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Workers Compensation Program Manager Jobs in Texas

TEEMA

Workers Compensation Claims Examiner

Houston, TX · On-site

$36 - $41/hr

In this role, you will independently manage a caseload of approximately 110-150 workers' compensation claims, including complex files requiring advanced investigation, compensability analysis ...

TEEMA Group

Workers' Compensation Claims III

Irving, TX · On-site

$76K - $85K/yr

Manage loss-time Workers' Compensation claims within Texas jurisdiction from inception through closure * Investigate, evaluate, and determine compensability in accordance with statutory regulations ...

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Workers Compensation Program Manager information

What are the key skills and qualifications needed to thrive as a Workers Compensation Program Manager, and why are they important?

To thrive as a Workers Compensation Program Manager, you need expertise in insurance claims management, regulatory compliance, and risk assessment, typically supported by a bachelor’s degree in business, human resources, or a related field. Familiarity with claims management software, OSHA reporting systems, and certifications like ARM (Associate in Risk Management) or WCCA (Workers’ Compensation Claims Administration) are commonly required. Strong analytical skills, attention to detail, and effective communication are essential soft skills for coordinating stakeholders and resolving claims efficiently. These competencies are crucial to minimize organizational risk, control costs, and ensure legal compliance in workplace injury cases.

What are some common challenges faced by Workers Compensation Program Managers, and how can they be effectively addressed?

Workers Compensation Program Managers often face challenges such as balancing cost control with employee advocacy, staying updated on regulatory changes, and managing complex claims efficiently. Effective communication with stakeholders—including employees, insurance carriers, and healthcare providers—is crucial to resolving claims swiftly and fairly. Leveraging data analytics and maintaining up-to-date knowledge of legal requirements can help anticipate issues and streamline processes. Building strong relationships across departments and fostering a culture of safety also contribute to program success.

Can a hernia be covered under workers' comp?

A Workers Compensation Program Manager understands that hernias can be covered under workers' compensation if they result from a work-related injury or strain. Coverage typically depends on medical evidence linking the hernia to the employment activity and timely reporting of the injury. Proper documentation and medical assessments are essential for claim approval.

What profession has the highest workers' compensation rate?

Workers Compensation Program Managers typically work in administrative and managerial roles, but professions with the highest workers' compensation rates often include construction trades, logging, roofing, and roofing contractors due to the high risk of falls, heavy machinery, and physical labor. These high-risk occupations tend to have elevated insurance premiums and workers' compensation rates to cover potential injuries.

What is a compensation program manager?

A workers compensation program manager oversees the administration of workers' compensation insurance programs within an organization. They coordinate claims processing, ensure compliance with regulations, and work to minimize costs while supporting injured employees. Strong knowledge of insurance policies, claims management, and relevant laws is essential for this role.

What is a Workers Compensation Program Manager?

A Workers Compensation Program Manager is a professional responsible for overseeing an organization’s workers compensation program, ensuring compliance with relevant laws and regulations, and managing claims processes. They work to minimize workplace injuries, coordinate employee return-to-work programs, and collaborate with insurance providers, healthcare professionals, and internal teams. Their goal is to protect both the company and its employees by administering claims efficiently, reducing costs, and promoting workplace safety.

What is the difference between Workers Compensation Program Manager vs Claims Adjuster?

AspectWorkers Compensation Program ManagerClaims Adjuster
CredentialsRelevant certifications (e.g., CPCU, ARM), industry experienceAdjuster licenses, insurance certifications
Work EnvironmentOffice-based, management of programs and policiesField or office-based, handling individual claims
Employer & Industry UsageInsurance companies, large corporations, government agenciesInsurance carriers, third-party administrators

The Workers Compensation Program Manager oversees the entire workers' compensation program, focusing on policy development, compliance, and strategic management. In contrast, Claims Adjusters handle individual injury claims, assessing damages and settling cases. Both roles require industry-specific knowledge and certifications but differ in scope and responsibilities.

What is the highest paying manager position?

In the workers' compensation field, the highest paying manager position is typically the Director of Workers' Compensation or Senior Program Manager, with salaries often exceeding $120,000 annually depending on the organization and location. These roles require extensive experience, leadership skills, and knowledge of claims management and regulatory compliance.
What are popular job titles related to Workers Compensation Program Manager jobs in Texas? For Workers Compensation Program Manager jobs in Texas, the most frequently searched job titles are:
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Workers Compensation Program Manager jobs near you
Workers Compensation Claims Specialist

Workers Compensation Claims Specialist

Cinemark Holdings

Plano, TX • On-site

$22.25 - $30.75/hr

Full-time

Medical, Retirement, PTO

Posted 20 days ago

Cinemark rating

5.7

Company rating: 5.7 out of 10

Based on 520 frontline employees who took The Breakroom Quiz

17th of 40 rated movie theaters

Job description

Join Our Team

As part of our Cinemark Universe, you'll discover fun opportunities with real growth potential and plenty of perks. With 500+ theatres and nearly 6,000 screens; we're truly a global presence of 20,000 movie lovers working together to make unforgettable experiences.

