carriers, health care providers, and various Fund departments regarding third party liens, no-fault, and worker's compensation cases; troubleshoot, resolve and follow-up on urgent matters* Monitor manage and process staff time and attendance via timekeeping system (E-time) and manage staff schedule adherence.* Conduct quality reviews of Workers' Compensation/Liens staff to ensure operational policies and procedures are being adhered to, (e.g. timely follow up; accuracy of letter/tracking, etc.)* Review, analyze and assess workers' compensation, third party and no- fault case files through e-case, e-law, e- courts, PerfectLaw, QNXT, and V3* Review and negotiate the Funds' reimbursement with attorneys and members based on established guidelines in Fund's Third- Party Lien policy* Thoroughly monitor and maintain PerfectLaw database and production reports to ensure timely follow-up on Worker's Compensation/Liens cases; prepare monthly reports on recovery activities; Identify areas for development, create improvement plans, coach and counsel as appropriate* Coordinate and attend weekly worker's compensation clinic and review worker's compensation intakes with attorney* Perform additional projects and responsibilities as assigned by managementQualifications:* Bachelor's degree in Political Science, Law, Business Management or relevant years of experience* Minimum three (3) years relevant work experience in settlement and adjudication of Third Party and Worker's Compensation Claims; must include one (1) year practical experience supervising professional staff; call center experience preferred; experience conducting audits, and quality assurance preferred* Knowledge of Fund's and management systems (eligibility, disability, medical, PerfectLaw, Cisco, etc.)/benefits and rules (1199 SEIU National Benefit Fund, Greater New York Benefit Fund, Home Care Employees Benefit Fund) required* Intermediate skill level in Microsoft Word and Excel required; knowledge of PowerPoint preferred* Good knowledge of claims processing, medical terminology, worker's compensation, liens required; knowledge of legal terminology and paralegal experience preferred* Familiar with call center operations supervision, technologies, methodologies and performance measures to manage staff performance* Able to direct and motivate staff to meet or exceed standards; experience monitoring productivity and quality standards* Good leadership skills and ability to direct and motivate staff; superb communication skills both verbal and written* Excellent critical thinking, attention to detail and problem-solving skills; able to work well independently and as a team player* Demonstrated organizational skills with ability to multi-task and meet operational deadlines* Ability to work well under pressure, maintain professional manner and presentation

Keywords: 1199SEIU Family of Funds, New York , Supervisor, Worker's Compensation and Liens, Other , New York, New York

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