Claims Management Specialist

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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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SWBC

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1976

💸 Finance

🛡️ Insurance

🏠 Real Estate

Finance • Insurance • Real Estate

SWBC is a diversified financial services company offering a wide array of products and services to individuals, businesses, and financial institutions. Products include various types of insurance, such as life, property, and vehicle insurance, as well as commercial insurance solutions. The company also provides extensive investment services, wealth management, and retirement planning. Additionally, SWBC offers lending services, including mortgage loans, and operates within the real estate sector providing commercial property development and insurance solutions. They emphasize client-first strategies and have initiatives for employee benefits and outsourced HR services.

📋 Description

• Coordinate and manage workers' compensation claims from initial injury reporting through resolution and closure • Serve as the primary liaison between client companies, injured employees, insurance carriers, claim adjusters, medical providers, payroll, HR, and internal stakeholders • Educate clients and injured employees on workers' compensation procedures, reporting requirements, return-to-work programs, available resources, and responsibilities throughout the claims process • Provide customer service and guidance while ensuring all parties understand required protocols, next steps, and claim-related obligations • Coordinate claim documentation, wage reporting, claim-related communications, and return-to-work activities • Monitor claim progress and collaborate with carriers, adjusters, employers, and medical providers to facilitate efficient claim resolution • Review claim status with carriers and adjusters and participate in client claim reviews • Assist with collection and analysis of claims history, loss trends, and risk-related information • Maintain accurate claim records, documentation, and reporting • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in Human Resources, Risk Management and Insurance, or related field 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 • Pre-employment drug testing required • Must be a non-tobacco user, as allowed by law

🏖️ Benefits

• 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