Division Claims Manager - Texas Workers' Comp

Athens Administrators • San Antonio, TX

7d • Hybrid

About The Position

Athens Administrators has an immediate need for a full-time Division Claims Manager to support our Workers Compensation department by leading a team of supervisors in Texas. Management that lives less than 36 miles from the San Antonio office are required to work once a week in the office. The remaining days can be worked remotely if technical requirements are met, and the employee resides in Texas. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The Division Claims Manager will be a dynamic and client-focused professional who embodies a collaborative leadership style. This individual will represent Athens’ family-oriented culture, fostering a supportive and inclusive work environment. They will prioritize building strong relationships with clients, ensuring their needs are met with the highest level of service. By focusing on results, the Division Claims Manager will drive the team towards achieving performance goals and enhancing overall efficiency. Their approach will be characterized by a commitment to excellence, continuous improvement, and a deep understanding of the importance of teamwork and client satisfaction. This role requires a balance of strategic thinking and hands-on management to navigate the complexities of claims processing while maintaining Athens core values.

Requirements

• High School Diploma or equivalent (GED) required for all positions
• The Texas 03 Workers’ Compensation license is required
• Previous workers’ compensation claims experience with a minimum of (3) years of supervisory experience including hiring, training, developing, retaining, and directing staff
• Ability to attend in‑person meetings, client meetings, conferences, and travel throughout Texas (including overnight travel); valid driver’s license required
• Strong communication skills (written, verbal, presentations) and ability to build and maintain effective relationships with internal and external stakeholders
• Strong organizational and time‑management skills, including ability to plan, prioritize, and independently manage workload, projects, and staff
• Strong analytical, reasoning, and problem‑solving skills with ability to interpret data and use findings to support business decisions
• Ability to handle stressful situations, manage deadlines, and exercise sound judgment
• Proficiency in Microsoft Office Suite and ability to learn additional software; able to leverage technology to support business operations and improve efficiency
• Demonstrates strategic thinking, creativity, and an entrepreneurial mindset
• Ability to contribute to leadership goals, support company objectives, and uphold company values
• Ability to type quickly and accurately
• Mathematical calculation skills
• Seeks to include innovative strategies and methods to provide a high level of commitment to service and results
• Ability to demonstrate care and concern for fellow team members and clients in a professional and friendly manner
• Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor.
• Maintaining honesty and integrity is essential for all roles within the company.

Nice To Haves

• AA/AS or BA/BS strongly preferred
• The 08 All Lines License is preferred
• 2+ years management experience over a Workers’ Compensation office preferred

Responsibilities

• Lead the execution of claims strategies to meet company initiatives and performance goals as part of the Senior Operations Group (SOG).
• Provide daily direction, guidance, and coaching to Claims Supervisors; make timely claim strategy decisions (plan of action, payments, reserves, settlements).
• Ensure quality file handling and resolution, including meeting unit closing goals, verifying proper reserves, delivering thorough claims analysis, and guiding files to proper resolution.
• Maintain current diaries per client requirements; ensure consistent, accurate claims coding organization‑wide.
• Achieve audit results that meet or exceed Athens and client best‑practice standards; translate audit outcomes into sustainable quality improvements.
• Monitor and improve Supervisor FOA (Fraction of the Action) performance against benchmarks.
• Review work outputs for accuracy and completeness; leverage peer review where appropriate.
• Coordinate and deliver claims training; collaborate with attorneys to craft settlements and support effective litigation strategies.
• Authorize payments and settlements within delegated authority.
• Resolve workflow issues and escalate complex claim challenges appropriately.
• Lead and participate in client stewardship presentations, file reviews, and workers’ compensation meetings; collaborate closely with Sales on new‑business presentations.
• Work collaboratively with Athens and client senior management; communicate clearly with clients, investigators, injured workers, and key stakeholders.
• Handle audit responses and integrate results into other quality measures to ensure consistent improvements.
• Seek opportunities to streamline processes, improve efficiency, and respond quickly to new instructions, policies, methods, and procedures.
• Produce accurate, thorough, and complete work products using available resources to generate innovative solutions.
• Provide day‑to‑day leadership, direction, and coaching to Claims Supervisors and ancillary staff (e.g., Hearing Representatives, investigators).
• Model a consistently positive, professional, and cooperative approach; foster teamwork, transparency, and an open‑door culture.
• Share knowledge freely; ensure staff receive timely updates from leadership meetings and that staff feedback and ideas are elevated to leadership.
• Set clear, measurable annual performance objectives and development plans for direct reports; recognize contributions and coach for growth.
• Address performance issues promptly and consistently; document thoroughly and partner with HR on employee relations matters.
• Demonstrate accountability in recruiting: conduct timely resume reviews, provide interview feedback with required documentation, recommend next steps, and deliver respectful, constructive feedback to internal candidates not advancing.
• Organize, prioritize, and assign workload across the unit; adapt staffing and priorities to changing client or business needs.
• Lead regular unit meetings to align on priorities, quality expectations, and best practices.
• Respond promptly to client inquiries and work urgently toward solutions; proactively identify and resolve potential service issues.
• Maintain strong client relationships through accessibility, service calls, stewardship reviews, and effective communication.
• Document client meeting notes in designated shared systems to ensure transparency and continuity.
• Act with integrity and uphold the highest ethical standards; demonstrate trustworthiness and accountability in all client interactions.
• Supervising, scheduling, assigning, monitoring, and evaluating work of assigned staff are responsibilities for supervisory positions.
• Provide direct supervision to Claims Supervisors. Also provide partial direct supervision to ancillary staff, such as Hearing Representatives, investigators, etc.
• Plan, assign, monitor, and evaluate work; coach to quality, timeliness, and outcomes
• Review and approve direct reports’ monthly expense reports; ensure all expenditures are in the Company’s best interest.
• Participate in annual budgeting and forecasting for the division; anticipate resource and expense needs.
• Implement monitoring and reporting mechanisms to control costs without compromising quality.
• Identify and implement hidden cost improvements and operational efficiencies.
• Maintain working knowledge of wage and hour laws for staff; ensure timely, accurate review and approval of timecards on payroll days.
• Contribute to claims budget planning and salary administration; manage education expenses responsibly.
• Oversee branch office facilities management as needed; coordinate building security, maintenance, parking, and safety.

Benefits

• We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more!

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED