COMPENSATION & SCHEDULE
- Pay: $60/hour
- Schedule: Hybrid, Monday-Friday
ROLE IMPACT
We are seeking an experienced Risk Manager to oversee a large-scale workers' compensation and return-to-work program supporting more than 9,000 employees, including first responders. This high-visibility role focuses on claims oversight, third-party administrator (TPA) performance, regulatory compliance, and financial risk mitigation. Success requires strong leadership, sound judgment, and the ability to resolve complex, high-profile claims while balancing employee well-being, operational efficiency, and financial accountability.
KEY RESPONSIBILITIES
- Lead daily operations of a self-insured workers' compensation program, overseeing claims from initial reporting through resolution, including medical case management, litigation coordination, settlements, and return-to-work initiatives.
- Manage third-party administrators (TPAs), insurance vendors, and legal partners. Conduct claims reviews, monitor contractual service levels, evaluate claims exposure, and develop strategies to reduce costs and improve outcomes.
- Ensure compliance with Texas workers' compensation regulations, including participation in Benefit Review Conferences and Contested Case Hearings before the Texas Division of Workers' Compensation (DWC).
- Analyze claims trends, loss data, and program performance. Develop reports, monitor large-loss cases, manage operational budgets, and recommend improvements to claims administration, financial controls, and risk mitigation strategies.
- Partner with Human Resources, legal counsel, department leadership, and occupational health providers to strengthen return-to-work programs, deliver training, improve claims processes, and support organization-wide risk management initiatives.
MINIMUM QUALIFICATIONS
- Bachelor's degree in Risk Management, Human Resources, Public Administration, Business Administration, or a related field.
- Minimum 5 years of risk management experience emphasizing workers' compensation claims handling, claims supervision, vendor management, and client services, including at least 2 years of administrative or supervisory responsibility.
- Valid Texas Driver's License and possession of, or ability to obtain, a Texas Workers' Compensation Adjuster License within 6 months of employment. Demonstrated ability to manage vendor contracts, communicate with executive leadership, and present complex claims information to stakeholders.
CORE TOOLS & SYSTEMS
- Workers' Compensation Claims Management Systems
- Third-Party Administrator (TPA) Reporting Platforms
- Claims Analytics, Loss Runs, and Trend Reporting
- Self-Insured Risk Fund and Budget Management
- Texas Division of Workers' Compensation (DWC) Regulatory Systems
- Vendor Performance and Contract Management
- Return-to-Work and Occupational Health Programs
PREFERRED SKILLS
- Professional designation such as Certified Workers' Compensation Professional (CWCP) or Workers' Compensation Claims Professional (WCCP).
- Experience managing self-funded workers' compensation programs, including budget development, excess insurance, stop-loss coverage, and financial risk analysis.
- Advanced knowledge of Texas workers' compensation regulations, claims administration, dispute resolution, and litigation management.