Claims Manager

Education and Experience Bachelor’s Degree or higher in Business or Public Administration, Finance, Risk Management, Insurance, or a related field. Minimum four (4) years of professional experience administering workers’ compensation, property and casualty insurance claims, self‑insurance, or captive insurance programs, including at least two (2) years of lead or supervisory experience. Licenses and Certificates Valid Texas Class "C" Driver’s License or equivalent from another state by time of appointment. Workers’ Compensation Adjustor’s license required within one (1) year of appointment. Property & Casualty Adjuster License required within one (1) year of appointment. Associate in Risk Management from the Insurance Institute of America and/or Certified Claims Examiner Certification from the State of Texas is preferred. Responsibilities Manage the City of El Paso insurance programs, including workers’ compensation, property/casualty, and subrogation/recovery claims, under direction. Identify, assess, and mitigate risks associated with human, physical, and liability claims; administer and coordinate claims processing; implement strategies to prevent, control, and transfer risks through claims management, self‑insurance, commercial insurance, and other financial instruments. Coordinate with internal business partners to establish frameworks and methodologies that mitigate reported incurred and/or incurred‑but‑not‑yet‑reported losses. Manage all claims of varying complexity to full and successful resolution. Administer non‑tort claims and recovery of damages, including medical/case management, claims strategy, negotiation, and adjudication within the authority level. Initiate and monitor claims investigations, accept or deny claims, and monitor financial data accuracy in the Risk Management Information System (RMIS). Set financial reserves for claims, conduct periodic internal reserve audits, and represent the City at settlement conferences, hearings, arbitrations, mediations, and trials. Negotiate settlements within the limits of authority and administer the return‑to‑work/transitional duty program for injured workers. Handle third‑party administrator processes on workers’ compensation claims and provide all tort notices to the City Attorney’s Office upon receipt. Establish processes, policies, and priorities; develop and implement procedures for claims processing and data maintenance, program integrity, and controls. Conduct periodic claims reviews and management meetings with departments, third‑party examiners/adjusters, and the City Attorney’s Office. Advise on annual claims program budget needs and communicate claims management philosophy, case strategy, and financial implications to management. Review and finalize workers’ compensation regulatory reports, ensuring compliance with reporting requirements. Maintain current knowledge of 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 perform data analysis including reviewing and providing input on data trends and variances. Serve on special project teams and assignments. Supervision Supervise assigned staff: assign, schedule, guide, and monitor work; appraise employee performance; review subordinate supervisors’ appraisals; provide 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 impartially. #J-18808-Ljbffr City of El Paso