Senior Claims Manager – Workers' Comp (TX)

CCMSI; Houston (TX); On-site; USD 105,000 - 114,000; Full time

Benefits offered by this job

4 weeks PTO

10 paid holidays

Medical, Dental, Vision, Life, and DI

401(k) and ESOP

Career growth opportunities

Team-based work environment

Job summary

CCMSI in Houston, TX is seeking an experienced Claim Manager to oversee workers' compensation claims and operations for a Texas school district account. The role combines technical claim expertise with staff leadership, process improvement, and client partnership.

You will guide and develop claims professionals, ensure compliance with standards and laws, and strive for service excellence. The position offers a clear path for growth within CCMSI and a schedule from Monday to Friday in CST.

Qualifications

• Excellent verbal and written communication skills.
• 3+ years of supervisory experience in work comp or related field.
• 15+ years of Texas claims handling experience.
• Strong analytical, problem-solving, and negotiation abilities.
• Self-motivated with the ability to set priorities and meet goals.
• Detail-oriented with strong organizational skills and accuracy.
• Ability to thrive in a fast-paced, evolving environment.
• Working knowledge of lower-level claims roles and responsibilities.
• Strong customer service focus and dependable attendance.

Responsibilities

• Develop, implement, and improve workflow processes while overseeing individual caseloads to promote operational efficiency and service excellence.
• Review, assign, supervise, investigate, evaluate, and adjust assigned workers' compensation claims in accordance with Corporate Claim Standards, client-specific instructions, applicable laws, and established authority levels.
• Establish and maintain appropriate claim reserves and authorize claim payments within delegated authority.
• Oversee medical, legal, damage estimate, and other claim-related expenses, resolving disputed invoices when necessary.
• Negotiate settlements and direct the handling of litigated, complex, and high-exposure claims.
• Maintain claim diaries and monitor claim activity to ensure timely and effective claim resolution.
• Provide leadership, training, coaching, performance management, and developmental support to claim staff.
• Attend client meetings, board meetings, file reviews, hearings, mediations, legal conferences, and training sessions as requested.
• Monitor compliance with Corporate Claim Standards, client handling instructions, statutes, regulations, and applicable case law.
• Stay current on legislative, industry, and market developments and communicate relevant impacts to staff.

Skills

Communication

Supervisory experience

Texas claims experience

Analytical skills

Negotiation

Self-motivation

Detail-oriented

Adaptability

Customer service

Attendance reliability

Education

Bachelor's Degree

Job description

CCMSI in Houston, TX is seeking an experienced Claim Manager to oversee workers' compensation claims and operations for a Texas school district account. The role combines technical claim expertise with staff leadership, process improvement, and client partnership.

You will guide and develop claims professionals, ensure compliance with standards and laws, and strive for service excellence. The position offers a clear path for growth within CCMSI and a schedule from Monday to Friday in CST.