Work Comp Claims Supervisor (Texas Jurisdiction)

Elite
  • Texas
    23 days ago

    Job Description

    Employment Type: Direct Hire
    Industry: Workers' Compensation Claims Administration
    Location: Texas

    Position Overview

    We are recruiting for an experienced Workers' Compensation Claims Supervisor to join an established claims administration organization. This position is responsible for overseeing the daily operations of a workers' compensation claims team, ensuring quality claims handling, regulatory compliance, and strong client service.

    The ideal candidate will have extensive Texas workers' compensation claims experience, strong technical knowledge, and a proven ability to lead, coach, and develop claims professionals.

    Key Responsibilities

    • Supervise and support a team of Workers' Compensation Claims Examiners and Claims Assistants, providing daily guidance, coaching, and performance oversight.

    • Oversee claims assignments, caseload distribution, and workflow to ensure timely and effective claims administration.

    • Provide technical guidance on complex claims, coverage questions, compensability, reserves, settlements, and regulatory requirements.

    • Monitor claims handling practices to ensure compliance with Texas workers' compensation laws, client service requirements, and established procedures.

    • Review and approve claims payments and other transactions within designated authority levels.

    • Assist with escalated claims issues, including claimant concerns, vendor matters, and client service requests.

    • Evaluate team performance, identify training needs, and support professional development.

    • Review claims files, participate in audits, and implement improvements to claims handling practices.

    • Prepare and review client reports, monitor service performance, and participate in client meetings and file reviews.

    • Coordinate claims coverage during staff absences and vacancies to maintain service continuity.

    • Collaborate with internal leadership and other departments to address operational needs and client service priorities.

    Qualifications

    • Minimum of 5 years of workers' compensation claims experience, with strong knowledge of Texas jurisdictional requirements.

    • Previous supervisory or team leadership experience within workers' compensation claims administration.

    • Thorough understanding of Texas workers' compensation laws, regulations, claims procedures, and medical terminology.

    • Demonstrated ability to coach, mentor, and develop claims professionals.

    • Strong organizational skills with the ability to manage multiple priorities, deadlines, and client expectations.

    • Experience reviewing claims files, monitoring quality standards, and supporting compliance initiatives.

    • Strong analytical, problem-solving, and decision-making abilities.

    • Excellent written and verbal communication skills, including the ability to interact effectively with clients, claims professionals, and leadership.

    • Proficiency with claims management systems and Microsoft Office applications.

    • Bachelor's degree preferred, or an equivalent combination of education and relevant experience.

    Ideal Candidate

    We are particularly interested in professionals who combine hands-on Texas workers' compensation claims experience with strong people-management skills. Successful candidates will be comfortable providing technical direction, managing team performance, resolving escalated claims issues, and maintaining positive client relationships.

    Interested in Learning More?

    If you have a background supervising Texas workers' compensation claims teams and are interested in exploring a new opportunity, we welcome the chance to connect.

    Apply today for confidential consideration.

    Numbers & Facts

    LocationTexas

    Skills

    • Claims Managementunmatched
    • Claims Processingunmatched
    • Coachingunmatched
    • Communication Skillsunmatched
    • Customer Relationsunmatched
    • Customer Support/Serviceunmatched
    • Develop and Maintain Customersunmatched
    • Leadershipunmatched
    • Maintain Complianceunmatched
    • Medical Terminologyunmatched
    • Medical Treatmentunmatched
    • Mentoringunmatched
    • Multitaskingunmatched
    • Needs Assessmentunmatched
    • Operationsunmatched
    • Organizational Skillsunmatched
    • Performance Analysisunmatched
    • Performance Managementunmatched
    • Presentation/Verbal Skillsunmatched
    • Problem Solving Skillsunmatched
    • Procedure Developmentunmatched
    • Quality Metricsunmatched
    • Quality Monitoringunmatched
    • Regulationsunmatched
    • Regulatory Complianceunmatched
    • Regulatory Requirementsunmatched
    • Resolve Customer Issuesunmatched
    • Team Lead/Managerunmatched
    • Technical Leadershipunmatched
    • Time Managementunmatched
    • Worker's Compensationunmatched
    • Writing Skillsunmatched

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