Claims Manager

J.B. Poindexter & Co - Houston, TX

Full-time - Senior

Houston, TX

5,001-10,000 employees

Management of Companies and Enterprises

About the position

The Claims Manager at J.B. Poindexter & Co. is responsible for overseeing all claims filed against the organization across various business units and insurance lines. This role involves driving optimum claims outcomes, supporting operational goals, and providing customer service to stakeholders. The Claims Manager will manage third-party adjusting companies, work with adjusters on claims evaluations, and ensure compliance with claims handling practices and laws.

Responsibilities

• Manage all claims filed against the organization across various business units and insurance lines.
• Establish standardized procedures for filing, tracking, and resolving claims.
• Attend mediations to provide expert representation and negotiation on behalf of the organization.
• Work closely with legal teams to develop strategies for effective claim resolution.
• Oversee and manage monthly invoices related to claims, ensuring accurate and timely processing of payments and reimbursements.
• Monitor and analyze financial data to identify cost-saving opportunities.
• Oversee and manage all workers' compensation claims, ensuring timely processing and resolution.
• Develop and implement effective return-to-work programs for injured employees.
• Coordinate with healthcare providers, employees, and supervisors to manage recovery plans and accommodations.
• Implement best practices to resolve claims efficiently and effectively.
• Develop metrics and KPIs to measure performance and improvement in claims management.
• Foster relationships with insurers, adjusters, and other stakeholders to facilitate smooth claim processes.
• Ensure all claims are managed in compliance with relevant laws and regulations.
• Maintain up-to-date knowledge of changes in insurance and claims management legislation.

Requirements

• Bachelor's degree in a related discipline.
• 10+ years experience as a claims adjuster for workers compensation claims, auto claims, and general liability.
• Knowledge of insurance policies for determining coverage and limits.
• Familiarity with multi-jurisdictional adjusting and legal requirements.
• Experience with RMIS systems and general Microsoft software.
• Superior communication, strategic thinking, and problem-solving skills.