Claims Manager

CorVel Career Site•Irving, TX
•Remote

About The Position

The Claims Manager is responsible for the overall operation of a designated office. The role participates in formulating and administering company best practices and developing long-term goals and objectives, analyzing costs, activities, and operations, and supporting the goals of the Claims Department and CorVel. This is a remote position. The manager directs employee performance and development, ensures compliance with workers’ compensation laws and regulatory reporting requirements, and supports team performance through training, coaching, and regular evaluations. The role uses jurisdictional expertise to ensure regulatory compliance, monitors workflow and staffing, develops and implements common claims practices, and oversees the review and settlement of high-dollar or otherwise escalated claims. The Claims Manager also promotes operational efficiency, quality, and consistency through continuous improvement and ensures compliance with CorVel policies and procedures. Overnight travel and meeting attendance are required.

Requirements

  • Bachelor’s degree or a combination of education and equivalent industry-related experience.
  • Record of steady advancement in Workers’ Compensation claims administration.
  • At least 6 years of comprehensive workers’ compensation administration experience.
  • At least 2 years of recent supervisory or management experience.
  • Maintain a current Workers’ Compensation license or certification throughout employment with CorVel.
  • Excellent written and verbal communication skills for customer contact, negotiation, presentations, project management, and personnel management.
  • Effective quantitative, analytical, and interpretive skills.
  • Leadership skills and demonstrated ability to motivate staff and achieve results through teamwork.
  • Ability to work under time constraints, meet deadlines consistently, and handle multiple tasks in a demanding environment.
  • Ability to remain poised in stressful situations and communicate diplomatically through various channels.
  • Computer proficiency and technical aptitude, including ability to use common computer applications.
  • Strong interpersonal, time-management, project-management, and organizational skills.
  • Maintain a high level of professionalism.
  • Knowledge of claims administration, case management, and cost containment solutions applicable to Workers’ Compensation.

Nice To Haves

  • Self-Insured Certificate preferred.

Responsibilities

  • Represent the company professionally to internal and external customers and clients.
  • Direct the performance and development of department employees.
  • Ensure staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements.
  • Support team performance through continued training, coaching, and regular performance evaluations.
  • Apply jurisdictional expertise and knowledge of regulatory rules, statutes, and procedures to ensure compliance.
  • Monitor operational workflow and manage adequate staffing levels and staff retention strategies.
  • Develop and oversee implementation of common claim practices and procedures.
  • Direct and control the review and settlement of high-dollar or potentially high-dollar claims and claims beyond subordinate claims personnel’s authority.
  • Promote operational efficiency, quality, and consistency through continuous improvement of processes, people, and systems.
  • Ensure compliance with CorVel’s policies and procedures.
  • Travel overnight and attend meetings.
  • Perform additional duties as assigned.

Benefits

  • Medical (HDHP) with pharmacy
  • Dental insurance
  • Vision insurance
  • Long-term disability
  • Health Savings Account
  • Flexible Spending Account options
  • Life insurance
  • Accident insurance
  • Critical illness insurance
  • Pre-paid legal insurance
  • Parking and Transit FSA accounts
  • 401(k)
  • ROTH 401(k)
  • Paid time off
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