Workers Compensation Claims Manager

Job not on LinkedIn

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Intercare Holdings Insurance Services

WebsiteLinkedInAll Job Openings

201 - 500 employees

🛡️ Insurance

Insurance • Risk Management

Intercare Holdings Insurance Services is a privately held company that specializes in workers' compensation and liability claims administration, managed care services, and risk management solutions. Known for their client care and responsive service, Intercare integrates advanced technology and has an in-house Special Investigations Unit (SIU) to handle claims efficiently and reduce fraudulent activities. Their unique approach combines the depth and capacity of a large organization with the flexibility of a smaller firm, ensuring customized risk management and cost control solutions for clients. With a strong emphasis on customer satisfaction, Intercare is a trusted partner in reducing risk and maintaining fiscal stability for their clients.

📋 Description

• Manage a claims department comprised of claims supervisors, claims specialists, claims assistants, and other claims personnel • Report directly to the Vice President of Claims • Oversee the quantity and quality of the claims department's work product • Coach, counsel, mentor, and provide performance feedback to claims supervisors and department staff • Monitor department work product for compliance with Labor Code provisions and company rules and regulations • Conduct performance evaluations and institute corrective action when appropriate • Provide monetary approval authority up to the assigned authority level • Work with client representatives to ensure contractual provisions are followed and client/customer issues are addressed promptly • Assist supervisors with customer and personnel issues and keep the Vice President of Claims informed about corrective actions • Identify and develop at least one supervisor as claim manager backup • Represent the company at industry functions when needed • Develop and sustain teamwork and cooperation among claims personnel and other departments • Monitor productivity and compliance trends and implement procedural adjustments to improve productivity and results • Manage department operating expenses within the approved budget • Handle other duties assigned by the Vice President of Claims • Manage 3 to 7 subordinate supervisors overseeing 7 to 10 employees and directly supervise one non-supervisory employee

🎯 Requirements

• Bachelor's degree (B. A.) from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience • Eight or more years of progressive technical claim experience • High degree of judgment and discretion • Ability to provide adequate guidance on complex claim cases • Ability to negotiate settlements effectively • Working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims • Experience managing claims supervisors, claims specialists, claims assistants, and other claims personnel • Ability to interview, hire, train, plan, assign, and direct work • Ability to appraise performance, reward and discipline employees, address complaints, and resolve problems • Ability to develop project plans, coordinate projects, communicate changes and progress, and complete projects on time and budget • Knowledge of business implications, profitability, market, competition, and strategic goals • Change management capabilities, including implementation planning, communicating changes, building commitment, and monitoring results • Leadership, people management, process improvement, and performance feedback capabilities

🏖️ Benefits

• Comprehensive medical, dental, and vision benefits • Company contributions to HSA and FSA plans • Employer paid life and disability insurance • 401(k) with company match • Paid time off (PTO) and company paid holidays • Learning and development opportunities that support real career advancement • Employee assistance resources and a supportive culture that values balance and wellbeing