Claims Manager - Insurance and Claims Department

About the role

This position is within the Insurance & Claims Department, based out of the Dallas Fort Worth head office. Reporting to the Director of Insurance & Claims, the position holder will assist with Workers’ Compensation and auto claims among other tasks and will also manage and oversee the leave of absence team.

Responsibilities

• Oversee, manage, administer, and coordinate leave of absences, return to work, Workers’ Compensation, and injury prevention.
• Manage Workers’ Compensation case management to ensure timely care for staff injured on the job, proper management of restrictions, appropriate light-duty assignments, communication of available benefits, and compliance with return-to-work requirements and documentation.
• Investigate and challenge suspect Workers’ Compensation claims as necessary.
• Support the Risk team in identifying, evaluating, and minimizing work-related injuries.
• Assist in placing insurance coverages and managing automotive, general liability, aviation, and pollution claims.
• Manage the Leave of Absence team and provide guidance on complex leave issues in accordance with state and federal laws.
• Provide guidance to local managers regarding employees on leave and to the leave team regarding leave extensions, return to work, and the interactive process to determine reasonable accommodations.
• Track all loss time and work status leaves for LOA and Workers’ Compensation.
• Review Workers’ Compensation carrier First Reports of Injury for accuracy, internal personal incident reports, and Records of Communication (ROC) for accuracy.
• Upload new ROCs to SharePoint, file internal personal incidents, and create Workers’ Compensation files in the system.
• Answer claims questions for Workers’ Compensation and Auto claims adjusters and provide relevant claim information to insurance carriers, including work status, employment status, personnel files, and wage history.
• Provide Certificates of Insurance (COIs) to locations and new vehicle insurance cards to stations.
• Attend weekly calls.

Safety, Security, and Environmental Stewardship Responsibilities

• Participate as a key member of the network risk management team, promoting and driving the ‘Safety First’ culture, including exercising Stop Work Authority (SWA) to prevent unsafe conditions or acts.
• Lead by example and immediately correct at-risk behaviors of staff; provide on-the-spot training and coaching as required.
• Implement the Menzies Safety Management System (SMS) within the area of control and encourage staff engagement in safety management processes.
• Be familiar with all aspects of the local Emergency Response Plan/Local Contingency Plan.
• Ensure staff adherence to Standard Operating Procedures (SOPs) and associated training.
• Ensure equipment is properly inspected before use and unsafe equipment is removed from service via Red Tag and/or Lockout/Tagout procedures.
• Actively promote Menzies’ Fair & Just reporting culture at all levels of the business.
• Assume responsibility for reporting incidents and accidents into MORSE and participate in required investigations and implementation of corrective actions.
• Maintain focus on operational procedures to ensure changing risks are addressed via written and dynamic Risk Assessments and safe working practices are developed and adopted via documented Local Operating Procedures and Training.
• Complete routine performance assessments of people, processes, and facilities/equipment using the SMART tool.

Requirements

• College Bachelor’s Degree.
• Previous claims handling experience in workers’ compensation.
• Must be 18 years of age.
• Must pass pre-employment drug screen.
• Must pass background check.
• Ability to proficiently read, write and speak English.
• Understanding of Microsoft programs including Excel, Word, PowerPoint, and TEAMS.
• Ability to problem solve and write comprehensive reports.
• Ability to work within time constraints.
• Ability to work flexible hours as needed.
• Attention to detail.