Overview: AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers’ Compensation Claims Manager in Dallas, TX.
The Workers’ Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department.
This may encompass supervision of administrative tasks and staff or oversight of the investigation of insurance claims involving workers compensation, property or casualty claims based on coverage, appraisal and verifiable injury or damage.
This position involves the direct handling of tasks and/or claims in addition to supervision of staff.
The WC Claims Manager reports to the WC Sr.
Manager.
Responsibilities: May oversee the handling of all aspects of the claims assigned to the unit including reserving, communication, documentation, evaluation, negotiation and settlementEnsures all claims eligible or ineligible for payment conform to quality, production standards, and specificationsEnsures claim processing is consistent with applicable policies, procedures and department guidelinesAnalyzes and approves workers compensation claimsCompletes regular quality audits of staffs work, records results and counsels staff to bring work to or above standardsPrepares regular periodic reports and monitors system reports to ensure adherence to corporate and regulatory standardsEstablishes and executes controls to assure that the quality of the work meets or exceeds standardsReviews and analyzes processes, procedures, and workflows to identify opportunities for process improvement and efficiency Qualifications: Bachelor’s degree or equivalent combination of work experience and education required5 years’ experience in workers compensation insurance industryValid adjusters license in appropriate jurisdictions or ability to obtain suchBasic understanding of laws, principles of coverage, liability, and insurance industry in general, with specific emphasis on workers compensationLeadership skills: ability to plan, organize, delegate, and develop corporate human resourcesAbility to work with little supervision and directionAbility to operate business technologyAbility to manage personnel administration including employee evaluations and salary administration