Role Summary:

The Workers' Compensation Claims Specialist oversees and performs a full range of professional, strategic, and coordinative efforts for the Workers' Compensation claims process. This position will oversee and handle all workers' compensation claims for the organization, in addition to the oversight of the company's Third-Party Administrators. This role reports directly to the Sr. Claims Manager and will also communicate with external partners. This exciting and important role will be integral in ensuring Cinemark's Workers' Compensation claims process is aligned with industry best practices, fits the company culture and business strategy, and provides great value to our team members.

Responsibilities

  • Triages new incidents, conducts initial investigations, and collaborates with TPA on handling
  • Collects pertinent information for TPA, as needed
  • Analyzes claim costs, makes recommendations, and mitigates exposure by expediting closure with appropriate action plan in collaboration with the Third-Party Administrator and/or Insurer
  • Manages the multi-state Return to Work Program
  • Coordinates directly with team members, adjusters, case managers, and medical providers for quick resolution of claims and ensures the program is followed
  • Oversees monopolistic state worker's compensation claims for OH and WA
  • Acts as liaison to claims adjusters and attorneys regarding litigated claims
  • Utilizes and updates files in Risk Management Information System (RMIS)
  • Ensures multi-state compliance in the claim management process
  • Coordinates, attends and leads litigation planning conferences with defense counsel and Third-Party Administrator on litigated matters
  • Supports Risk Management with day-to-day requests, analyzing loss trends and strategy, ad-hoc reporting, and other related projects
  • Oversees regulatory WC state postings during renewal
  • Additional tasks as requested by supervisor, and may have opportunity to assist with General Liability matters

Requirements

  • 7+ years of hands-on Workers' Compensation adjusting experience, managing claims within a Risk Management Department or the Claims Department of an insurance carrier or Third-Party Administrator
  • 2+ years of Customer Service experience with a proven record of success
  • 3+ years of Workers' Compensation Litigation Management experience
  • All-Lines Adjuster License or Workers' Compensation Adjuster License
  • Associate in Claims (AIC), preferred

Knowledge, Skills and Abilities

  • An understanding of legal principles related to Workers' Compensation
  • Knowledge of Workers' Compensation procedures in monopolistic states - OH and WA
  • Ability to think analytically and logically to make independent decisions
  • Excellent communication skills and ability to work with external partners
  • Multi-state jurisdictional experience is a plus
  • High level of enthusiasm and energy
  • Strong organizational skills and ability to work under competing deadlines
  • Must be detailed and results oriented
  • Proficient in Microsoft Applications (Excel, Word, PowerPoint, Publisher, Etc.) and RMIS and/or Claims systems

Benefits Available:

At Cinemark, we believe every team member should feel like a hero. Each career comes with a variety of blockbuster benefits for both hourly and salaried team members.

  • Employee Discount
  • 401(k) Matching*
  • Growth Opportunities
  • Education Assistance*
  • Health Benefits*
  • Parental Leave*
  • Paid Time Off*
  • Daily Pay*
  • Free Movies*

*Benefits may vary by career category, so be sure to check the specific details on our career site.

DISCLAIMER: This job description is intended only as a general guideline of your duties and responsibilities at Cinemark and is not a legally binding contract. Cinemark reserves the right to amend, change or terminate the job description, as it deems appropriate. Any change amendments, or modifications may be implemented even though they have not been communicated, reprinted or substituted in this job description.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Cinemark is an Equal Opportunity Employer

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About Cinemark

Sourced by ZipRecruiter

Headquartered in Plano, TX, Cinemark Holdings, Inc. provides premium out-of-home entertainment experiences as one of the largest and most influential theatrical exhibition companies in the world with 507 theatres and 5,765 screens in the U.S. and Latin America as of September 30, 2023. • Our circuit is the third largest in the U.S. with 315 theatres and 4,370 screens in 42 states. • We ranked either #1 or #2 by box office revenues in 80% of our top 25 markets. • We are one of the most geographically diverse circuits in Latin America with 192 theatres and 1,395 screens in 13 countries. • We had a presence in 15 of the top 20 metropolitan cities in South America.

Industry

Arts, entertainment, and recreation

Company size

5,001 - 10,000 Employees

Headquarters location

Plano, TX, US

Year founded

1984

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