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Claims Manager jobs in United States
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El Paso Water · 16 hours ago

Claims Manager

El Paso Water is responsible for managing the city's water resources, and they are seeking a Claims Manager to oversee insurance programs including workers’ compensation and property/casualty claims. The role involves managing claims processing, mitigating risks, and supervising staff to ensure effective claims management.
EnergySustainabilityService IndustryWaterWater Purification

Responsibilities

Identify, assess, and mitigate risks associated with human, physical, and liability claims
Administer and coordinate claims processing and implement strategies to prevent, control, and/or transfer risks through claims management processes and procedures, self-insurance, commercial insurance, and /or other financial instruments
Coordinate with internal business partners to establish a framework and methodology to mitigate reported incurred and/or incurred but not yet reported losses
Manage all claims, with varying degrees of complexity, to full and successful resolution
Manage and administer non-tort claims and seek recovery of damages
Administer medical/case management, claims strategy, negotiation, and adjudication of claims within the level of authority
Initiate and monitor claims investigations, and accept or deny claims
Monitor and ensure the accuracy of claims financial data maintained in the Risk Management Information System (RMIS)
Set financial reserves for claims and conduct periodic internal reserve audits
Represent the City of El Paso at settlement conferences, hearings, arbitrations, mediations, and trials
Negotiate settlements on behalf of the City within the limits of authority
Administer the return-to-work/transitional duty program for injured workers
Manage third-party administrator processes on workers’ compensation claims
Provide all tort notices to the City Attorney’s Office upon receipt
Establishing processes, policy, and priorities, developing and implementing procedures on claims processing and maintenance of claims data, program integrity, and controls
Conduct periodic claims reviews and management meetings with departments, third-party claims examiners/adjusters, and City Attorney’s Office
Advise supervisor on annual claims program budget needs
Communicate claims management philosophy, case strategy, and financial implications to management
Review and finalize workers’ compensation regulatory reports and ensure compliance with reporting requirements
Maintain current knowledge of changes to workers’ compensation, property/casualty, and subrogation/recovery statutes, and act as an in-house resource for departments
Provide education and training to employees on claims matters, especially workers’ compensation response and policies/procedures
Manage and coordinate recoverable claims to successfully subrogate and facilitate insurance recoveries
Assist with Total-Cost-of-Risk analysis, insurance, and self-insured cost forecasting, and data analysis including reviewing and providing input on data trends and variances
Serve on special project teams and assignments
Assign, schedule, guide, and monitor work
Appraise employee performance and review subordinate supervisors' appraisals
Provide for training and development
Counsel, motivate, and maintain harmony
Identify and resolve staff differences, conflicts, and deficiencies
Interview applicants
Recommend hiring, discipline, termination, promotion, or other employee status changes
Enforce personnel rules and regulations and work behavior standards firmly and impartially

Qualification

Claims ManagementRisk ManagementSupervisory ExperienceWorkers' Compensation Adjustor LicenseProperty & Casualty Adjuster LicenseBachelor's DegreeAnalytical SkillsCommunication SkillsNegotiation SkillsTeam Management

Required

Bachelor's Degree or higher in Business or Public Administration, Finance, Risk Management, Insurance, or a related field
Four (4) years of professional experience administering workers' compensation, property and casualty insurance claims, self-insurance, or captive insurance programs
Two (2) years of supervisory experience
Valid Texas Class 'C' Driver's License or equivalent from another state by time of appointment
Workers' Compensation Adjustor's license is required within one (1) year of appointment
Property & Casualty Adjuster License required within one (1) year of appointment

Preferred

Associate in Risk Management from the Insurance Institute of America
Certified Claims Examiner Certification from the State of Texas

Benefits

LIFE AND HEALTH INSURANCE
Basic Life Insurance Coverage is available at no cost to eligible employees.
Optional Dental, Vision, and Short Term Disability coverage.
Health Savings Account or Flexible Spending Account (healthcare and/or dependent care for daycare expenses).
Employee Assistance Program (EAP) with access to mental health sessions, therapy, and more.
The City’s Wellness Program seeks to promote better health and wellness amongst the workforce through various programs and incentives.
Tuition Assistance Program encourages employee personal and professional development by sharing educational costs.

Company

El Paso Water

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El Paso Water specializes in wastewater treatment, reclaimed water, water resources, advanced purification and stormwater services

Funding

Current Stage
Late Stage

Leadership Team

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Adam Wickersham, MBA
Utility Assistant Chief Information Officer of Automation & Data
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Elmer Beeler
Chief Support and Logistics Officer
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Company data provided by crunchbase