Workers Compensation Claims Manager

This is a fully remote position, open to applicants in Texas.

📋 Description

• Oversee a claims department consisting of claims supervisors, specialists, assistants, and other personnel.

• Directly report to the Vice President of Claims.

• Monitor both the quantity and quality of the claims department's output.

• Provide coaching, counseling, mentoring, and performance feedback to claims supervisors and staff.

• Ensure departmental work product complies with Labor Code provisions as well as company policies and regulations.

• Conduct performance evaluations and implement corrective actions when necessary.

• Hold monetary approval authority up to the designated level.

• Collaborate with client representatives to ensure adherence to contractual provisions and promptly address client/customer issues.

• Support supervisors with customer and personnel matters, keeping the Vice President of Claims updated on corrective measures.

• Identify and cultivate at least one supervisor as a backup claim manager.

• Represent the company at industry events when required.

• Foster teamwork and collaboration among claims personnel and other departments.

• Analyze productivity and compliance trends, making necessary procedural adjustments to enhance productivity and outcomes.

• Manage departmental operating expenses within the allocated budget.

• Perform additional responsibilities as assigned by the Vice President of Claims.

• Supervise 3 to 7 subordinate supervisors overseeing 7 to 10 employees, while also directly managing one non-supervisory employee.

⛳️ Requirements

• Bachelor’s degree (B.A.) from a four-year college or university; or one to two years of relevant experience and/or training; or an equivalent combination of education and experience.

• Minimum of eight years of progressive technical claim experience.

• High level of judgment and discretion.

• Capability to provide comprehensive guidance on complex claim cases.

• Proficiency in negotiating settlements effectively.

• Familiarity with the Labor Code of the State of California as it relates to workers' compensation claims.

• Experience in managing claims supervisors, specialists, assistants, and other claims personnel.

• Ability to interview, hire, train, plan, assign, and direct work effectively.

• Competence in evaluating performance, rewarding and disciplining staff, addressing complaints, and resolving issues.

• Ability to develop project plans, coordinate initiatives, communicate changes and progress, and deliver projects on time and within budget.

• Understanding of business implications, profitability, market dynamics, competition, and strategic objectives.

• Skills in change management, including planning for implementation, communicating changes, fostering commitment, and monitoring outcomes.

• Strong leadership, people management, process improvement, and performance feedback skills.

🏝️ Benefits

• Comprehensive medical, dental, and vision benefits.

• Company contributions to HSA and FSA plans.

• Employer-paid life and disability insurance.

• 401(k) plan with company matching.

• Paid time off (PTO) and company-provided holidays.

• Opportunities for learning and development that facilitate genuine career advancement.

• Employee assistance resources and a supportive culture that prioritizes balance and well-being.