Athens Administrators · 1 day ago
Division Claims Manager - Texas Workers Comp
Texas, United States
Full-time
Hybrid
Mid, Senior Level
$125K/yr - $158K/yr
3+ years expAthens Administrators is a dynamic leader in claims administration, offering a supportive and inclusive work culture. They are seeking a Division Claims Manager to lead a team in their Workers Compensation department, focusing on client relationships and performance goals.
ComplianceFinancial ServicesInsuranceProperty Insurance
Responsibilities
Lead the execution of claims strategies to meet company initiatives and performance goals as part of the Senior Operations Group (SOG)
Provide daily direction, guidance, and coaching to Claims Supervisors; make timely claim strategy decisions (plan of action, payments, reserves, settlements)
Ensure quality file handling and resolution, including meeting unit closing goals, verifying proper reserves, delivering thorough claims analysis, and guiding files to proper resolution
Maintain current diaries per client requirements; ensure consistent, accurate claims coding organization‑wide
Achieve audit results that meet or exceed Athens and client best‑practice standards; translate audit outcomes into sustainable quality improvements
Monitor and improve Supervisor FOA (Fraction of the Action) performance against benchmarks
Review work outputs for accuracy and completeness; leverage peer review where appropriate
Coordinate and deliver claims training; collaborate with attorneys to craft settlements and support effective litigation strategies
Authorize payments and settlements within delegated authority
Resolve workflow issues and escalate complex claim challenges appropriately
Lead and participate in client stewardship presentations, file reviews, and workers’ compensation meetings; collaborate closely with Sales on new‑business presentations
Work collaboratively with Athens and client senior management; communicate clearly with clients, investigators, injured workers, and key stakeholders
Handle audit responses and integrate results into other quality measures to ensure consistent improvements
Seek opportunities to streamline processes, improve efficiency, and respond quickly to new instructions, policies, methods, and procedures
Produce accurate, thorough, and complete work products using available resources to generate innovative solutions
Provide day‑to‑day leadership, direction, and coaching to Claims Supervisors and ancillary staff (e.g., Hearing Representatives, investigators)
Model a consistently positive, professional, and cooperative approach; foster teamwork, transparency, and an open‑door culture
Share knowledge freely; ensure staff receive timely updates from leadership meetings and that staff feedback and ideas are elevated to leadership
Set clear, measurable annual performance objectives and development plans for direct reports; recognize contributions and coach for growth
Address performance issues promptly and consistently; document thoroughly and partner with HR on employee relations matters
Demonstrate accountability in recruiting: conduct timely resume reviews, provide interview feedback with required documentation, recommend next steps, and deliver respectful, constructive feedback to internal candidates not advancing
Organize, prioritize, and assign workload across the unit; adapt staffing and priorities to changing client or business needs
Lead regular unit meetings to align on priorities, quality expectations, and best practices
Respond promptly to client inquiries and work urgently toward solutions; proactively identify and resolve potential service issues
Maintain strong client relationships through accessibility, service calls, stewardship reviews, and effective communication
Document client meeting notes in designated shared systems to ensure transparency and continuity
Act with integrity and uphold the highest ethical standards; demonstrate trustworthiness and accountability in all client interactions
Provide direct supervision to Claims Supervisors. Also provide partial direct supervision to ancillary staff, such as Hearing Representatives, investigators, etc
Plan, assign, monitor, and evaluate work; coach to quality, timeliness, and outcomes
Review and approve direct reports’ monthly expense reports; ensure all expenditures are in the Company’s best interest
Participate in annual budgeting and forecasting for the division; anticipate resource and expense needs
Implement monitoring and reporting mechanisms to control costs without compromising quality
Identify and implement hidden cost improvements and operational efficiencies
Maintain working knowledge of wage and hour laws for staff; ensure timely, accurate review and approval of timecards on payroll days
Contribute to claims budget planning and salary administration; manage education expenses responsibly
Oversee branch office facilities management as needed; coordinate building security, maintenance, parking, and safety
Qualification
Required
High School Diploma or equivalent (GED) required for all positions
The Texas 03 Workers' Compensation license is required
Previous workers' compensation claims experience with a minimum of (3) years of supervisory experience including hiring, training, developing, retaining, and directing staff
Ability to attend in‑person meetings, client meetings, conferences, and travel throughout Texas (including overnight travel); valid driver's license required
Strong communication skills (written, verbal, presentations) and ability to build and maintain effective relationships with internal and external stakeholders
Strong organizational and time‑management skills, including ability to plan, prioritize, and independently manage workload, projects, and staff
Strong analytical, reasoning, and problem‑solving skills with ability to interpret data and use findings to support business decisions
Ability to handle stressful situations, manage deadlines, and exercise sound judgment
Proficiency in Microsoft Office Suite and ability to learn additional software; able to leverage technology to support business operations and improve efficiency
Demonstrates strategic thinking, creativity, and an entrepreneurial mindset
Ability to contribute to leadership goals, support company objectives, and uphold company values
Ability to type quickly and accurately
Mathematical calculation skills
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
Preferred
AA/AS or BA/BS strongly preferred
The 08 All Lines License is preferred
2+ years management experience over a Workers' Compensation office preferred
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
Company data provided by crunchbase