Claims Manager

About the role

The Claims Manager oversees the City of El Paso’s insurance programs including workers’ compensation, property/casualty, and subrogation/recovery claims. Key responsibilities include identifying and mitigating risks, administering claims, negotiating settlements, and managing third-party administrator processes.

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.
• Initiate and monitor claims investigations, and accept or deny claims.
• Maintain 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.
• Establish processes, policy, and priorities, develop and implement 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.
• Supervise assigned staff.

Requirements

• Bachelor’s Degree or higher in Business or Public Administration, Finance, Risk Management, Insurance, or a related field, and four (4) years of professional experience administering workers’ compensation, property and casualty insurance claims, self-insurance, or captive insurance programs, including two (2) years of lead or supervisory experience.
• A valid Texas Class "C" Driver's License or equivalent from another state by time of appointment.
• A Workers’ Compensation Adjustor’s license is required within one (1) year of appointment.
• A Property & Casualty Adjuster License required within one (1) year of appointment.
• An Associate in Risk Management from the Insurance Institute of America and/or Certified Claims Examiner Certification from the State of Texas is preferred.

Qualifications

• Valid Texas Class "C" Driver's License or equivalent from another state by time of appointment.
• A Workers’ Compensation Adjustor’s license is required within one (1) year of appointment.
• A Property & Casualty Adjuster License required within one (1) year of appointment.
• An Associate in Risk Management from the Insurance Institute of America and/or Certified Claims Examiner Certification from the State of Texas is preferred.

Skills

• Knowledge of workers’ compensation, property/casualty, and subrogation/recovery statutes.
• Ability to manage and administer complex claims.
• Experience in risk assessment and mitigation.
• Strong communication and negotiation skills.
• Proficiency in claims management software and systems.

Benefits

• LIFE AND HEALTH INSURANCE: Available at no cost to eligible employees, including basic life insurance, dental, vision, and short-term disability coverage.
• ANNUAL VACATION LEAVE: Eligible after six months of service, with accrual rates based on hours worked.
• SICK LEAVE WITH PAY: Available to all regular employees.
• ACCIDENT WITH PAY LEAVE: Effective upon adoption, applies to occupational injuries and occupational diseases.
• PREGNANCY LEAVE: Treated the same as any other temporary physical disability, with use of accumulated and unused regular sick leave and potential leave without pay.
• LEGAL HOLIDAYS: Specific days off as outlined, with adjustments for holidays falling on weekends or weekdays.

Pay

$76,593.71 - $95,742.14 Annually

Schedule

Full-time position