Workers Compensation Claims Manager

CMA CGM • Houston, TX

1d • $115,000 - $125,000 • Onsite

About The Position

The Workers Compensation Claims Manager is responsible for the oversight and positive performance of CEVA’s Third Party Administrator (TPA) as they adjust, manage and administer our workers’ compensation claims portfolio insured through traditional Workers Compensation insurance lines, monopolistic states’ coverages, Qualified Self-Insurer’s programs and through our Captive. The position requires their management be derived through the use of data, analytics and reporting to produce quantifiable and measurable outcomes. This position will be located at our Houston, TX headquarters campus and reports to the Director of Litigation, NORTAM.

Requirements

• High level of proficiency in Microsoft Office Products
• Demonstrated success in managing litigation, claims negotiations in workers compensation, employers’ liability, BRC reviews and mediations.
• Capability to effect change in processes and workflows with successful documentation of procedures to streamline the claims handling process.
• Utilize and/or establish metrics, analytics and benchmarking through multiple sources to establish loss trends and claim costs that prioritize resources and steps needed to improve the claims experience.
• Strong understanding of actuarial activities that drive forecasting and budgeting in a collaborative way with CEVA’s Finance Dept. stakeholders.
• Ability to develop and foster strategic partnerships and relationships with CEVA departmental partners, brokers, and TPA that are collaborative and inclusive.
• Strong interpersonal, communication and time management skills
• Proficiency in data gathering, analytics, measurement, and reporting.
• Experience using data and metrics to drive improvement.
• At least five years’ experience in claims handling, principally in liability lines of business
• Extensive experience in managing a TPA, or career experience as a senior-level adjuster within a TPA.
• Exposure to or experience with claims handling through alternative finance programs
• Ability to work cross-functionally and establish credibility to successfully execute program requirements and either establish or change parameters in workflows and processes.
• Proven track record of working with Safety Departments and programs with the goal of improved reporting and reduction in claims costs.
• Advanced technical skills, especially in Microsoft Office products.

Nice To Haves

• All Lines Adjuster License
• Property and Casualty (P&C) License
• Industry designations a plus
• Degree in Finance, Business, Economics, or related degree preferred.
• Proficient in Claims Management Software (Riskonnect, Luminos, etc.)

Responsibilities

• Oversight and management through the use of data and analytics of TPA adjuster activities to guarantee compliance with CEVA Service Instructions
• Regular data gathering and intelligence reporting on relevant claims KPIs including but not limited to financials and claims metrics.
• Direction of TPA adjustment process through litigation and settlement as necessary
• Review of actuarial data for forecasting budgetary needs and monitoring trends and changes that might affect collateral and program retentions.
• Creation of improved workflows and processes to enable CEVA Risk Management and field representatives to effectively report incidents and ensure delivery to TPA’s.
• Analysis of monthly and quarterly reporting derived from captive activities.
• Prepare and direct claims file reviews and claims file audits.
• Conduct and as needed, create cost reduction/mitigation initiatives that are quantifiable and measurable.
• Work with CEVA internal leadership and department to create and/or improve Return to Work, experience mod investigations, insurance carrier inspections, etc. and act as a subject matter expert to advise and counsel as needed in the loss prevention and mitigation experience.

Benefits

• Competitive Paid Time Off
• 401(k)
• health insurance
• employee benefits platform that offers discounts on gym memberships and a diverse range of retail, travel, car, and hospitality brands
• pet insurance
• multiple health plans(company contribution to health savings account)
• prescription, dental and vision coverage
• Company paid life insurance, accident insurance, short- and long-term disability coverage and employee assistance plan.
• Voluntary benefits including additional life insurance, AD&D coverage, buy-up short- and long-term disability, critical illness, identify theft & legal plan.
• 401(k) with company match.
• Flexible Paid Time Off programs including company paid holidays.
• Tuition reimbursement program.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager