NO FAULT SUPERVISOR

No Fault Supervisor will be responsible for:

The effective and efficient use of departmental resources and available tools in protecting the exposures, handling the incoming claims in accordance with company protocols and within compliance to regulatory/statutory requirements as well as within established quality guidelines.

Establishing processes, procedures and departmental structure to consistently support objectives and goals established and will employ and execute on appropriate means to verify compliance and consistent and compliant execution by the direct reports.

Appropriately delegating responsibilities and will hold direct reports accountable for their responsibilities, providing proper feedback and when necessary, employing a fair and consistent performance improvement process.

Reviewing and evaluating performance as well as participating in the midyear and year end employee merit and performance evaluations. Responsibilities include effective, efficient, consistent, strategic and clear communication of vision, objectives, goals, action and project plans, responsibilities of direct reports and results as well as providing performance feedback. Responsibilities also include the effective and efficient dissemination of information to direct reports and senior management as is necessary to support business operations.

Obtaining, running, developing and maintaining appropriate reports and metrics in support of stated objectives and goals.

Appropriately rewarding and recognizing desired behaviors.

Executing on the development of the claims department as a team and developing individuals pursuant to a structured plan.

Responsibilities include but are not limited to:

• Successful on boarding of new hires.
• Providing appropriate reward and recognition of desired behaviors and using reward and recognition to assist and support achieving desired goals.
• Identification of training needs and execution on training initiatives.
• Accurate assessment of performance of direct reports.
• Timely and proper identification of performance issues and timely execution of compliant performance improvement processes including coaching, feedback documentation and where applicable the delivery of warnings and participation in termination process.
• Delivery of midterm and yearly performance reviews including participation in rating and ranking process.
• Execution on departmental initiatives including:
• The development of action plans and project plans to carry out proper execution of initiatives.
• Execution on departmental objectives including quality, inventory, productivity and customer service objectives as well as regulatory compliance requirements.
• Implementation of workflows and supporting structure that are efficient and effective to insure the continuing success of initiatives and objectives.
• Evaluation of and appropriate changes to process and workflow to maximize optimal compliant performance.
• Identification of and execution on effective exchange of information and communication in a structured clear and consistent manner to insure accountability and optimal performance. This will include but not be limited to conducting and documenting monthly one to ones with claims professionals documenting strengths and weaknesses as well as opportunity areas in performance. Further the NF Supervisor will take part with conducting monthly unit meetings with documented minutes covering more general topics of workflows, trends and to impart timely information in advance of initiatives and changes. Roundtables will be conducted under appropriate circumstances.
• Supervisor will provide requested monthly or ad hoc reports and will participate in a monthly one to one with No Fault Claims Manager.
• Supervisor will participate in strategic planning to create new initiatives or advance existing initiatives and or departmental objectives.
• Identification of the need to involve and inform business partners of appropriate information and awareness of effects of unit work on upstream and downstream partners Appropriate effective and efficient delegation of responsibility to support advancing objectives and initiatives and to foster the growth and development of direct reports.
• Identification of as well as proper and creative use of the available tools and resources necessary for success of objectives, initiatives and directives. Where appropriate the proper identification of the need for additional resources.
• Validation of compliance by the tracking and review of appropriate validation metrics and file reviews Completion of 2 file reviews per person per month

Specific Duties falling within the above general responsibilities:

Administrative:

• ADP management
• Performance Reviews
• Performance Management

Substantive:Queue Management:

Responsible to monitor and insure proper handling and productivity and quality as well as back up for the following Queues:

• Processor Queue

• Vendor Queue

• Index Queue

• TOA Queue

Payments:

• Responsible for payment review and approvals.
• Responsible to assign payment task which includes Lit/Arb.
• Coordinate adequate coverage for work volume.

Workers Comp:

• Review comp transfer task
• Provide coverage notes and assign transfers accordingly

Proof of mailing:

• Monitor and insure proper handling of POM.
• Co-share POM signing & coordination of notarization.

Fraud Team:

• Executing on the development of the Fraud Team and developing individuals pursuant to a structured plan. Participating in the strategic planning required in moving the department toward desired results.

• Review and processing of OS counsel fees / translation services and service of process billing related to DJ actions.
• Maintenance of and reporting on spreadsheet of assigned DJ actions showing assignments and commencements of such actions.
• Assist in the identification of and assignment and transfer of fraudulent and abusive files.

• Roundtables will be conducted under appropriate circumstances.
• Review post commencement DJ matters for settlement where appropriate.
• Review and sign DJ related affidavits relating to DJ and default actions.
• Review post DJ files with staff counsel and outside counsel for fraud defenses.