Manager, Claims, Texas Workers' Compensation jurisdiction required, REMOTE

Must have TEXAS Workers' Compensation jurisdiction experience. 
Prefer residence within Texas.  REMOTE opportunity. 

Manages the daily operations of the Claims Department to achieve growth and underwriting profitability goals.

RESPONSIBILITIES/TASKS: 

• Manages a multi-functional unit of claim professionals and support staff.
• Leads claim team in support of department initiatives and strategies in cost containment, case file handling, customer service and quality.
• Consistently monitors workflows to maximize accuracy and efficiency.  Maintains an acceptable level of service and customer satisfaction and retention.
• Effectively manages the quality review process.
• Develops unit goals, objectives, processes, procedures and systems.
• Stays abreast of changes in workers’ compensation statutes, case law and rehabilitation advancements.
• Identifies team staffing needs and takes necessary measures to ensure appropriate levels of service.  Mentors employees and develops career paths with growth opportunities. 
• Participates in development of annual departmental budget, monitors budget and identifies budget discrepancies.  Researches cause of discrepancies and makes recommendations.
• Participates in special projects and serves on committees as needed.

DIRECTION EXERCISED: 

Directly supervises exempt and non-exempt staff in accordance with company policies and applicable Federal and State Laws. Responsibilities include but are not limited to effectively interviewing, hiring, terminating and training employees, planning, assigning and directing work, appraising performance, rewarding and counseling employees, addressing complaints and resolving problems, supporting and encouraging the engagement process.

This position description identifies the responsibilities and tasks typically associated with the performance of the job.  Other relevant essential functions may be required.

EMPLOYMENT QUALIFICATIONS,

EDUCATION OR EQUIVALENT EXPERIENCE:

Bachelor’s degree in a related field.  Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the Company’s learning philosophy, is required.  Certification or progress toward certification is highly preferred and encouraged.

EXPERIENCE:

Seven years experience in a claim environment with demonstrated technical experience that provides the necessary knowledge, skills and abilities.  Three years supervisory or leadership experience in claims required.  Previous workers’ compensation claim management with multi-jurisdictional experience preferred.  Bilingual skills preferred.

 SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

• Knowledge of team-building and employee motivation theories with the ability to effectively manage multi-functional employee teams.
• Demonstrated leadership abilities.
• Knowledge of laws, regulations and compliance requirements related to workers’ compensation insurance.
• Demonstrated technical knowledge of insurance administration, claims management or relevant insurance expertise.
• Ability to work with and empower others on a collaborative basis to ensure success of unit team.
• Excellent oral and written communication skills.
• Knowledge of insurance and underwriting techniques, agency and policyholder needs.
• Ability to effectively present budgetary and/or cost information and respond to questions as appropriate.
• Ability to establish workflows, manage multiple projects and meet necessary deadlines.
• Ability and proficiency in the use of computers and company standard software specific to position.

WORKING CONDITIONS: 

Work is performed in an office/remote setting with no unusual hazards. Limited travel is required with occasional overnight stays.

The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description. 

Pay Range  “Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $90,400 and $151,500.” 

We are an Equal Opportunity Employer.  Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis.  Nothing herein is intended to create a contract.

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