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Claims Oversight Manager
Claims Oversight ManagerAlbertsons Companies • Pleasanton, CA, United States
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Claims Oversight Manager

Claims Oversight Manager

Albertsons Companies • Pleasanton, CA, United States
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  • serp_jobs.job_card.full_time
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Are you ready to take the next step in your career? Join us for an exciting opportunity at Albertsons Companies, where innovation and customer service go hand-in-hand!

At Albertsons Companies, we are looking for someone who’s not just seeking a job, but someone who wants to make an impact. In this role, you’ll have the opportunity to lead, innovate, and contribute to the growth of a company that values great service and lasting customer relationships. This position offers the chance to work in a fast-paced, dynamic environment that’s constantly evolving.

Main responsibilities :

Manages the activities of the Claims Third Party to proactively identify complex claims and potential complex claims to expedite resolution; to act as a subject matter expert by providing guidance, assuring consistency while creating a culture of continual quality improvement designed to elevate overall claim mitigation results benefiting claimants and stakeholders; to develop and maintain close partnership with claims operations responsible for administering claims; to proactively foster a positive relationship and work with key resources to build best in class claims management delivery; coordinate / provide training, to provide technical / jurisdictional direction on claims adjudication; to maintain a diary on complex or high exposure claims; to work as key liaison with Operations, Safety, Finance, and other key internal business partners; to work as key liaison with insurance carriers, state agencies and other key external business partners, as necessary.

  • Ensure compliance with Client Service Instructions with Third Party Administrator.
  • Determine and delegate claims settlement and reserve authority.
  • Provide technical support and education to the internal business partners and other customers in the Division on all related matters.
  • Track, monitor and supervise workers’ compensation claims administration.
  • Interact with Corporate Risk Management in administration of the program.

We are looking for candidates who possess the following :

  • 5-10 years claims administration experience
  • Current on continuing education units per Jurisdictional requirements for licensure
  • Extensive knowledge of legal and medical terminology
  • Extensive knowledge of hearing and trial process and procedures
  • Extensive communication skills, including speaking and training
  • Excellent persuasion and interactive skills in addressing interdepartmental Workers’ Compensation issues
  • Extensive knowledge of utilization of Risk Management Information Systems
  • Full understanding and application of reserving practices
  • Solid working knowledge of applicable state claim laws, rules and regulations
  • Working knowledge of regulatory agencies; OSHA, Health Department, police agencies, etc.
  • Strong negotiating skills prior professional negotiation training preferred
  • Broad organizational skills, including the development of workflow and reengineering analysis
  • Ability to work with retail and manufacturing management on Workers’ Compensation Claims issues
  • 4-year college degree or equivalent work experience
  • IEA, SIP required
  • ARM preferred
  • LI-MF1

    We also provide a variety of benefits including :

  • Competitive wages paid weekly
  • Associate discounts
  • Health and financial well-being benefits for eligible associates (Medical, Dental, 401k and more!)
  • Time off (vacation, holidays, sick pay). For eligibility requirements please visit
  • Leaders invested in your training, career growth and development
  • An inclusive work environment with talented colleagues who reflect the communities we serve
  • Our Values – Click below to view video :

    The salary range is $92,000 to $119,720 annually. Starting salary will vary based on criteria such as location, experience, and qualifications. There may be flexibility for exceptional candidates.

    A copy of the full job description can be made available to you.

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    Claim Manager • Pleasanton, CA, United States

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