Texas Workers' Comp Claims Team Lead

Elite Tek Services, Inc.; Dallas (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Elite Tek Services, Inc. in Dallas, TX seeks an experienced Workers' Compensation Claims Supervisor to oversee daily operations of a claims team, ensure quality handling, regulatory compliance, and strong client service.

The ideal candidate will have 5+ years of Texas workers' compensation claims experience, prior supervisory experience, and a thorough understanding of Texas laws, procedures, and medical terminology. Bachelor's degree preferred.

Qualifications

• Minimum of 5 years of workers' compensation claims experience, with strong Texas jurisdictional knowledge.
• Previous supervisory or team leadership experience within workers' compensation claims administration.
• Thorough understanding of Texas workers' compensation laws, regulations, claims procedures, and medical terminology.
• Demonstrated ability to coach, mentor, and develop claims professionals.
• Strong organizational skills with the ability to manage multiple priorities, deadlines, and client expectations.
• Experience reviewing claims files, monitoring quality standards, and supporting compliance initiatives.
• Strong analytical, problem-solving, and decision-making abilities.
• Excellent written and verbal communication skills with clients, claims professionals, and leadership.
• Proficiency with claims management systems and Microsoft Office.
• Bachelor's degree preferred, or an equivalent combination of education and relevant experience.

Responsibilities

• Supervise and support a team of Workers' Compensation Claims Examiners and Claims Assistants, providing daily guidance, coaching, and performance oversight.
• Oversee claims assignments, caseload distribution, and workflow to ensure timely and effective claims administration.
• Provide technical guidance on complex claims, coverage questions, compensability, reserves, settlements, and regulatory requirements.
• Monitor claims handling practices to ensure compliance with Texas workers' compensation laws, client service requirements, and established procedures.
• Review and approve claims payments and other transactions within designated authority levels.
• Assist with escalated claims issues, including claimant concerns, vendor matters, and client service requests.
• Evaluate team performance, identify training needs, and support professional development.
• Review claims files, participate in audits, and implement improvements to claims handling practices.
• Prepare and review client reports, monitor service performance, and participate in client meetings and file reviews.
• Coordinate claims coverage during staff absences and vacancies to maintain service continuity.
• Collaborate with internal leadership and other departments to address operational needs and client service priorities.

Skills

Leadership

Texas WC experience

Coaching

Client service

Regulatory compliance

Prioritization

Communication

Analytical thinking

Team management

MS Office

Education

Bachelor's degree

Tools

Claims management systems

Microsoft Office

Job description

Elite Tek Services, Inc. in Dallas, TX seeks an experienced Workers' Compensation Claims Supervisor to oversee daily operations of a claims team, ensure quality handling, regulatory compliance, and strong client service.

The ideal candidate will have 5+ years of Texas workers' compensation claims experience, prior supervisory experience, and a thorough understanding of Texas laws, procedures, and medical terminology. Bachelor's degree preferred.