Claims Management Specialist

🕒 Setembro 1

🤠 Texas – Remoto

🤠 Texas – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👻 Score fantasma 14%

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SWBC

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 1976

🛡️ Seguros

💼 Consultoria

📦 Logística

Insurance • Consulting • Logistics

A SWBC é uma empresa diversificada de serviços financeiros e de seguros, com sede em San Antonio, que oferece uma ampla gama de produtos para indivíduos, empresas e instituições financeiras. Suas ofertas incluem seguros de vida, propriedade, comerciais e colocados por credores; gestão de patrimônio, planejamento de aposentadoria e negociação de renda fixa; empréstimos hipotecários e produtos para servicers de empréstimos; serviços de PEO/RH, folha de pagamento e benefícios para funcionários; serviços de impostos sobre propriedades e imóveis comerciais; e soluções terceirizadas de cobrança e pagamento.

Descrição

• Coordinates and manages workers' compensation claims from initial injury reporting through resolution and closure • Serves as the primary liaison between client companies, injured employees, insurance carriers, claim adjusters, medical providers, payroll, HR, and internal stakeholders • Educates clients and injured employees on workers' compensation procedures, reporting requirements, return-to-work programs, available resources, and responsibilities throughout the claims process • Provides customer service and guidance while ensuring all parties understand required protocols, next steps, and claim-related obligations • Coordinates claim documentation, wage reporting, claim-related communications, and return-to-work activities • Monitors claim progress and collaborates with carriers, adjusters, employers, and medical providers to facilitate efficient claim resolution • Reviews claim status with carriers and adjusters, participates in client claim reviews, and assists with collecting and analyzing claims history, loss trends, and risk-related information • Maintains accurate claim records, documentation, and reporting • Performs all other duties as assigned

🎯 Requisitos

• Bachelor’s degree in Human Resources, Risk Management and Insurance, related field of study from an accredited four-year college or university preferred • Minimum of four (4) years of experience in claims management or related field required • Working knowledge of workers' compensation claims processes, return-to-work programs, and claim resolution practices • Knowledge of OSHA regulations, workplace safety practices, and accident prevention programs preferred • Bilingual (Spanish) language ability is required • Strong organizational skills with the ability to manage multiple priorities, meet deadlines, and maintain attention to detail • Ability to analyze information, solve problems, and exercise sound judgment • Able to communicate in writing clearly and concisely • Strong customer service and relationship management skills with the ability to effectively interact with clients, injured employees, carriers, and internal stakeholders • Able to sit and stand for long periods of time performing sedentary activities • Maintain necessary certifications • Must pass pre-employment drug testing • SWBC does not hire tobacco users as allowed by law

🏖️ Benefícios

• Competitive overall compensation package • Work/Life balance • Employee engagement activities and recognition awards • Years of Service awards • Career enhancement and growth opportunities • Leadership Academy and Mentor Program • Continuing education and career certifications • Variety of healthcare coverage options • Traditional and Roth 401(k) retirement plans • Lucrative Wellness Program