Utilization Review Clerical Supervisor

AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and brands including Intercare, InterMed, George Hills, and AS&G Claims Administration, we’re a people-focused, operations-driven organization that prioritizes reasonable caseloads, strong training, collaborative teams, and expert support. We invest in tools and workflows that reduce friction—not increase volume—and create real career paths for professionals who want to grow their careers or move into leadership. At AvonRisk, you’re part of a team that values good judgment, curiosity, and accountability, and gives you the support to succeed.

Summary

Supervises a team of Utilization Review Administrative Support Clerks to manage and process all incoming and outgoing documents. Classifies, stores, delivers, retrieves and updates generated information and claim files by performing the duties under the Essential Duties and Responsibilities. Candidate must have California Utilization Review experience. Essential Duties and Responsibilities

• Ensure the Administrative Team indexes all incoming mail daily, verifies accuracy, and sort and codes according to file system and electronic assignment.
• Supervises the administrative support staff to ensure:
• Adherence with the mail and file processing requirements including timely opening of incoming mail and faxes and scanning documents into the claim system daily.
• Separate urgent and non-urgent mail and escalate in accordance with the special handling guidelines.
• Store original paper mail for a specified period of time before sending to storage, or enters information into computerized storage system.
• Maintains computer database.
• Retrieves materials for qualified personnel upon request.
• Keeps track of borrowed files and ensures they are returned back to storage.
• Scans materials or copies records, and examines materials for legibility.
• Handle all outbound shipping and mail for the office.
• Implements changes to the mailing and filing system when directed to do so.
• Orders office supplies as needed, including maintaining adequate funding for postage meter.
• Independently manages file room, which entails retrieval and delivery of files, returns file to file room and sends files to storage with established retirement schedule.
• Compiles the hearing calendar.
• All other duties as assigned.
• Supervises a team of administrative support clerks.
• Keeps team on track and hold them accountable for compliance and production of work accurately
• Addresses performance issues and conducts quarterly employee meetings and performance reviews
• Communicate and reports to the Program Director and informs management of all critical matters.