Supervisor Claims - Medical Management Unit

Texas Mutual•Austin, TX

14h•Hybrid

About The Position

At Texas Mutual Insurance Company, one of the Best Companies to Work for in Texas, we are committed to creating a stronger, safer Texas. We are looking for a dynamic and experienced Supervisor of Medical Management Claims to lead our Austin Corporate Office medical management unit. In this critical leadership role, you will bring medical knowledge and specialized expertise in medical management. You will also combine this with supervisory skills to oversee the daily operations of claims processing. Your comprehensive understanding of musculoskeletal injuries, orthopedic conditions, pain management, surgical procedures, diagnostic imaging, pharmacy management, and rehabilitative medicine will be an invaluable resource as it will help your team navigate complex medical management decisions. You will ensure injured workers receive appropriate and quality medical care and this care must be consistent with the highest standards of workers' compensation best practices. You will guide a dedicated team of claims professionals, providing coaching, mentoring, and targeted development opportunities that build medical knowledge, technical competency, and team excellence. As a leader within our Claims Division, you will collaborate with medical directors, nurse case managers, utilization review professionals, treating physicians, and medical specialists. You will improve medical outcomes, align unit operations with divisional goals, monitor performance metrics, and improve programs that promote our mission. Additionally, you have a desire to make a meaningful difference in the lives of injured Texas workers. We invite you to join our team and help us build a stronger, safer Texas. Working for Texas Mutual brings many benefits. This job offers the opportunity for a flex-hybrid work environment. You'll also have the opportunity to work from anywhere in the U.S. for two weeks each year, in addition to vacation, personal and sick time. Giving back to the community is at the heart of what we do. You can volunteer during the workday with organizations that are most meaningful to you. Located in heart of Mueller, you will enjoy a modern office surrounded by parks, restaurants and shopping, our on-site fitness center and more

Requirements

Bachelor's degree or equivalent education, training, or experience.
At least 4 years of experience (Texas preferred) or equivalent education, training, or experience.
Texas workers' compensation or all lines adjuster's license.

Nice To Haves

Industry-related designation.

Responsibilities

Manage the daily operations of claim processing following the Texas Workers' Compensation Act, rules of the DWC, and internal procedures.
Provide guidance to staff regarding claim handling and desired outcomes.
Recruit, retain and coach employees.
Contribute to the development of division goals, procedures, and budgets.