Workers Compensation Claim Director

(Remote in Texas);

Our client company is a dynamic, innovative leaders in claims administration. They foster an environment where employees not only thrive but consistently recognize the company as a “Best Place to Work.” Immerse yourself in their engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join this nationwide family-owned company in Workers' Compensation, Property &

Casualty, Program Business, and Managed Care.

POSITION SUMMARY

* Division Claims Manager to support our client's Workers Compensation department by leading a team of supervisors in Texas.

*The Division Claims Manager will be a dynamic and professional who embodies a collaborative leadership style.

*They will prioritize building strong relationships with clients, ensuring their needs are met with the highest level of service.

* Their approach will be characterized by a commitment to excellence, continuous

improvement, and a deep understanding of the importance of teamwork and client satisfaction.

*This role requires a balance of strategic thinking and hands-on management to navigate the complexities of claims processing while

maintaining the company’s core values.

PRIMARY RESPONSIBILITIES

• Work with executives to achieve company initiatives and performance goals.

• Work with clients with issues regarding policies, programs and/or claims.

• Provide guidance, coaching and direct supervision to staff daily.

• Coordinate and perform claims training

• Manage the direct hiring process including coordination with Human Resources, selecting qualified candidates.

• Review performance of staff and manage performance issues. 

• Lead staff unit meetings.

• Attend client meetings, in-house meetings, and workers’ compensation meetings.

• Authorize release of payment and settlement

• Work collaboratively with clients’ senior management 

• Handle all audit responses to ensure consistency throughout the department. 

• Work collaboratively with the Sales Team on presentations for potential new clients

ACCOUNTABILITIES

Supervisory Responsibilities

Supervising, scheduling, assigning, monitoring, and evaluating work of assigned staff are responsibilities for supervisory positions.  

• Provide direct supervision to Claims Supervisors.

• Claims budget planning and salary administration

ESSENTIAL POSITION REQUIREMENTS

The requirements listed below are representative of the knowledge, skill, and/or ability required. 

• High School Diploma or equivalent (GED) required for all positions

• The Texas 08  license is required

• Previous workers’ compensation claims experience with a minimum of (3) years of supervisory experience including hiring, training, developing, retaining, and directing staff.

• 2+ years management experience over a Workers’ Compensation office preferred

• Ability to attend in person meetings and file reviews

• Willing to attend client meetings and conferences at off-site locations

• Solid knowledge of workers’ compensation laws, policies, and procedures

• Proficiency in determining case value and negotiating settlements

• Understanding of medical and legal terminology

• Prior Third-Party Administrator (TPA) experience preferred

• Superior communication skills (written and verbal), ability to follow directions, work under difficult time restraints, prioritize work, and exercise teamwork attitude

• Leverages technology for self and staff to improve efficiency

• Thinks strategically and creatively about business (pricing, products, and

outcomes)

• Highly developed organizational skills to meet multiple deadlines and to plan and effectuate short- and long range Company and department objectives

• Embrace the leadership role and can be counted on to help senior management drive towards the desired results and to exceed goals successfully

• Skilled at presenting in small and large group settings

• Must be flexible, adaptable, and positive.  Exhibit passion and energy for ensuring that all employees are respected and treated in a manner consistent with company core values.

• Proficient in Microsoft Office Suite

• Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues and make appropriate recommendations and solutions for resolution

*Technical strength in Texas workers’ compensation laws in Texas

*Ability to travel within Texas