Athens Administrators · 22 hours ago
Workers Compensation Claims Supervisor
Texas, United States
Full-time
Hybrid
Senior Level
5+ years expAthens Administrators is a dynamic leader in claims administration, seeking a Claims Supervisor for their Texas Workers’ Compensation department. The role involves supervising casework accuracy, managing client relationships, and leading a team to achieve company goals while ensuring compliance and quality service.
ComplianceFinancial ServicesInsuranceProperty Insurance
Responsibilities
Work with Athens management to achieve company initiatives and performance goals
Consistently strive to improve and streamline current processes
Authorize release of payment and settlement
Make daily claims decisions regarding plan of action, handling of payment, etc
Review claim files for accuracy
Run various reports with an eye for accuracy and confidentiality
Approve payments and reserve increases when they rise above Examiner’s authority level
Work collaboratively with internal and clients’ senior management as well as with attorneys to draft settlements and assist with litigation strategies
Provide timely information to clients, attorneys, doctors, investigators and injured workers with strong, professional communication
Discuss appropriateness of medical treatment with medical case manager
Assure consistent and accurate claims coding is occurring on the team
Ensure quality file handling and resolution. This includes meeting unit closing goals, verifying proper reserves, providing thorough claims analysis and guiding to correct resolution
Use flexibility when working in demanding and changing situations
Effectively plan, organize and delegate workload for optimal results and to ensure time commitments are met
Supervise daily activities of the team by monitoring progress, ensuring compliance with policies, and promptly addressing any issues or conflicts
Identify, coordinate, coach, and perform training with staff to improve performance and increase their growth and knowledge in claims
Participate in the interview process, onboarding and training of new hires
Provide general guidance to the team by offering support and advice on work-related issues, fostering a positive work environment, encouraging professional development, and reviewing performance through evaluations, feedback, goal setting, and identifying areas for improvement
Provide direct feedback and use sound coaching techniques to solve disciplinary or workflow problems. Manage and document employee relations issues at all levels. Work in conjunction with Human Resources to ensure performance issues are managed in a timely and consistent manner
Regularly lead organized and collaborative staff unit meetings, including both remote and on-site employees
Maintain an open-door policy and an approachable attitude, and foster open communication with staff
Work with clients with issues regarding policies, programs and/or claims
Manage existing client relationships by being accessible, making regular service calls, and proactively identifying and solving potential problems
Attend client meetings, internal meetings, and workers’ compensation meetings both virtual and in-person
Ensure notepads and diaries are set and completed timely in accordance with client handling instructions and Athens Best Practices and have meaningful action plans and information and are concise and well-written
Obtain audit results meets or exceeds best practice standards of Athens and client
Display integrity and always acts in the best interest of the client
Document client meeting notes in appropriate shared location
Provide direct supervision for 6-10 employees, typically consisting of Senior Claims Examiners, Future Medical Claims Examiners, Claims Examiners, Assistant Claims Examiners and Assistant Claims Examiner Trainees
Attend on-site Leadership Summit at Athens Concord headquarters every 18 months (including overnight)
Review and approve direct report’s monthly expense reports
Ensure that all expenditures are in the best interest of the Company
Use effective monitoring and reporting mechanisms to control expenses without lowering quality
Search for and implement hidden cost improvements
Obtain, maintain, and demonstrate an understanding of wage and hour laws as applicable for employees
Ensure timely, accurate review and approval of timecards for your staff on payroll processing days
Qualification
Required
High School Diploma or equivalent (GED) required for all positions
The Texas 03 Workers' Compensation license is required
Solid and in-depth knowledge of Texas workers' compensation laws, policies and procedures required
Completion of IEA or equivalent courses
Solid and in-depth knowledge of workers' compensation laws, policies, and procedures
3+ years' recent workers compensation claims handling experience at a high level
At least 2 years Claims Supervisory experience required
Proficiency in determining case value and negotiating settlements
Understanding of medical and legal terminology
Strong attention to detail and organizational skills and the ability to research and resolve problems and meet multiple deadlines and to plan and effectuate short- and long-range Company and department objectives
Proficiency at applying business and technical acumen by understanding how the business works and how technology supports business initiatives. Leverages technology for self and staff to improve efficiency
Partnering with team to ensure on time task completion; done through delegation and leading by example, executing tasks rather than just instructing them to execute tasks
Handles stressful situations and deadline pressures well
Must demonstrate accuracy and thoroughness in work product
Effectively influences people to achieve unit and organizational objectives
Must be flexible, adaptable, and positive. Exhibit passion and energy to ensure that all employees are respected and treated in a manner consistent with Athens Values
Able to plan, prioritize and organize claims workload for a unit
Skilled at presenting in small and large group settings
Ability to create reports as required, using the report writing tools available or creating custom documents
Skilled at developing and maintaining effective relationships with others (co-workers, customers, vendors, management, and other key stakeholders) to achieve organizational goals
Embrace the leadership role and can be counted on to help senior management drive towards the desired results and to exceed goals successfully
Able to interpret information from multiple sources and draw logical conclusions; consults others based on analysis of data; able to think strategically and use data findings to consult others for improved business results
Negotiating skills
Mathematical calculating skills
Exercise independent judgment and analytic ability in solving complex and sensitive problems
Highly developed verbal and written communication skills with strong attention to detail
Computer processing skills, including the ability to leverage technology for self and staff to improve efficiency
Proficient in Microsoft Office Suite
Ability to type quickly, accurately and for prolonged periods
Ability to learn additional computer programs
Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution
Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization
Seeks to include innovative strategies and methods to provide a high level of commitment to service and results
Ability to demonstrate care and concern for fellow team members and clients in a professional and friendly manner
Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor
Athens' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company
Valid Driver's license and availability for travel including in office file reviews and meetings
Preferred
AA/AS or BA/BS preferred but not required
The 08 All Lines License is preferred
5+ years' experience in a Workers' Comp claims lead or supervisor position preferred
Prior Third-Party Administrator (TPA) experience preferred
ClaimsXpress program experience preferred but not required
Benefits
Medical
Vision
Dental
Life and AD&D
Long Term Care
Critical Care
Accidental
Hospital Indemnity
HSA & FSA options
401k (and Roth)
Company-Paid STD & LTD
Company
Athens Administrators
Athens Administrators is an insurance firm that offers worker's compensation, program business, managed care, property & casualty services.
501-1000 employees
Funding
Current Stage
Late StageRecent News
2025-11-09
2025-11-07
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