Senior Claims Manager

90,000 to $100,000 per year

 

Job Summary

Flagship is looking for a Senior Claims manager to join their team in Southlake, TX. This position manages the claims team and is also responsible for managing complex workers’ comp and general liability claims. This position owns workers’ comp and general liability claim policies/procedures and strategic decision making related to claims management. This position provides oversight of claims and care management and is responsible for maintaining relationships with representatives from insurance companies, medical providers, internal managers, defense attorneys and injured employees. This position is responsible for establishing structure, organization and a continual process improvement approach to claim management processes. Responsible for delivering pre-determined claim status reports to senior management including but not limited to; reserves and total net incurred statuses, historical trend analysis and identification of high risk operation locations.



Benefits:

Flexible PTO
Bonus Eligible
401K w/ Match
Hybrid Schedule

Job Description

Essential Functions

Management Responsibilities

Responsible for managing claims team and performance of policies and procedures. Assign or delegate duties to claims team to ensure proper distribution of work activities based on skill set, regional assignments, specialties, etc. Manages/oversees third party adjustors by evaluating performance, building/maintaining relationships and escalating performance concerns. Engages Leadership team as needed to support managing of claims related to Workers’ Comp. Oversees management of claims from multi-state programs. Manages overall relationships with Supervisors/Managers and injured workers by maintaining open and effective communications regarding employee status and return-to-work transitions. Serves as company’s primary point of contact and owner in supporting managing of claims across Flagship.

Workers’ Comp

Establish and maintain effective working relationships associated with worker injury claims (i.e. medical providers, insurance representatives, etc.). Drives a proactive approach with managing injured worker claims through early contact, open communication while serving as the process ‘escort’ for the injured worker. Oversee and ensure detailed conversation logs for historical reference, document controls in accordance with HIPPA guidelines and overall efficient records maintenance system for workers’ compensation claims and related information. Develop, recommend and implement workers’ compensation policies and procedures; recommend and implement goals and objectives.

Auto and General Liability

Oversees management of all Auto and General Liability Claims by actively engaging with appropriate parties, ensuring collection of evidence and proper submittal of incident reports. Maintain Auto and General Liability Claims on a monthly basis and communicate updates to our identified General Liability Team and/or Auto Team. Ensure legal compliance, adherence to claims processes, Facilitate the settling of complex claims and process related paperwork. Works in tandem with in-house legal counsel to evaluate and determine best case scenario for claim settlements.

Process Improvement

Proactively identify, suggest and recommend continuous improvement opportunities related to Auto, General Liability and Workers’ Compensation processes. Coach new and existing Workers’ Comp Claim team members and build/develop team members on on-going basis. Participates in quarterly claims review meetings to expedite the closing of claims and identify additional areas of improvement. Provides research discovery on local WC laws, medical provider setups and new business setups.

Knowledge and Skills

Vast working knowledge of the workers compensation claims administration Strong knowledge of California workers compensation processes, rules and regulations Proficient in utilization of Microsoft Word and Outlook Proven ability to successfully manage multiple tasks with varying deadlines Demonstrated ability to prioritize and deliver results Excellent communication skills – both written and spoken Ability to speak and read Spanish (preferred) Proven success in problems solving, relationship building, and customer service are required Management experience

Education and Work Experience

Bachelor degree in Human Resources preferred Previous experience 4 years in Workers’ Compensation claim management preferred

Work Environment

Small-to-large office environment and/or telecommuter Fast paced office environment

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is required to perform essential office functions such as extensive keyboarding/typing and telephone use.  Requires standing, walking, sitting, reaching with hands and arms, potential climbing of stairs, kneeling/stooping, and occasionally lifting of a minimum of 40 lbs. of boxes.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Work Authorization

Authorized to work in the U.S.

Equal Employment Opportunity Employer

Flagship is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical​​​ condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. 

We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.

Americans with Disabilities Act

Under the Americans with Disabilities Act, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of their job.

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!